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, 2025 07:04 AM Wednesday; Rod Welch

Exercise, diet, vitals and medication case study Jan 1, 2025.

1...Summary/Objective
....1...250101 0710............................................. summary vitals, ref SDS 18 XI3K
....2...250102 0710............................................. summary vitals, ref SDS 18 XI3K
....3...250103 0720............................................. summary vitals, ref SDS 18 XI3K
....4...250104 0730............................................. summary vitals, ref SDS 18 XI3K
....5...250105 0710............................................. summary vitals, ref SDS 18 XI3K
....6...250106 0720............................................. summary vitals, ref SDS 18 XI3K
....7...250107 0720............................................. summary vitals, ref SDS 18 XI3K
....8...250108 0700............................................. summary vitals, ref SDS 18 XI3K
....9...250109 0205............................................. summary vitals, ref SDS 18 XI3K
...10...250110 0710............................................. summary vitals, ref SDS 18 XI3K
...11...250111 0710............................................. summary vitals, ref SDS 18 XI3K
...12...250112 0720............................................. summary vitals, ref SDS 18 XI3K
...13...250113 0720............................................. summary vitals, ref SDS 18 XI3K
...14...250114 0730............................................. summary vitals, ref SDS 18 XI3K
...15...250115 0720............................................. summary vitals, ref SDS 18 XI3K
...16...250116 0720............................................. summary vitals, ref SDS 18 XI3K
...17...250117 0720............................................. summary vitals, ref SDS 18 XI3K
...18...250118 0720............................................. summary vitals, ref SDS 18 XI3K
...19...250119 0920............................................. summary vitals, ref SDS 18 XI3K
...20...250120 0820............................................. summary vitals, ref SDS 18 XI3K
...21...250121 0710............................................. summary vitals, ref SDS 18 XI3K
...22...250122 0700............................................. summary vitals, ref SDS 18 XI3K
...23...250123 0720............................................. summary vitals, ref SDS 18 XI3K
...24...250124 0730............................................. summary vitals, ref SDS 18 XI3K
...25...250125 0720............................................. summary vitals, ref SDS 18 XI3K
...26...250126 0720............................................. summary vitals, ref SDS 18 XI3K
...27...250127 0720............................................. summary vitals, ref SDS 18 XI3K
...28...250128 0720............................................. summary vitals, ref SDS 18 XI3K
...29...250129 0720............................................. summary vitals, ref SDS 18 XI3K
...30...250130 0710............................................. summary vitals, ref SDS 18 XI3K
...31...250131 0740............................................. summary vitals, ref SDS 18 XI3K
...32...250201 0720............................................. summary vitals, ref SDS 18 XI3K
...33...250202 0715............................................. summary vitals, ref SDS 18 XI3K
...34...250203 0710............................................. summary vitals, ref SDS 18 XI3K
...35...250204 0720............................................. summary vitals, ref SDS 18 XI3K
...36...250205 0720............................................. summary vitals, ref SDS 18 XI3K
...37...250206 0720............................................. summary vitals, ref SDS 18 XI3K
...38...250207 0120............................................. summary vitals, ref SDS 18 XI3K
...39...250208 0750............................................. summary vitals, ref SDS 18 XI3K
...40...250209 0720............................................. summary vitals, ref SDS 18 XI3K
...41...250210 0720............................................. summary vitals, ref SDS 18 XI3K
...42...250211 0640............................................. summary vitals, ref SDS 18 XI3K
...43...250212 0715............................................. summary vitals, ref SDS 18 XI3K
...44...250213 0700............................................. summary vitals, ref SDS 18 XI3K
...45...250214 0720............................................. summary vitals, ref SDS 18 XI3K
...46...250215 0710............................................. summary vitals, ref SDS 18 XI3K
...47...250216 0650............................................. summary vitals, ref SDS 18 XI3K
...48...250217 0640............................................. summary vitals, ref SDS 18 XI3K
...49...250218 0700............................................. summary vitals, ref SDS 18 XI3K
...50...250219 0700............................................. summary vitals, ref SDS 18 XI3K
...51...250220 0700............................................. summary vitals, ref SDS 18 XI3K
...52...250221 0700............................................. summary vitals, ref SDS 18 XI3K
...53...250222 0720............................................. summary vitals, ref SDS 18 XI3K
...54...250223 0720............................................. summary vitals, ref SDS 18 XI3K
...55...250224 0700............................................. summary vitals, ref SDS 18 XI3K
...56...250225 0710............................................. summary vitals, ref SDS 18 XI3K
...57...250226 0710............................................. summary vitals, ref SDS 18 XI3K
...58...250227 0650............................................. summary vitals, ref SDS 18 XI3K
...59...250228 0710............................................. summary vitals, ref SDS 18 XI3K
...60...250301 0650............................................. summary vitals, ref SDS 18 XI3K
...61...250302 0730............................................. summary vitals, ref SDS 18 XI3K
...62...250303 0700............................................. summary vitals, ref SDS 18 XI3K
...63...250304 0720............................................. summary vitals, ref SDS 18 XI3K
...64...250305 0650............................................. summary vitals, ref SDS 18 XI3K
...65...250306 0310............................................. summary vitals, ref SDS 18 XI3K
...66...250307 0715............................................. summary vitals, ref SDS 18 XI3K
...67...250308 0615............................................. summary vitals, ref SDS 18 XI3K
...68...250309 0650............................................. summary vitals, ref SDS 18 XI3K
...69...250310 0330............................................. summary vitals, ref SDS 18 XI3K
...70...250311 0720............................................. summary vitals, ref SDS 18 XI3K
...71...250312 0710............................................. summary vitals, ref SDS 18 XI3K
...72...250313 0730............................................. summary vitals, ref SDS 18 XI3K
...73...250314 0730............................................. summary vitals, ref SDS 18 XI3K
...74...250315 0705............................................. summary vitals, ref SDS 18 XI3K
...75...250316 0730............................................. summary vitals, ref SDS 18 XI3K
...76...250317 0655............................................. summary vitals, ref SDS 18 XI3K
...77...250318 0720............................................. summary vitals, ref SDS 18 XI3K
...78...250319 0700............................................. summary vitals, ref SDS 18 XI3K
...79...250320 0700............................................. summary vitals, ref SDS 18 XI3K
...80...250321 0710............................................. summary vitals, ref SDS 18 XI3K
...81...250322 0710............................................. summary vitals, ref SDS 18 XI3K
...82...250323 0700............................................. summary vitals, ref SDS 18 XI3K
...83...250324 0720............................................. summary vitals, ref SDS 18 XI3K
...84...250325 0110............................................. summary vitals, ref SDS 18 XI3K
...85...250326 0230............................................. summary vitals, ref SDS 18 XI3K
...86...250327 0715............................................. summary vitals, ref SDS 18 XI3K
...87...250328 0705............................................. summary vitals, ref SDS 18 XI3K
...88...250329 0710............................................. summary vitals, ref SDS 18 XI3K
...89...250330 0705............................................. summary vitals, ref SDS 18 XI3K
...90...250331 0655............................................. summary vitals, ref SDS 18 XI3K
...91...250401 0715............................................. summary vitals, ref SDS 18 XI3K
...92...250402 0650............................................. summary vitals, ref SDS 18 XI3K
...93...250403 0715............................................. summary vitals, ref SDS 18 XI3K
...94...250404 0700............................................. summary vitals, ref SDS 18 XI3K
...95...250405 0705............................................. summary vitals, ref SDS 18 XI3K
...96...250406 0710............................................. summary vitals, ref SDS 18 XI3K
...97...250407 0710............................................. summary vitals, ref SDS 18 XI3K
...98...250408 0640............................................. summary vitals, ref SDS 18 XI3K
...99...250409 0705............................................. summary vitals, ref SDS 18 XI3K
..100. 250410 0135............................................. summary vitals, ref SDS 18 XI3K
..101. 250411 0640............................................. summary vitals, ref SDS 18 XI3K
..102. 250412 0645............................................. summary vitals, ref SDS 18 XI3K
..103. 250413 0705............................................. summary vitals, ref SDS 18 XI3K
..104. 250414 0720............................................. summary vitals, ref SDS 18 XI3K
..105. 250415 0700............................................. summary vitals, ref SDS 18 XI3K
..106. 250416 0710............................................. summary vitals, ref SDS 18 XI3K
..107. 250417 0640............................................. summary vitals, ref SDS 18 XI3K
..108. 250418 0710............................................. summary vitals, ref SDS 18 XI3K
..109. 250419 0910............................................. summary vitals, ref SDS 18 XI3K
..110. 250420 0710............................................. summary vitals, ref SDS 18 XI3K
..111. 250421 0705............................................. summary vitals, ref SDS 18 XI3K
..112. 250422 0710............................................. summary vitals, ref SDS 18 XI3K
..113. 250423 0715............................................. summary vitals, ref SDS 18 XI3K
..114. 250424 0635............................................. summary vitals, ref SDS 18 XI3K
..115. 250425 0700............................................. summary vitals, ref SDS 18 XI3K
..116. 250426 0715............................................. summary vitals, ref SDS 18 XI3K
..117. 250427 0700............................................. summary vitals, ref SDS 18 XI3K
..118. 250428 0415............................................. summary vitals, ref SDS 18 XI3K
..119. 250429 0710............................................. summary vitals, ref SDS 18 XI3K
..120. 250430 0720............................................. summary vitals, ref SDS 18 XI3K
..121. 250501 0705............................................. summary vitals, ref SDS 18 XI3K
..122. 250502 0710............................................. summary vitals, ref SDS 18 XI3K
..123. 250503 0650............................................. summary vitals, ref SDS 18 XI3K
..124. 250504 0650............................................. summary vitals, ref SDS 18 XI3K
..125. 250505 0700............................................. summary vitals, ref SDS 18 XI3K
..126. 250506 0715............................................. summary vitals, ref SDS 18 XI3K
..127. 250507 0700............................................. summary vitals, ref SDS 18 XI3K
..128. 250508 0210............................................. summary vitals, ref SDS 18 XI3K
..129. 250509 0710............................................. summary vitals, ref SDS 18 XI3K
..130. 250510 0625............................................. summary vitals, ref SDS 18 XI3K
..131. 250511 0700............................................. summary vitals, ref SDS 18 XI3K
..132. 250512 0715............................................. summary vitals, ref SDS 18 XI3K
..133. 250513 0705............................................. summary vitals, ref SDS 18 XI3K
..134. 250514 0650............................................. summary vitals, ref SDS 18 XI3K
..135. 250515 0650............................................. summary vitals, ref SDS 18 XI3K
..136. 250516 0640............................................. summary vitals, ref SDS 18 XI3K
..137. 250517 0700............................................. summary vitals, ref SDS 18 XI3K
..138. 250518 0655............................................. summary vitals, ref SDS 18 XI3K
..139. 250519 0700............................................. summary vitals, ref SDS 18 XI3K
..140. 250520 0710............................................. summary vitals, ref SDS 18 XI3K
..141. 250521 0715............................................. summary vitals, ref SDS 18 XI3K
..142. 250522 0615............................................. summary vitals, ref SDS 18 XI3K
..143. 250523 0845............................................. summary vitals, ref SDS 18 XI3K
..144. 250524 0720............................................. summary vitals, ref SDS 18 XI3K
..145. 250525 0710............................................. summary vitals, ref SDS 18 XI3K
..146. 250526 0710............................................. summary vitals, ref SDS 18 XI3K
..147. 250527 0720............................................. summary vitals, ref SDS 18 XI3K
..148. 250528 0710............................................. summary vitals, ref SDS 18 XI3K
..149. 250529 0710............................................. summary vitals, ref SDS 18 XI3K
..150. 250530 0710............................................. summary vitals, ref SDS 18 XI3K
..151. 250531 0510............................................. summary vitals, ref SDS 18 XI3K
..152. 250601 0710............................................. summary vitals, ref SDS 18 XI3K
..153. 250602 0710............................................. summary vitals, ref SDS 18 XI3K
..154. 250603 0810............................................. summary vitals, ref SDS 18 XI3K
..155. 250604 0740............................................. summary vitals, ref SDS 18 XI3K
..156. 250605 0515............................................. summary vitals, ref SDS 18 XI3K
..157. 250606 0555............................................. summary vitals, ref SDS 18 XI3K
..158. 250607 0620............................................. summary vitals, ref SDS 18 XI3K
..159. 250608 0420............................................. summary vitals, ref SDS 18 XI3K
..160. 250609 0410............................................. summary vitals, ref SDS 18 XI3K
..161. 250610 0550............................................. summary vitals, ref SDS 18 XI3K
..162. 250611 0650............................................. summary vitals, ref SDS 18 XI3K
..163. 250612 0650............................................. summary vitals, ref SDS 18 XI3K
..164. 250613 0530............................................. summary vitals, ref SDS 18 XI3K
..165. 250614 0545............................................. summary vitals, ref SDS 18 XI3K
..166. 250615 0540............................................. summary vitals, ref SDS 18 XI3K
..167. 250616 0720............................................. summary vitals, ref SDS 18 XI3K
..168. 250617 0655............................................. summary vitals, ref SDS 18 XI3K
..169. 250618 0420............................................. summary vitals, ref SDS 18 XI3K
..170. 250619 0710............................................. summary vitals, ref SDS 18 XI3K
..171. 250620 0710............................................. summary vitals, ref SDS 18 XI3K
..172. 250621 0720............................................. summary vitals, ref SDS 18 XI3K
..173. 250622 0530............................................. summary vitals, ref SDS 18 XI3K
..174. 250623 0800............................................. summary vitals, ref SDS 18 XI3K
..175. 250624 0800............................................. summary vitals, ref SDS 18 XI3K
..176. 250625 0705............................................. summary vitals, ref SDS 18 XI3K
..177. 250626 0640............................................. summary vitals, ref SDS 18 XI3K
..178. 250627 0640............................................. summary vitals, ref SDS 18 XI3K
..179. 250628 0620............................................. summary vitals, ref SDS 18 XI3K
..180. 250629 0715............................................. summary vitals, ref SDS 18 XI3K
..181. 250630 0705............................................. summary vitals, ref SDS 18 XI3K
..182. 250701 0830............................................. summary vitals, ref SDS 18 XI3K
..183. 250702 0645............................................. summary vitals, ref SDS 18 XI3K
..184. 250703 0630............................................. summary vitals, ref SDS 18 XI3K
..185. 250704 0610............................................. summary vitals, ref SDS 18 XI3K
..186. 250705 0620............................................. summary vitals, ref SDS 18 XI3K
..187. 250706 0700............................................. summary vitals, ref SDS 18 XI3K
..188. 250707 0300............................................. summary vitals, ref SDS 18 XI3K
..189. 250708 0610............................................. summary vitals, ref SDS 18 XI3K
..190. 250709 0720............................................. summary vitals, ref SDS 18 XI3K
..191. 250710 0710............................................. summary vitals, ref SDS 18 XI3K
..192. 250711 0620............................................. summary vitals, ref SDS 18 XI3K
..193. 250712 0620............................................. summary vitals, ref SDS 18 XI3K
..194. 250713 0650............................................. summary vitals, ref SDS 18 XI3K
..195. 250714 0655............................................. summary vitals, ref SDS 18 XI3K
..196. 250715 0655............................................. summary vitals, ref SDS 18 XI3K
..197. 250716 0640............................................. summary vitals, ref SDS 18 XI3K
..198. 250717 0455............................................. summary vitals, ref SDS 18 XI3K
..199. 250718 0445............................................. summary vitals, ref SDS 18 XI3K
..200. 250719 0445............................................. summary vitals, ref SDS 18 XI3K
..201. 250720 0630............................................. summary vitals, ref SDS 18 XI3K
..202. 250721 0520............................................. summary vitals, ref SDS 18 XI3K
..203. 250722 0455............................................. summary vitals, ref SDS 18 XI3K
..204. 250723 0655............................................. summary vitals, ref SDS 18 XI3K
..205. 250724 0720............................................. summary vitals, ref SDS 18 XI3K
..206. 250725 0745............................................. summary vitals, ref SDS 18 XI3K
..207. 250726 0730............................................. summary vitals, ref SDS 18 XI3K
..208. 250727 0700............................................. summary vitals, ref SDS 18 XI3K
..209. 250728 0720............................................. summary vitals, ref SDS 18 XI3K
..210. 250729 0638............................................. summary vitals, ref SDS 18 XI3K
..211. 250730 0600............................................. summary vitals, ref SDS 18 XI3K
..212. 250731 0710............................................. summary vitals, ref SDS 18 XI3K
..213. 250801 0640............................................. summary vitals, ref SDS 18 XI3K
..214. 250802 0720............................................. summary vitals, ref SDS 18 XI3K
..215. 250803 0730............................................. summary vitals, ref SDS 18 XI3K
..216. 250804 0640............................................. summary vitals, ref SDS 18 XI3K
..217. 250805 0720............................................. summary vitals, ref SDS 18 XI3K
..218. 250806 0700............................................. summary vitals, ref SDS 18 XI3K
..219. 250807 0315............................................. summary vitals, ref SDS 18 XI3K
..220. 250808 0720............................................. summary vitals, ref SDS 18 XI3K
..221. 250809 0700............................................. summary vitals, ref SDS 18 XI3K
..222. 250810 0715............................................. summary vitals, ref SDS 18 XI3K
..223. 250811 0635............................................. summary vitals, ref SDS 18 XI3K
..224. 250812 0715............................................. summary vitals, ref SDS 18 XI3K
..225. 250813 0640............................................. summary vitals, ref SDS 18 XI3K
..226. 250814 0640............................................. summary vitals, ref SDS 18 XI3K
..227. 250815 0610............................................. summary vitals, ref SDS 18 XI3K
..228. 250816 0700............................................. summary vitals, ref SDS 18 XI3K
..229. 250817 0540............................................. summary vitals, ref SDS 18 XI3K
..230. 250818 0720............................................. summary vitals, ref SDS 18 XI3K
..231. 250819 0625............................................. summary vitals, ref SDS 18 XI3K
..232. 250820 1000............................................. summary vitals, ref SDS 18 XI3K
..233. 250821 0705............................................. summary vitals, ref SDS 18 XI3K
..234. 250822 0705............................................. summary vitals, ref SDS 18 XI3K
..235. 250823 0710............................................. summary vitals, ref SDS 18 XI3K
..236. 250824 0720............................................. summary vitals, ref SDS 18 XI3K
..237. 250825 0725............................................. summary vitals, ref SDS 18 XI3K
..238. 250826 0720............................................. summary vitals, ref SDS 18 XI3K
..239. 250827 0720............................................. summary vitals, ref SDS 18 XI3K
..240. 250828 0700............................................. summary vitals, ref SDS 18 XI3K
..241. 250829 0710............................................. summary vitals, ref SDS 18 XI3K
..242. 250830 0640............................................. summary vitals, ref SDS 18 XI3K
..243. 250831 0710............................................. summary vitals, ref SDS 18 XI3K
..244. 250901 0730............................................. summary vitals, ref SDS 18 XI3K
..245. 250902 0710............................................. summary vitals, ref SDS 18 XI3K
..246. 250903 0510............................................. summary vitals, ref SDS 18 XI3K
..247. 250904 0210............................................. summary vitals, ref SDS 18 XI3K
..248. 250905 0410............................................. summary vitals, ref SDS 18 XI3K
..249. 250906 0705............................................. summary vitals, ref SDS 18 XI3K
..250. 250907 0715............................................. summary vitals, ref SDS 18 XI3K
..251. 250908 0705............................................. summary vitals, ref SDS 18 XI3K
..252. 250909 0720............................................. summary vitals, ref SDS 18 XI3K
..253. 250910 0640............................................. summary vitals, ref SDS 18 XI3K
..254. 250911 0720............................................. summary vitals, ref SDS 18 XI3K
..255. 250912 0720............................................. summary vitals, ref SDS 18 XI3K
..256. 250913 0705............................................. summary vitals, ref SDS 18 XI3K
..257. 250914 0715............................................. summary vitals, ref SDS 18 XI3K
..258. 250915 0705............................................. summary vitals, ref SDS 18 XI3K
..259. 250916 0530............................................. summary vitals, ref SDS 18 XI3K
..260. 250917 0725............................................. summary vitals, ref SDS 18 XI3K
..261. 250918 0655............................................. summary vitals, ref SDS 18 XI3K
..262. 250919 0715............................................. summary vitals, ref SDS 18 XI3K
..263. 250920 0715............................................. summary vitals, ref SDS 18 XI3K
..264. 250921 0650............................................. summary vitals, ref SDS 18 XI3K
..265. 250922 0140............................................. summary vitals, ref SDS 18 XI3K
..266. 250923 0650............................................. summary vitals, ref SDS 18 XI3K
..267. 250924 0710............................................. summary vitals, ref SDS 18 XI3K
..268. 250925 0600............................................. summary vitals, ref SDS 18 XI3K
..269. 250926 0700............................................. summary vitals, ref SDS 18 XI3K
..270. 250927 0730............................................. summary vitals, ref SDS 18 XI3K
..271. 250928 0715............................................. summary vitals, ref SDS 18 XI3K
..272. 250929 0100............................................. summary vitals, ref SDS 18 XI3K
..273. 250930 0700............................................. summary vitals, ref SDS 18 XI3K
..274. 251001 0705............................................. summary vitals, ref SDS 18 XI3K
..275. 251002 0705............................................. summary vitals, ref SDS 18 XI3K
..276. 251003 0140............................................. summary vitals, ref SDS 18 XI3K
..277. 251004 0710............................................. summary vitals, ref SDS 18 XI3K
..278. 251005 0725............................................. summary vitals, ref SDS 18 XI3K
..279. 251006 0725............................................. summary vitals, ref SDS 18 XI3K
..280. 251007 0700............................................. summary vitals, ref SDS 18 XI3K
..281. 251008 0640............................................. summary vitals, ref SDS 18 XI3K
..282. 251009 0725............................................. summary vitals, ref SDS 18 XI3K
..283. 251010 0720............................................. summary vitals, ref SDS 18 XI3K
..284. 251011 0710............................................. summary vitals, ref SDS 18 XI3K
..285. 251017 0710............................................. summary vitals, ref SDS 18 XI3K

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

1...HR 180 unusually high for hiking last 2 miles downhill and flat grade.
2...Typically this is AFL because Kardia reports AFL as unclassified and
3...EKG at mile 14 time 1429 HR 180 temp 62, Kardia reported Possible
4...EKG may be signaling something...
5...downhill 3-4% grade. Seemed like seizure symptoms could be starting
6...EKG at mile 16 time 1408 HR 061 temp 61, Kardia reported Possible
7...Looks raggedy like AF...
8...West wind 12 mph and mostly 08 mph. Hiked East on Treat .5 miles.
9...Exceptionally low HR overnight profile...
10...Exceptionally low HR overnight profile...
11...Reflux slept in chair after EGD dilation on 250211 0830. ref SDS 73
12...HRV seems 0% 0 and 0% good and 100% poor overnight
13...HRV seems 25% 0 and 0% good and 75% poor overnight

CONTACTS 

SUBJECTS
Exercise Hiking Vitals Blood Pressure Pulse Heart Rate Medication Me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
Tramadolep Cleaning Dental 2 Year Project Examination Periodontal Im                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0804 -    ..
0805 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080601 - Follow up ref SDS 36 0000. ref SDS 28 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
080602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080610 -  ..
0807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0809 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081001 - Prior history hiking, vitals, medication, injuries, BPPV, PRP,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081002 - labs-HDL - see case study on 200101 0701. ref SDS 18 QJ5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081004 -  ..
081005 - Mileage spreadsheet correlating HDL cholesterol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081007 -              F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081030 -         ..
081031 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081032 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081033 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081034 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081035 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081036 -    1.  250101 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081037 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081038 -               0720....BP HR..................................................... 169  92  68  Kardia ECG reports HR status, see below. ref SDS 0 YQWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081039 -               0725....BP HR..................................................... 166  97  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081040 -               0730....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081041 -               0735....80 432920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081042 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081043 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081044 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081045 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081046 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081047 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081048 -               1700... 40 118520 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                                                                                                                                                                                                                                                                                  
081049 -             1 0000............ 10 20860  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081050 -             1 0000............ 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                                                                                                                                                                                                                                                                                                                                                                                   
081051 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081052 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081053 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081054 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081055 -               2200... 1000 2338000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081056 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081057 -               2330... 80 433000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081058 -               2340... 40 92720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081059 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081061 -  ..
081062 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081063 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081065 -  ..
081066 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081067 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081068 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081069 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081070 - sleep.  Less severe last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081072 -  ..
081073 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081074 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081076 -  ..
081077 - Reflux last night was better after EGD dilation procedure on 241126.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081078 - 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081082 -  ..
081083 - Kardia recorded HR 054 at 0705 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081084 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081085 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081086 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081087 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081088 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081091 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081092 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250101-ecg-070520_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081095 -  ..
081096 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081099 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081100 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250101-ecg-073827_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081103 -  ..
081104 - Post hike HR profile beginning 2258, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081105 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081106 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081107 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081108 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081111 -        ..
081112 -       Date      250101  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    
081113 -       Time       2258    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     
081114 -       Hours         8      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     
081115 -       HR AVG       65      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     
081116 -       HR MAX      127     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     
081117 -       HR Min       43      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     
081118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081120 -              https://flow.polar.com/training/analysis/8026313546                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081123 -  ..
081124 - HRV seems  30% 0 and 20% good and 50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081127 -   
081128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081131 -  ..
081132 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081133 - Lunch - tuna cottage cheese avocado asparagus onion fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081134 - Dinner - steak potato broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081137 -  ..
081138 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081164 -         ..
081165 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081166 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081167 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081168 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081169 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081170 -    2.  250102 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081171 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081172 -               0720....BP HR..................................................... 169  92  68  Kardia ECG reports HR status, see below. ref SDS 0 PYXQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081173 -               0725....BP HR..................................................... 162  94  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081174 -               0730....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081175 -               0735....80 433080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081176 -               1130... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081177 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081178 -               1135....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081179 -               1135....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081180 -               1135....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081181 -               1135... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
081182 -  ..
081183 -               1149....miles...........  13.0  13.0  213   213 minutes  temp  60 wind 09  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081184 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081185 -               1332....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081186 -               1332....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081187 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081188 -               1332... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
081189 -               1332....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081190 -               1332... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081191 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081192 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
081193 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081194 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081195 -               1535... Hike ends mile 13... ref SDS 0 QPT7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081196 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081197 -               1550....weight.................................... 182  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081198 -               1555....BP HR..................................................... 112  67 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081199 -               1600....BP HR..................................................... 104  62 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081200 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081201 -               1700... 40 118560 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                                                                                                                                                                                                                                                                                  
081202 -               1830............ 10 20870  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081203 -               1830............ 10 21220  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081204 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081205 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081206 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081207 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081208 -               2200... 1000 2339000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081209 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081210 -               2330... 80 433160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081211 -               2340... 40 92760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081212 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081215 -  ..
081216 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081217 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081219 -  ..
081220 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081221 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081222 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081223 - Did not take Gabapentin and later Tramadol to reduce symptoms in order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081224 - to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081226 -  ..
081227 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081228 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081230 -  ..
081231 - Reflux last night was better after EGD dilation procedure on 241126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081232 - 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081236 -  ..
081237 - Today, hiked 13 miles - start hiking again after 5 days since last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081238 - hike on 241238, feet healing and recovering cardiac colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081239 - intermittant hiking since cardiac ablation on 240611, see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081240 - on 200101 0701. ref SDS 18 ZM8J  Did not take pain meds before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081241 - starting.  Did 5 mile semi-loop through South Concord streets recently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081242 - re-paved and striping completed 241115 - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081243 - Continued on Ayers East to Clayton Road, then South to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081244 - road.  Turned West on YV 1 mile, and East on Pine Hollow .50 mile;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081245 - turned around hiked back and turned onto Campus Drive heading West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081246 - mile.  At Ygnacio Valley Road turned around and hiked uphill 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081247 - to Visitor Parking at the College.  Hiked loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081248 - Encountered hiking friend, Kathy.  Joined her hiking 1 mile around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081249 - campus.  Stopped at mile 09 for EKG, hydration, nutrition and CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081250 - for energy and HDL.  Took 0 Tramadol and 0 Gabapentin in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081251 - avoid seizure symptoms that occurred during hike on 240901,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081252 - ref SDS 36 RTRX, and on 240924 071251, ref SDS 36 PYSX - then took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081253 - magneseum with nutrition and hydration.  Left college heading North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081254 - Campus Drive and turned left uphill 3% grade on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081255 - At summit mile 11, turned around hiked back .5 mile.  Took Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081256 - North 1 mile, turned left onto Treat - then Cuneo and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081257 - seizure symptoms, e.g. loss motor control, hallucinations.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081258 - elevated today, reflecting mostly no hiking past 3 months.  HR 180 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081259 - end of hike has never occurred previously.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081263 -         ..
081264 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081265 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081266 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can be side effect statins and Diclofenic sodium naproxen NSAID medication and after cardiac ablations, took Simethicone mile 3                                                                                                                                                                                                                                                                                                                                                                                                     
081267 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081268 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081269 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081270 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081271 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081272 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081273 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081274 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081275 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
081276 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081277 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
081278 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081279 -        Hip left.....................................   2         60  noticed on Treat starting hike about mile 01 continued entire hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                            
081280 -        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.                                                                                                                                                                                                                                                                                                                                                                                                                                
081281 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081282 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081283 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081284 -        Knee left meniscus...PRP 231121..............   2         20  knee not hurting beginning of hike, increased later took 0 Tramadol and 0 Gabapentin mile 08 and again at mile 00  knee PL 3 about mile 10                                                                                                                                                                                                                                                                                                                                                                                                   
081285 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081286 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081287 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081288 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081289 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
081290 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081291 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081292 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081293 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081294 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081295 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081296 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081297 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
081298 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081299 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081300 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
081301 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
081302 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
081303 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
081304 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081305 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081306 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
081307 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
081308 -        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                                                                                                                                                                                                                                                                                                                           
081309 -        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                                                                                                                                                                                                                                                                                                                                                                                    
081310 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081311 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
081312 -        Callus big toe left foot...PRP 210705........   3         15  Doctor Tang shaved calluses 241202 - 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                                                                                                                                                                                                                               
081313 -        Callus big toe right foot...PRP 210705.......   3         15  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
081314 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081315 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
081316 -        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                                                                                                                                                                                                                                                                                                                                           
081317 -        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                                                                                                                                                                                                                                                                                                                                           
081318 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081319 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
081320 -        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                                                                                                                                                                                                                                                                                                                                                                                        
081321 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
081322 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
081323 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081324 -        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                                                                                                                                                                                                                                                                                                                                                              
081325 -  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                                                                                                                                                                                                                                                               
081326 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
081327 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081328 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081329 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
081330 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081331 -        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                                                                                                                                                                                                                                                                                                                                     
081332 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
081333 -        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                                                                                                                                                                                                                                                                                                                                                                               
081334 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081335 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081336 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081337 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081338 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081339 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081340 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081341 -        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                                                                                                                                                                                                                                                                                                                                                                                 
081342 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081346 -  ..
081347 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081348 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081349 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081350 - both feet.  Shoes worked very well - great rebound energy.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081351 - lateral pressure both feet but mostly left foot #1 and #5, compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081352 - with wearing new Bondi 8s extra wide shoes, reported on 241118.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081353 - ref SDS 36 SVXV  Orthotic inserts - On 240724, switched back to Stable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081354 - Elite orthotic inserts, explained in case study record on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081355 - ref SDS 18 PR6F and pending Doctor Tang replacing customized                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081356 - Powerestep Protech Classic Plus to use original padding, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081357 - newest padding caused blisters on long hikes, reported in meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081358 - Doctor Tang on 240829 0930. ref SDS 57 SY79  This morning on 240903,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081359 - switched to new set of same model orthotic inserts, because feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081360 - suffering pain, reported on 240902, per above. ref SDS 36 RYRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081362 -  ..
081363 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081364 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081366 -  ..
081367 - Tailor's Bunion and calluses both feet, case study on shaving skin to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081368 - reduce pressure, shown on 200101, ref SDS 18 QVWS, and protected with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081369 - Ammonium Lactate 12% lotion, and with wearing Wrightsock dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081370 - socks and apply ammonium lactate to bottom of feet, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081371 - ref SDS 36 RE7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081374 -  ..
081375 - Concord 13 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081376 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081377 - injection 13 times, see case study on 200101 0701. ref SDS 18 TTPV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081378 - Did not take Naproxen for pain and inflammation management to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081379 - hike, because it can cause colitis.  Take 0 Tramadol and took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081380 - Gabapentin for pain management, because there is no metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081381 - in feet starting the hike, and right foot #1 PL 0, after falling on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081382 - 241108 and next day on 241109, shown in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081383 - ref SDS 18 4W5K  Took Magnesium Complex that increases energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081384 - reduces inflammation allowing HDL to increase - see research on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081385 - 0701. ref SDS 18 QP6L  No breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081386 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081387 - see case study on 200101 0701. ref SDS 18 O33H  Feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081388 - starting hike this morning.  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081389 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081390 - left, onto Treat.  After about 1 mile feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081391 - pins and needles calming down - peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081392 - statins.  Bottom of both feet PL 2, but not left foot #5, which flared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081393 - up on 240919, cited in case study on 240101 0712. ref SDS 36 XVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081394 - Breathed through nose entire hike with no dyspnea, indicating good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081395 - condition despite minimal hiking last few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081396 - at 58, and reached 60.  West wind 09 mph and mostly 04 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081397 - East on Treat .5 miles.  Scarrified asphalt pavement on Treat has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081398 - fully resurfaced with new asphalt.  Much easier to hike now, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081399 - PL 1 due to metatqrsalgia and calluses.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081400 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081401 - some places 2% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081402 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081403 - uphill 4% grade.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081404 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081405 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081406 - parking lots of shopping complex.  Feeling bloated - took Simethicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081407 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081408 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081409 - Valley Road using concrete sidewalk .5 miles.  Feeling metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081410 - PL 2 both feet.  Thankfully left foot #1 and #5 PL 0.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081411 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081412 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081413 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081414 - Boulevard.  Stopped at Union 76 Texaco Gas Station store mile 5, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081415 - 1300, just said Happy New Year to Mazrod, who owns the station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081416 - franchise.  Continued on Ygnacio Valley Road; turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081417 - Hollow and hiked 0.50 miles East.  Encountered Kathy heading North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081418 - At Discovery Way turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081419 - Campus Drive heading West uphill 3% grade.  The road bends North.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081420 - reaching Ygnacio Valley Road turned around and hiked uphill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081421 - 5% grade.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081422 - Bay Concord Campus.  Hiked loop around main buildings.  Encountered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081423 - Kathy again doing a loop in opposite direction.  Teamed up hiking big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081424 - loop around the campus.  Back at Administration Building Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081425 - continued her hike home.  Stopped mile 09 time 1422 temp 59 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081426 - 09 mph; EKG looks variable with some artifact.  Kardia reported HR 137                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081427 - Unclassified - see below. ref SDS 0 QPSP  Both feet PL 2 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081428 - right foot 1" below metatarsal #4 PL 0, peripheral neuropathy both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081429 - feet and wrapping up heels - possibly PAD -, burning sensation PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081430 - shin plints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081431 - blister/callus PL 0 and #1 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081432 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081433 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081434 - 0 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081435 - avoid seizure taking normal 2nd dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081436 - (2nd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081437 - Dilation on 241126 1300, ref SDS 65 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081438 - LESV, as occurred on 240824, above. ref SDS 36 PPTU; Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081439 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081440 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081441 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081442 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081443 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081444 - not take Nuun electrolyte pill, per above. ref SDS 0 PVST  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081445 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081446 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081447 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081448 - wind 04 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081449 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081450 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081451 - mile 11, turned around and hiked back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081452 - heading North .25 miles using asphalt shoulder downhill 5% grade -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081453 - left hip PL 2 - then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081454 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081455 - hiking West .25 miles back to Cuneo.  Final .25 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081456 - residential streets then home.  Ended hike mile 13 time 1535 temp 59,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081457 - wind 09, feet PL 3, left foot #1 edge PL 1, #5 edge PL 1, #4 tip new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081458 - blister PL 0, right foot blister #4 bottom PL 0, #5 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081459 - sensation PL 0, shin splints PL 0, left knee PL 3 (swollen slightly),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081460 - right knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081461 - intermittantly, lower back left side PL 0, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081462 - lifting.  EKG variable with some artifact, Kardia reported HR 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081463 - (unusually elevated for hiking flat grade) Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081464 - ref SDS 0 QPT7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081472 -  ..
081473 - Kardia recorded HR 055 at 0749 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081474 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081475 - miles temp -- yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081476 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081477 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081478 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081481 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081482 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250102-ecg-074907_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081485 -  ..
081486 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081489 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081490 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250102-ecg-085820_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081495 -  ..
081496 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081497 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081498 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081499 - ..
081500 -                                                                                                                                                                                                                                                                                                              x
081501 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081502 -                                          x             x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081503 -       Date          250102 250101 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 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 24101  
081504 -       Miles            13      0      0      0      0     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  
081505 -       HR AVG          130     no     no     no     no    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  
081506 -         MAX           151   report report report report  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 repo  
081507 -         Min            87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75                          82            76                              
081508 -       El Climb Ft     454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450                         450           450                              
081509 -       Temp Max         65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83                          79            76                              
081510 -       Wind Max          9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12                          12            12                              
081511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081513 -              https://flow.polar.com/training/analysis/8026618052                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081516 -               ..
081518 -   
081519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081521 -  ..
081522 - EKG at mile 09 time 1422 HR 137 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
081523 - Unclassified... heart rate looks variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081524 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081527 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081528 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250102-ecg-142237_mile_09_137_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081531 -  ..
081532 - End hike EKG at mile 13, time 1535 HR 180 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081533 - Unclassified... looks variable with some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081534 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081536 -  ..
081537 - HR 180 unusually high for hiking last 2 miles downhill and flat grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081539 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081540 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250102-ecg-153508_mile_13_180_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081544 -  ..
081545 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081546 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081547 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081548 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081549 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081552 -        ..
081553 -       Date      250102  250101  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    
081554 -       Time       1925    2258    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     
081555 -       Hours        14       8      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     
081556 -       HR AVG       71      65      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     
081557 -       HR MAX      130     127     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     
081558 -       HR Min       44      43      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     
081559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081561 -              https://flow.polar.com/training/analysis/8027051965                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081564 -  ..
081565 - HRV seems   0% 0 and  0% good and 100% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081568 -   
081569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081572 -  ..
081573 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081574 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081575 - Dinner - steak macaroni cheese broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081578 -  ..
081579 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081605 -         ..
081606 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081607 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081608 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081609 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081610 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081611 -    3.  250103 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081612 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081613 -               0730....BP HR..................................................... 148  96  59  Kardia ECG reports HR status, see below. ref SDS 0 QPSR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081614 -               0735....BP HR..................................................... 148  88  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081615 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081616 -               0745....80 433240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081617 -               1130... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081618 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081619 -               1135....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081620 -               1135....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081621 -               1135....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081622 -               1135... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081623 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081624 -               1700... 40 118600 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                                                                                                                                                                                                                                                                                  
081625 -             1 0000............ 10 20870  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081626 -             1 0000............ 10 21220  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081627 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081628 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081629 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081630 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081631 -               2200... 1000 2340000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081632 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081633 -               2330... 80 433320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081634 -               2340... 40 92800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081635 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081638 -  ..
081639 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081640 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081642 -  ..
081643 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081644 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081645 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081646 - Dis not take Gabapentin and later Tramadol to reduce symptoms in order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081647 - to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081649 -  ..
081650 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081651 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081653 -  ..
081654 - Reflux none after EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081658 -  ..
081659 - Kardia recorded HR 054 at 1030 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081660 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081661 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081662 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081663 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081664 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081667 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081668 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250103-ecg-103014_mile_00_054_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081672 -  ..
081673 - Post hike HR profile beginning 2100, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081674 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081675 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081676 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081677 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081680 -        ..
081681 -       Date      250103  250102  250101  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    
081682 -       Time       2100    1925    2258    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     
081683 -       Hours        12      14       8      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     
081684 -       HR AVG       67      71      65      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     
081685 -       HR MAX      131     130     127     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     
081686 -       HR Min       45      44      43      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     
081687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081689 -              https://flow.polar.com/training/analysis/8027653075                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081692 -  ..
081693 - HRV seems  20% 0 and  80% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081696 -   
081697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081700 -  ..
081701 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081702 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081703 - Dinner - steak potato broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081706 -  ..
081707 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081732 -         ..
081733 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081734 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081735 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081736 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081737 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081738 -    4.  250104 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081739 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081740 -               0730....BP HR..................................................... 166  98  79  Kardia ECG reports HR status, see below. ref SDS 0 QTWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081741 -               0735....BP HR..................................................... 165 102  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081742 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081743 -               0745....80 433400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081744 -               1130... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081745 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081746 -               1135....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081747 -               1135....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081748 -               1135....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081749 -               1135... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081750 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081751 -               1700... 40 118640 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                                                                                                                                                                                                                                                                                  
081752 -               1830............ 10 20880  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081753 -               1830............ 10 21230  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081754 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081755 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081756 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081757 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081758 -               2200... 1000 2341000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081759 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081760 -               2330... 80 433480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081761 -               2340... 40 92840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081762 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081765 -  ..
081766 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081767 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081769 -  ..
081770 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081771 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081772 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081773 - Did not take Gabapentin and later Tramadol to reduce symptoms in order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081774 - to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081776 -  ..
081777 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081778 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081780 -  ..
081781 - Reflux none after EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081785 -  ..
081786 - Kardia recorded HR 069 at 0925 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081787 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081788 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081789 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081790 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081791 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081794 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081795 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250104-ecg-092517_mile_00_069_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081797 -  ..
081798 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081801 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081802 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250104-ecg-095040_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081805 -  ..
081806 - Post hike HR profile beginning 2103, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081807 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081808 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081809 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081810 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081813 -        ..
081814 -       Date      250104  250103  250102  250101  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    
081815 -       Time       2103    2100    1925    2258    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     
081816 -       Hours        10      12      14       8      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     
081817 -       HR AVG       69      67      71      65      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     
081818 -       HR MAX      116     131     130     127     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     
081819 -       HR Min       48      45      44      43      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     
081820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081822 -              https://flow.polar.com/training/analysis/8028187956                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081825 -  ..
081826 - HRV seems  20% 0 and  60% good and  20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081829 -   
081830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081832 -  ..
081833 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081834 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081835 - Dinner - hamburger macaroni cheese broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081838 -  ..
081839 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081861 -         ..
081862 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081863 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081864 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081865 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081866 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081867 -    5.  250105 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081868 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081869 -               0720....BP HR..................................................... 166  98  79  Kardia ECG reports HR status, see below. ref SDS 0 6RVT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081870 -               0725....BP HR..................................................... 165 102  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081871 -               0730....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081872 -               0735....80 433560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081873 -               0735... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081874 -               0730....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081875 -               0735....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081876 -               0735....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081877 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
081878 -               0735... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
081879 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081880 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081881 -               1700... 40 118680 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                                                                                                                                                                                                                                                                                  
081882 -             1 0000............ 10 20880  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
081883 -             1 0000............ 10 21230  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
081884 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081885 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081886 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081887 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081888 -               2200... 1000 2342000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081889 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081890 -               2330... 80 433640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081891 -               2340... 40 92880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081892 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081894 -  ..
081895 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081896 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081898 -  ..
081899 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081900 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081901 - chair.  Toes and heels feel blistered and itch more severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081902 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081903 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081905 -  ..
081906 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081907 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081909 -  ..
081910 - Reflux none after EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081914 -  ..
081915 - Kardia recorded HR 048 at 0805 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
081916 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
081917 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081918 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081919 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
081920 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081923 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081924 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250105-ecg-080556_mile_00_048_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081926 -  ..
081927 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
081928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081930 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081931 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250105-ecg-093655_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081935 -  ..
081936 - Post hike HR profile beginning 2331, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081937 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
081938 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081939 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
081940 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
081941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081943 -        ..
081944 -       Date      250105  250104  250103  250102  250101  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    
081945 -       Time       2103    2103    2100    1925    2258    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     
081946 -       Hours        10      10      12      14       8      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     
081947 -       HR AVG       69      69      67      71      65      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     
081948 -       HR MAX      116     116     131     130     127     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     
081949 -       HR Min       48      48      45      44      43      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     
081950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081952 -              https://flow.polar.com/training/analysis/8028187956                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
081953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081955 -  ..
081956 - HRV seems  15% 0 and  35% good and  50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081959 -   
081960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081962 -  ..
081963 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
081964 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081965 - Dinner - hamburger macaroni cheese broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
081966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081968 -  ..
081969 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
081994 -         ..
081995 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
081996 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081997 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
081998 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
081999 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082000 -    6.  250106 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082001 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082002 -               0730....BP HR..................................................... 181 101  70  Kardia ECG reports HR status, see below. ref SDS 0 6RVT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082003 -               0735....BP HR..................................................... 188  98  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082004 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082005 -               0745....80 433800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082006 -               0745... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082007 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082008 -               0745....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082009 -               0745....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082010 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082011 -               0745... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082012 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082013 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082014 -               1700... 40 118720 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                                                                                                                                                                                                                                                                                  
082015 -               1830............ 10 20890  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082016 -               1830............ 10 21240  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082017 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082018 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082019 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082020 -               2020... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082021 -               2200... 1000 2343000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082022 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082023 -               2330... 80 433880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082024 -               2340... 40 92920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082025 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082028 -  ..
082029 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082030 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082032 -  ..
082033 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082034 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082035 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082036 - Took Gabapentin and later no Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082037 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082039 -  ..
082040 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082041 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082043 -  ..
082044 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082045 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082051 -  ..
082052 - Kardia recorded HR 077 at 0745 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082053 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082054 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082055 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082056 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082057 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082060 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082061 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250106-ecg-074546_mile_00_077_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082063 -  ..
082064 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082067 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082068 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250106-ecg-093112_mile_00_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082072 -  ..
082073 - Post hike HR profile beginning 2004, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082074 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082075 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082076 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082077 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082080 -        ..
082081 -       Date      250106  250105  250104  250103  250102  250101  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    
082082 -       Time       2004    2103    2103    2100    1925    2258    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     
082083 -       Hours        12      10      10      12      14       8      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    
082084 -       HR AVG       64      69      69      67      71      65      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             
082085 -       HR MAX      120     116     116     131     130     127     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             
082086 -       HR Min       46      48      48      45      44      43      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             
082087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082089 -              https://flow.polar.com/training/analysis/8029527641                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082092 -  ..
082093 - HRV seems   0% 0 and 100% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082096 -   
082097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082099 -  ..
082100 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082101 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082102 - Dinner - potato hamburger broccoli mushroom cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082105 -  ..
082106 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082129 -         ..
082130 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082131 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082132 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082133 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082134 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082135 -    7.  250107 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082136 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082137 -               0730....BP HR..................................................... 194 105  71  Kardia ECG reports HR status, see below. ref SDS 0 9EL4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082138 -               0735....BP HR..................................................... 183 102  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082139 -               0740....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082140 -               0745....80 433960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082141 -               1105... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082142 -               1105....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082143 -               1105....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082144 -               1105....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082145 -               1105....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082146 -               1105... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082147 -               0000....
082148 -  ..
082149 -               1132....miles...........  15.0  15.0  233   233 minutes  temp  67 wind 13  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082150 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082151 -               1345....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082152 -               1345....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082153 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082154 -               1345... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
082155 -               1345... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082156 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082157 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
082158 -               0000....mile 23 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082159 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082160 -               1535... Hike ends mile 15... ref SDS 0 QPT7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082161 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082162 -               1550....weight.................................... 182  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082163 -               1606....BP HR..................................................... 110  76 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082164 -               1617....BP HR..................................................... 101  75 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082165 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082166 -               1700... 40 118760 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                                                                                                                                                                                                                                                                                  
082167 -             1 0000............ 10 20900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082168 -             1 0000............ 10 21250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082169 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082170 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082171 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082172 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082173 -               2200... 1000 2345000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082174 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082175 -               2330... 80 434040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082176 -               2340... 40 92960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082177 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082180 -  ..
082181 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082182 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082184 -  ..
082185 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082186 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082187 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082188 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082189 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082191 -  ..
082192 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082193 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082195 -  ..
082196 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082197 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082201 -  ..
082202 - Today, hiked 15 miles - start hiking again after 5 days since last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082203 - hike on 250102, feet healing and recovering cardiac colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082204 - intermittant hiking since cardiac ablation on 240611, see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082205 - on 200101 0701. ref SDS 18 ZM8J  Did not take pain meds before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082206 - starting.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082207 - Turtle Creek Road.  Continued on Ayers East to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082208 - South to Ygnacio Valley road.  Turned West 1 mile on YV.  Turned East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082209 - on Pine Hollow .75 mile; turned around hiked back and turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082210 - Campus Drive heading West 1 mile.  At Ygnacio Valley Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082211 - around and hiked uphill 4% grade to Visitor Parking at the College.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082212 - Hiked loops around main buildings and through parking lots.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082213 - mile 10 for EKG, hydration, etc.  Changed socks to maintain protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082214 - against lateral pressure on injuries.  Took pain meds.  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082215 - loop through parking lots, then Left college heading North on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082216 - Drive and turned left uphill 3% grade on Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082217 - summit mile 13, turned around hiked back .5 mile.  Took Cowell North 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082218 - mile, turned left onto Treat - then right on Cuneo and home.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082219 - to have seizure-like episode with difficulty controlling speed coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082220 - down Cowell.  HR elevated, reflecting mostly no hiking past 3 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082221 - Bloated entire hike, maybe less so at end of 15 miles, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082222 - medical advice reported on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082225 -         ..
082226 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082227 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082228 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can be side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                                                        
082229 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082230 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082231 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082232 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082233 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082234 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082235 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082236 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082237 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
082238 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082239 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
082240 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082241 -        Hip left.....................................   1         60  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
082242 -        Back.........................................   2         20  lower right pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082243 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082244 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082245 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082246 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
082247 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082248 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082249 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082250 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082251 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
082252 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082253 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082254 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082255 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082256 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082257 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082258 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082259 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
082260 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082261 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082262 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
082263 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
082264 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
082265 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
082266 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082267 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082268 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
082269 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
082270 -        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                                                                                                                                                                                                                                                                                                                           
082271 -        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                                                                                                                                                                                                                                                                                                                                                                                    
082272 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082273 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
082274 -        Callus big toe left foot...PRP 210705........   1         15  Doctor Tang shaved calluses 241202 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 0 Gabapentin mile 10 and again at mile 00 wore old Hoka Bondi 5 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                   
082275 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
082276 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082277 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
082278 -        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                                                                                                                                                                                                                                                                                                                                           
082279 -        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                                                                                                                                                                                                                                                                                                                                           
082280 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082281 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
082282 -        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                                                                                                                                                                                                                                                                                                                                                                                        
082283 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
082284 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
082285 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082286 -        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                                                                                                                                                                                                                                                                                                                                                              
082287 -  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 0 Gabapentin mile 10 and 0 Tramadol and 0 Gabapentin mile 00 - 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                                                                                                                                                                                                                                                               
082288 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
082289 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082290 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082291 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
082292 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082293 -        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                                                                                                                                                                                                                                                                                                                                     
082294 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
082295 -        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                                                                                                                                                                                                                                                                                                                                                                               
082296 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082297 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082298 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082299 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082300 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082301 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082302 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082303 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
082304 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082308 -  ..
082309 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082310 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082311 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082312 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082313 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082315 -  ..
082316 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082317 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082318 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082320 -  ..
082321 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082322 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082323 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082324 - today, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082326 -  ..
082327 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082328 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082329 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082330 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082331 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082334 -  ..
082335 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082336 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082337 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082338 - and also left hip.  Did not take Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082339 - management to start hike, because it can cause colitis, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082340 - bloating.  Took 0 Tramadol and took 0 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082341 - because there is no metatarsalgia pain in feet starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082342 - right foot #1 PL 0, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082343 - shown in case study on 200101 0701. ref SDS 18 4W5K  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082344 - Complex that increases energy and neutralizes buildup of lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082345 - in muscles during exercise, and further reduces inflammation allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082346 - HDL to increase - see research on 200101 0701. ref SDS 18 QP6L  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082347 - small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082348 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082349 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 OK9M  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082350 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082351 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082352 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082353 - from ischemic colitis caused by taking statins and other drugs, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082354 - case study on 200101 0701. ref SDS 18 O33H  Feeling bloated starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082355 - hike this morning.  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082356 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082357 - onto Treat.  Feet feeling swelled and blister-like from peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082358 - neuropathy taking statins, see side effects in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082359 - 0701. ref SDS 18 EU4F  Can be caused taking statins and diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082360 - symptoms from reduced hiking past 6 months.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082361 - entire hike with no dyspnea, indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082362 - hiking last few months.  Temperature started at 61, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082363 - West wind 12 mph and mostly 05 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082364 - Right foot #1 PL 1 from fractured toe hiking on 241109 0840.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082365 - ref SDS 64 NS7O  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082366 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082367 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082368 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082369 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082370 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082371 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082372 - shopping complex.  Feeling bloated - did not take Simethicone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082373 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082374 - sidewalk .5 miles.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082375 - Valley Road using concrete sidewalk .5 miles.  Feeling metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082376 - PL 2 both feet.  Thankfully left foot #1 and #5 PL 0.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082377 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082378 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082379 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082380 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082381 - time ____.  Continued on Ygnacio Valley Road; turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082382 - Hollow and hiked 0.75 miles East.  Turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082383 - Turned left onto Campus Drive heading West uphill 3% grade hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082384 - mile against wind 09 mph.  The road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082385 - Valley Road turned around and hiked uphill .25 mile 5% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082386 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082387 - Campus.  Hiked loop around main buildings.  Hiked loop through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082388 - and Student parking.  Back at Administration Building Stopped mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082389 - time 1345 temp 67 and wind 12 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082390 - Kardia reported HR 138 Unclassified - see below. ref SDS 0 QUWS  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082391 - feet PL 1 and bottom right foot 1" below metatarsal #4 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082392 - peripheral neuropathy both feet and wrapping up heels - possibly PAD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082393 - -, burning sensation PL 0, shin plints PL 0, right foot #1 fractured                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082394 - PL 1, Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082395 - #1 PL 0, right foot #4 top blister/callus PL 0, #5 edge callus/blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082396 - PL 0.  Left knee meniscus PL 0, left hamstring PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082397 - 0, left elbow PL 0 intermitant.  Took 1 Tramadol 50 mg and 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082398 - Gabapentin 300 mg for pain (...experiment test avoid seizure taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082399 - normal 2nd dose Gabapentin...).  Took another (2nd) Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082400 - 300 mg pill - swallowed whole after EGD Dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082401 - ref SDS 65 1X6F, avoids capsule clogging LESV, as occurred last year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082402 - on 240824, see case study. ref SDS 36 PPTU; Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082403 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082404 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082405 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082406 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082407 - 80, reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082408 - electrolyte pill, per above. ref SDS 0 QTXV  Changed socks to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082409 - wearing 2 pair that avoids severe ware and increases protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082410 - against blisters and calluses - experimenting today.  The time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082411 - change socks disrupts the hyike.  Continued hiking another loop aroung                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082412 - main buildings.  Hiked 2 loops through parking lots.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082413 - at North end Student parking, then heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082414 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082415 - grade .5 miles.  At mile 12, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082416 - 3% grade .5 miles against wind 08 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082417 - Close call caught between cars turning left from Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082418 - and cars driving West - just dumb mistake.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082419 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082420 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082421 - mile 13, turned around and hiked back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082422 - heading North .25 miles using asphalt shoulder downhill 5% grade -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082423 - left hip PL 0 - then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082424 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082425 - hiking West .25 miles back to Cuneo.  Final .25 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082426 - residential streets then home.  Ended hike mile 15 time 1545 temp 64,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082427 - wind 11, feet PL 1, left foot #1 edge PL 0, #5 edge PL 0, #4 tip new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082428 - blister PL 0, right foot #1 fracture PL 1, #5 PL 0, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082429 - PL 0, shin splints PL 0, left knee PL 0 (not swollen), right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082430 - 0, left shoulder PL 0, neck and right shoulder PL 0 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082431 - lower back right side PL 2, left elbow PL 0, when lifting.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082432 - uniform with no artifact (looks like AFL looks), Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082433 - 142 (unusually elevated for hiking flat grade) Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082434 - below. ref SDS 0 QUXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082444 -  ..
082445 - Kardia recorded HR 077 at 0950 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082446 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082447 - AFL after hiking 00 miles temp -- yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082448 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082449 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082450 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082453 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082454 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250107-ecg-095008_mile_00_077_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082456 -  ..
082457 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082460 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082461 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250107-ecg-105443_mile_00_058_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082465 -  ..
082466 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082467 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082468 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082469 - ..
082470 -                                                                                                                                                                                                                                                                                                              x
082471 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082472 -                                          x             x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082473 -       Date          250107 250106 240105 240104 240103 250102 250101 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 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 24101  
082474 -       Miles            15      0      0      0      0     13      0      0      0      0     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  
082475 -       HR AVG          138     no     no     no     no    130     no     no     no     no    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  
082476 -         MAX           164   report report report report  151   report report report report  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   repo  
082477 -         Min            74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75                          82         
082478 -       El Climb Ft     454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450                         450         
082479 -       Temp Max         67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83                          79         
082480 -       Wind Max         13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12                          12         
082481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082483 -              https://flow.polar.com/training/analysis/8029752234                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082486 -               ..
082488 -   
082489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082493 -  ..
082494 - EKG at mile 08 time 1345 HR 138 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082495 - Unclassified... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082496 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082498 -  ..
082499 - Often "ucl" and uniform HR indicates AFL, but not today, because HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082500 - was not steady.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082503 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082504 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250107-ecg-134542_mile_08_138_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082508 -  ..
082509 - End hike EKG at mile 13, time 1535 HR 180 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082510 - Unclassified... looks variable with some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082511 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082514 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082515 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250107-ecg-154528_mile_15_142_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082519 -  ..
082520 - Post hike HR profile beginning 2259, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082521 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082522 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082523 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082524 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082527 -        ..
082528 -       Date      250107  250106  250105  250104  250103  250102  250101  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    
082529 -       Time       2259    2004    2103    2103    2100    1925    2258    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     
082530 -       Hours         9      12      10      10      12      14       8      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     
082531 -       HR AVG       69      64      69      69      67      71      65      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     
082532 -       HR MAX      121     120     116     116     131     130     127     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     
082533 -       HR Min       44      46      48      48      45      44      43      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     
082534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082536 -              https://flow.polar.com/training/analysis/8030107371                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082538 -  ..
082539 - HRV seems   0% 0 and   0% good and 100% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082541 -               ..
082543 -   
082544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082546 -  ..
082547 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082548 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082549 - Dinner - ham potato broccoli cauliflower mushroom cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082552 -  ..
082553 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082579 -         ..
082580 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082581 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082582 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082583 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082584 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082585 -    8.  250108 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082586 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082587 -               0710....BP HR..................................................... 164  89  55  Kardia ECG reports HR status, see below. ref SDS 0 1GSP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082588 -               0715....BP HR..................................................... 148  99  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082589 -               0720....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082590 -               0725....80 434120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082591 -               1045... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082592 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082593 -               1040....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082594 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082595 -               1040....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082596 -               1040... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082597 -               0000....
082598 -  ..
082599 -           **  1100....miles...........  16.0  31.0  251   484 minutes  temp  67 wind 06  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082600 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082601 -               1210... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
082602 -               1311....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082603 -               1311....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082604 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082605 -               1311... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
082606 -               1311... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082607 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082608 -               1432....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082609 -               1432....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082610 -               1432... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
082611 -               1432... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
082612 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082613 -               1535... Hike ends mile 15... ref SDS 0 QPT7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082614 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082615 -               1550....weight.................................... 184  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082616 -               1580....BP HR..................................................... 105  69 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082617 -               1585....BP HR..................................................... 100  73  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082618 -               1602....BP HR.....................................................  96  69 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082619 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082620 -               1700... 40 118800 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                                                                                                                                                                                                                                                                                  
082621 -               1830............ 10 20910  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
082622 -               1830............ 10 21260  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
082623 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082624 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082625 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082626 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082627 -               2200... 1000 2346000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082628 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082629 -               2330... 80 434200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082630 -               2340... 40 93000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082631 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082634 -   ..
082635 -  **  started Polar GPS/HR monitor with wrong diagnostic.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082636 -  2.75 on Ayers at Seminole Circle, switched to "Hiking" monior.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082638 -  ..
082639 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082640 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082642 -  ..
082643 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082644 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082645 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082646 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082647 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082649 -  ..
082650 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082651 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082653 -  ..
082654 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082655 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082659 -  ..
082660 - Today, hiked 16 miles - took Tramadol and Gabapentin before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082661 - hike, because right foot #1 was already PL 2.  Did 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082662 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082663 - on Ayers East to Clayton Road, Joyce from the college slowed to say                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082664 - hello on Ayers.  Then South to Ygnacio Valley road.  Turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082665 - mile on YV.  Turned East 2.5 miles to end of Pine Hollow; at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082666 - did EKG, had nutrition and another Tramadol. turned around hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082667 - and turned onto Campus Drive heading West 1 mile.  Lisa honked heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082668 - East to return dogs she walked.  At Ygnacio Valley Road turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082669 - and hiked uphill 4% grade to Visitor Parking at the College.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082670 - mile 12.0 for EKG, hydration, etc.  Did not take pain meds.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082671 - another loop through parking lots.  Unusually fatigued despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082672 - 3rd magnesium.  Legs not fatigued, but rest of body seemed wasted.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082673 - Left college kind of stumbling - considered calling for help.  Headed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082674 - North on Campus Drive and turned left uphill 3% grade on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082675 - Valley Road.  Took Cowell North 1 mile, turned left onto Treat - then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082676 - right on Cuneo and home.  No seizure-like episode with difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082677 - controlling speed as occurred yesterday coming down Cowell.  Bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082678 - entire hike and less than yesterday.  Took Simethicone about mile 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082679 - less so at end of 15 miles, aligns with medical advice reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082680 - 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082683 -         ..
082684 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082685 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082686 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can be side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                                                        
082687 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082688 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082689 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082690 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082691 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082692 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082693 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082694 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082695 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
082696 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082697 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
082698 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082699 -        Hip left.....................................   1         60  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
082700 -        Back.........................................   2         20  lower right pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082701 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082702 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082703 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082704 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
082705 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082706 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082707 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082708 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082709 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
082710 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082711 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082712 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082713 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082714 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082715 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082716 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082717 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
082718 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082719 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082720 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
082721 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
082722 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
082723 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
082724 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082725 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082726 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
082727 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
082728 -        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                                                                                                                                                                                                                                                                                                                           
082729 -        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                                                                                                                                                                                                                                                                                                                                                                                    
082730 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082731 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
082732 -        Callus big toe left foot...PRP 210705........   1         15  Doctor Tang shaved calluses 241202 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 1 Tramadol and 0 Gabapentin mile 10 and again at mile 00 wore old Hoka Bondi 5 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                   
082733 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
082734 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082735 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
082736 -        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                                                                                                                                                                                                                                                                                                                                           
082737 -        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                                                                                                                                                                                                                                                                                                                                           
082738 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082739 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
082740 -        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                                                                                                                                                                                                                                                                                                                                                                                        
082741 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
082742 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
082743 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082744 -        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                                                                                                                                                                                                                                                                                                                                                              
082745 -  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 0 Gabapentin mile 10 and 0 Tramadol and 0 Gabapentin mile 00 - 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                                                                                                                                                                                                                                                               
082746 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
082747 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082748 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082749 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
082750 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082751 -        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                                                                                                                                                                                                                                                                                                                                     
082752 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
082753 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082754 -        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                                                                                                                                                                                                                                                                                                                                                                               
082755 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082756 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082757 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082758 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082759 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082760 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082761 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082762 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
082763 -        Wasted - very fatigued.......................   7         20  about mile 12 seemed unsuually fatigued took magnesium - legs did not seem tired, but lacked strength                                                                                                                                                                                                                                                                                                                                                                                                                                        
082764 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082768 -  ..
082769 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082770 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082771 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082772 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082773 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082775 -  ..
082776 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082777 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082778 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082780 -  ..
082781 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082782 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082783 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082784 - today, but takes time to change socks, so did not change socks, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082785 - decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082787 -  ..
082788 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082789 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082790 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082791 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082792 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082795 -  ..
082796 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082797 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082798 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082799 - and also left hip.  Did not take Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082800 - management to start hike, because it can cause colitis, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082801 - bloating.  Took 1 Tramadol and took 0 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082802 - because there is metatarsalgia pain in feet starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082803 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082804 - shown in case study on 200101 0701. ref SDS 18 4W5K  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082805 - Complex that increases energy and neutralizes buildup of lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082806 - in muscles during exercise, and further reduces inflammation allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082807 - HDL to increase - see research on 200101 0701. ref SDS 18 QP6L  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082808 - small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082809 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082810 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 ME8O  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082811 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082812 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082813 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082814 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082815 - symptomatic of diabetes and colitis, see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082816 - ref SDS 18 O33H  Feeling bloated starting hike this morning.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082817 - backpack to carry stuff - good to build conditioning for Half Dome.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082818 - Hiked Cuneo .25 mile and turned left, onto Treat.  Feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082819 - swelled and blister-like from peripheral neuropathy taking statins,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082820 - see side effects in case study on 200101 0701. ref SDS 18 EU4F  Can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082821 - caused taking statins and diabetes symptoms from reduced hiking past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082822 - months.  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082823 - good condition despite minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082824 - started at 61, and reached 66.  West wind 04 mph and mostly 02 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082825 - Hiked East on Treat .5 miles.  Right foot #1 PL 1 from fractured toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082826 - hiking on 241109 0840. ref SDS 64 NS7O  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082827 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082828 - some places 2% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082829 - Newhall Community park and back today.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082830 - uphill 4% grade.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082831 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082832 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082833 - parking lots of shopping complex.  About 1210 on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082834 - feeling bloated - took Simethicone, per above. ref SDS 0 QVWX  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082835 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082836 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082837 - using concrete sidewalk .5 miles.  Feeling metatarsalgia PL 2 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082838 - feet.  Thankfully left foot #1 and #5 PL 0, wearing only pair socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082839 - per above. ref SDS 0 QXUP  Continued hike crossing Park Highlands Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082840 - at Stop Light and heading West .25 miles on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082841 - to South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082842 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082843 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082844 - Valley Road; turned left onto Pine Hollow and hiked 2.50 miles East,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082845 - and stopped at end of Pine Hollow. mile 08 time 1311 temp 64 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082846 - 06 mph; EKG looks uniform with no artifact.  Kardia reported HR 127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082847 - Tachycardia - see below. ref SDS 0 RPQW  Both feet PL 1 and bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082848 - right foot 1" below metatarsal #4 PL 0, both feet toes inflammation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082849 - 2, peripheral neuropathy both feet and wrapping up heels - possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082850 - PAD -, burning sensation PL 2, shin plints PL 0, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082851 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082852 - blister/callus PL 0 and #1 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082853 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082854 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082855 - 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082856 - avoid seizure taking normal 2nd dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082857 - (2nd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082858 - Dilation on 241126 1300, ref SDS 65 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082859 - LESV, as occurred last year on 240824, see case study. ref SDS 36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082860 - PPTU; Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082861 - swallowing nutrition - 2 spoons peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082862 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082863 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082864 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082865 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082866 - pill, per above. ref SDS 0 QVWX  Hiked back on Pine Hollow 2.5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082867 - turned left onto Campus Drive heading West uphill 3% grade hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082868 - mile against wind 09 mph.  The road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082869 - Valley Road turned around and hiked uphill .25 mile 5% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082870 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082871 - Campus.  Hiked loop around main buildings.  Back at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082872 - Building Stopped mile 08 time 1432 temp 65 and wind 01 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082873 - uniform with minor artifact.  Kardia reported HR 13o Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082874 - below. ref SDS 0 GA9J  Both feet PL 1 and bottom right foot 1" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082875 - metatarsal #4 PL 0, peripheral neuropathy both feet and wrapping up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082876 - heels - possibly PAD -, burning sensation PL 0, shin plints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082877 - right foot #1 fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082878 - blister/callus PL 0 and #1 PL 0, right foot #4 top blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082879 - 0, #5 edge callus/blister PL 0.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
082880 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082881 - 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...experiment test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082882 - avoid seizure taking normal 2nd dose Gabapentin...).  Despite specific                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082883 - areas having low PL, and despite taking magnesium, entire body feels                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082884 - weak.  Took another (3rd) Magnesium complex 300 mg pill - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082885 - whole after EGD Dilation on 241126 1300, ref SDS 65 1X6F, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082886 - capsule clogging LESV, as occurred last year on 240824, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
082887 - study. ref SDS 36 PPTU; Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082888 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082889 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082890 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082891 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082892 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082893 - pill, per above. ref SDS 0 QVWX  Did not change socks to avoid wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082894 - 2 pair that avoids severe ware and increases protection against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082895 - blisters and calluses - experimenting today.  The time to change socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082896 - disrupts the hike.  Despite magnesium and CoQ10 body feels "wasted" -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082897 - very fatigued.  Hiked semi loop through parking lots.  Barely made the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082898 - hill from bottom parking to top parking.  Question who could be called                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082899 - for help?  Exited college at North end Student parking, then heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082900 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082901 - Hiked West on flat grade .5 miles.  At mile 12, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082902 - Ranch Road uphill 3% grade .5 miles against wind 02 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082903 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082904 - Ygnacio Valley Road to avoid severe camber.  Because very weak and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082905 - wobbly did not hike .5 mile to summit.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082906 - heading North .25 miles using asphalt shoulder downhill 5% grade -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082907 - left hip PL 0 - then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082908 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082909 - hiking West .25 miles back to Cuneo.  Final .25 mile through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
082910 - residential streets then home.  Ended hike mile 16 time 1540 temp 67,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082911 - wind 01, entire body "wasted" no energy barely made back to house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082912 - Feet PL 2, left foot #1 edge PL 0, #5 edge PL 0, #4 tip new blister PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082913 - 0, right foot #1 fracture PL 1, #5 PL 0, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082914 - splints PL 0, left knee PL 0 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
082915 - shoulder PL 0, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082916 - right side PL 2, left elbow PL 0, when lifting.  EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082917 - no artifact, Kardia reported HR 133 - see below. ref SDS 0 RPSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082927 -  ..
082928 - Kardia recorded HR 054 at 0843 Unclassified, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082929 - lengths with p-waves and no artifact, likely no AFL after hiking 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082930 - miles temp 67 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082931 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
082932 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
082933 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082936 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082937 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250108-ecg-084348_mile_00_054_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082939 -  ..
082940 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
082941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082943 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082944 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250108-ecg-093643_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082948 -  ..
082949 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082950 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
082951 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082952 - ..
082953 -                                                                                                                                                                                                                                                                                                              x
082954 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
082955 -                                          x             x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082956 -       Date          250108 250107 250106 240105 240104 240103 250102 250101 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 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 24101  
082957 -       Miles            16     15      0      0      0      0     13      0      0      0      0     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  
082958 -       HR AVG          132    138     no     no     no     no    130     no     no     no     no    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  
082959 -         MAX           148    164   report report report report  151   report report report report  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  
082960 -         Min            82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75                          82  
082961 -       El Climb Ft     540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450                         450  
082962 -       Temp Max         67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83                          79  
082963 -       Wind Max          5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12                          12  
082964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082966 -              https://flow.polar.com/training/analysis/8030409215                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
082967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082969 -               ..
082971 -   
082972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082976 -  ..
082977 - EKG at mile 08 time 1311 HR 127 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082978 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
082979 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082982 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082983 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250108-ecg-131129_mile_08_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082987 -  ..
082988 - EKG at mile 12 time 1432 HR 130 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082989 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
082990 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
082991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082993 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
082994 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250108-ecg-143204_mile_12_130_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
082995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
082998 -  ..
082999 - End hike EKG at mile 16, time 1540 HR 183 temp 67 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083000 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083001 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083004 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083005 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250108-ecg-154009_mile_16_133_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083009 -  ..
083010 - Post hike HR profile beginning 2019, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083011 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083012 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083013 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083014 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083017 -        ..
083018 -       Date      250108  250107  250106  250105  250104  250103  250102  250101  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    
083019 -       Time       2019    2259    2004    2103    2103    2100    1925    2258    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     
083020 -       Hours         5       9      12      10      10      12      14       8      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     
083021 -       HR AVG       67      69      64      69      69      67      71      65      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     
083022 -       HR MAX      122     121     120     116     116     131     130     127     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     
083023 -       HR Min       44      44      46      48      48      45      44      43      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     
083024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083026 -              https://flow.polar.com/training/analysis/8030556345                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083029 -  ..
083030 - HRV seems  30% 0 and   0% good and  70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083033 -   
083034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083036 -  ..
083037 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083038 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083039 - Dinner - ham potato broccoli cauliflower mushroom cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083042 -  ..
083043 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083072 -         ..
083073 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083074 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083075 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083076 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083077 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083078 -    9.  250109 0205............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083079 -               0205....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083080 -               0210....BP HR..................................................... 158  99  81  Kardia ECG reports HR status, see below. ref SDS 0 RTXM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083081 -               0215....BP HR..................................................... 145  86  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083082 -               0220....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083083 -               0225....80 434280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083084 -               0745... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083085 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083086 -               0745....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083087 -               0745....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083088 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083089 -               0745... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083090 -               0000....
083091 -  ..
083092 -           **  0401....miles...........  13.0  31.0  201   685 minutes  temp  41 wind 02  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083093 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083094 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
083095 -               0544....mile 06 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083096 -               0544....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083097 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083098 -               0544... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
083099 -               0544... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083100 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083101 -               0000....mile 12 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083102 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083103 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
083104 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083105 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083106 -               0812... Hike ends mile 13... ref SDS 0 QPT7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083107 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083108 -               0815....weight.................................... 184  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083109 -               0820....BP HR.....................................................  97  81 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083110 -               0825....BP HR.....................................................  96  73 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083111 -               0830....BP HR..................................................... 108  69 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083112 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083113 -               1700... 40 118840 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                                                                                                                                                                                                                                                                                  
083114 -             1 0000............ 10 20910  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083115 -             1 0000............ 10 21260  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
083116 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083117 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083118 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083119 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083120 -               2200... 1000 2347000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083121 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083122 -               2330... 80 434360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083123 -               2340... 40 93040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083124 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083127 -   ..
083128 -  **  started Polar GPS/HR monitor with wrong diagnostic.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083129 -  2.75 on Ayers at Seminole Circle, switched to "Hiking" monior.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083131 -  ..
083132 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083133 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083135 -  ..
083136 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083137 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083138 - chair.  Toes and heels feel blistered and itch less severely tonight.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083139 - Taking Gabapentin and later Tramadol to reduce symptoms in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083140 - sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083142 -  ..
083143 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083144 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083146 -  ..
083147 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083148 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083152 -  ..
083153 - Today, hiked 13 miles in San Francisco Golden Gate Park - took Tramdol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083154 - and Gabapentin for metatarsalgia feet pain; took Magnesium and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083155 - nutrition with CoQ10 -- begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083156 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083157 - Continued hike South 1 mile on Great Highway.  Turn East onto JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083158 - through Golden Gate Park past Buffalo compound, and Sprekles Lake.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083159 - De Young museum mile 5, continue past Conservatory near Nancy Pelosi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083160 - Drive, turned around at mile 6.  Had nutrition and hydration with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083161 - pain meds, and magnesium and CoQ10.  Hike back to hospital.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083162 - #5 and left knee okay with pain meds.  Hiked well for 6 miles.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083163 - 2nd 6 miles back was difficult, like yesterday, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083164 - QWSQ  Barely managed to hike last 2 miles without stopping to rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083165 - going uphill 5% grade on Great Highway from Ocean Beach to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083166 - then on Point Lobos to 42nd and the hospital breathing only through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083167 - nose indicating increased conditioning since doing same route on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083168 - 240829, per above. ref SDS 36 QRXX  Very slow pace last half mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083172 -         ..
083173 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083174 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083175 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
083176 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083177 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083178 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083179 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083180 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083181 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083182 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083183 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083184 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
083185 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083186 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
083187 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083188 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
083189 -        Back.........................................   2         20  lower right pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083190 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083191 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083192 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083193 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
083194 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083195 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083196 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083197 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083198 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083199 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083200 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083201 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083202 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083203 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083204 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083205 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083206 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
083207 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083208 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083209 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
083210 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
083211 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
083212 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
083213 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083214 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083215 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
083216 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
083217 -        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                                                                                                                                                                                                                                                                                                                           
083218 -        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                                                                                                                                                                                                                                                                                                                                                                                    
083219 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083220 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
083221 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
083222 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
083223 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083224 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
083225 -        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                                                                                                                                                                                                                                                                                                                                           
083226 -        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                                                                                                                                                                                                                                                                                                                                           
083227 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083228 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
083229 -        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                                                                                                                                                                                                                                                                                                                                                                                        
083230 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
083231 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
083232 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083233 -        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                                                                                                                                                                                                                                                                                                                                                              
083234 -  new   Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang cut out core of callus again on 240926 - took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
083235 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
083236 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083237 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083238 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
083239 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083240 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
083241 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
083242 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083243 -        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                                                                                                                                                                                                                                                                                                                                                                               
083244 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083245 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083246 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083247 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083248 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083249 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083250 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083251 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
083252 -        Wasted - very fatigued.......................   4         20  about mile 11 seemed unsuually fatigued despite taking magnesium & CoQ10 - legs did not feel fatibued breathed through nose, but lacked strength                                                                                                                                                                                                                                                                                                                                                                                         
083253 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083257 -  ..
083258 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083259 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083260 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083261 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083262 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083264 -  ..
083265 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083266 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083267 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083269 -  ..
083270 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083271 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083272 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083273 - today, but takes time to change socks, so did not change socks, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083274 - decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083276 -  ..
083277 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083278 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083279 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083280 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083281 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083284 -  ..
083285 - San Francisco 14 mile route, reported on 170519, ref SDS 8 WTRS - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083286 - Glucosamine Chondroitin for OA protection, mainly left knee treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083287 - with PRP intra articular injection 13 times, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083288 - 0701, ref SDS 18 TTPV, and also left hip.  Did not take Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083289 - pain and inflammation management to start hike, because it can cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083290 - colitis, including bloating.  At the hospital, before starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083291 - hike, took 1 Tramadol and took 1 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083292 - because there is metatarsalgia pain in feet starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083293 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083294 - shown in case study on 200101 0701. ref SDS 18 4W5K  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083295 - Complex that increases energy and neutralizes buildup of lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083296 - in muscles during exercise, and further reduces inflammation allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083297 - HDL to increase - see research on 200101 0701. ref SDS 18 QP6L  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083298 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083299 - caused by taking statins and other drugs, also symptomatic of diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083300 - and colitis, see case study on 200101 0701. ref SDS 18 O33H  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083301 - bloated starting hike this morning.  Took backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083302 - good to build conditioning for Half Dome.  Temperature cold 41 and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083303 - wind.  Departed VAMCSF campus in dark at 0401.  Hiked slowly downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083304 - on 42nd Street to warm up.  Turned corner heading downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083305 - Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083306 - "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083307 - magnesium triggered rising strength.  At mile 2 turned onto John F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083308 - Kennedy (JFK) Drive entering Golden Gate Park.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083309 - slightly uphill into the park for .5 miles.  Said hello to early                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083310 - morning jogger going West - normally this pass occurs nearer to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083311 - Highway 1 bridge, but today was delayed 40 minutes by the man falling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083312 - on Point Lobos.  Turned corner and continued East on JFK.  Dark and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083313 - with few widely spaced street lights, cannot see the road.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083314 - Buffalo compound, then Spreckles Lake.  Hiked past Lindley Meadow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083315 - then past Helman Hollow.  Both feet pain level 1.  Hiked under bridge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083316 - at Crossover Drive (part of highway 1 that goes to Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083317 - Bridge). - JFK is blocked to vehicle traffic the rest of the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083318 - through the park to Stanyon, limiting attendance to keep people                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083319 - separated that minimizes spreading coronavirus.  Now that the epidemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083320 - has been delcared over, the park continues to deny access to drivers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083321 - on JFK.  At mile 5, hiked past De Young Museum.  Encountering hikers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083322 - and bikers heading in both directions.  Past Conservatory near Stanyon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083323 - stopped mile 6, time 0544, temp 41, wind 04; EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083324 - minor artifact.  Kardia reported HR 120 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083325 - ref SDS 0 RUSW  Both feet PL 2, burning sensation PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083326 - Tailor's bunions PL 0, bottom forefoot below #4 PL 0, left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083327 - #5 blister/callus PL 3, right foot #4 top blister/callus PL 0, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083328 - pediplasti spacer, left knee PL 0, and left hamstring PL 0.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083329 - feel bloated.  Softddrink carried from home to help swallow Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083330 - pain pill, and swallow magnesium complex for energy, HDL, and to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083331 - dissipate inflammation, and swallow peanut butter, avocado, margarine.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083332 - Took CoQ10 for energy and HDL, per above. ref SDS 0 RQVT  A large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083333 - group of bikers - seemed like 200 flew by.  Continued hiking West back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083334 - toward ocean.  Stayed on South side against traffic (no actual vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083335 - traffic in park) going Eest.  Increased pace with endorphins rising.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083336 - Waterfall not running at 0730 this morning, before hiking under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083337 - Crossover Road bridge at highway 1.  Hiked past Hellman Hollow then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083338 - Lindley Meadow, where 9 years ago, a truck backed up because missed a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083339 - turn, and struck Kathy's car; this got her a new car, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083340 - 150729 0942. ref SDS 6 0001  Continued hiking past Spreckles Lake,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083341 - then saw 4 or 5 Buffalo grazing in the compound.  Crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083342 - side of JFK going with traffic.  Turned corner and headed toward the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083343 - ocean.  Turned North onto Great Highway.  Hiked parallel to ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083344 - toward the Cliff House and hospital.  Halfway to Cliff House had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083345 - liquid CoQ10 for energy.  Maintained pace hiking up steep hill - 5% -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083346 - 6% grade.  Maintained breathing without dyspnea for 1.5 miles uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083347 - all the way to the hospital, noticable improvement compared to prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083348 - hiking this route on 240829, per above. ref SDS 36 QTSP  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083349 - condition recovering after not hiking to recover from cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083350 - on 240611 - see Polar GPS/HR report on daily hiking in the record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083351 - ref SDS 36 UVYY  At the Cliff House, turned onto Point Lobos Avenue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083352 - going East; hiked uphill for 1 mile.  Became very weak and fatigued -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083353 - had to slow pace by 60%, but continued hiking without stopping to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083354 - rest, same as yesterday, reported above. ref SDS 0 QXVT  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083355 - 42nd street and maintained pace going up final hill to the VA campus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083356 - continued around the parking lot.  Ended hike mile 13, time 0808, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083357 - 43 wind 01, feet PL 3, left foot #1 callus PL 1, #5 callus PL 4, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083358 - foot bottom forefoot below #4 Pl 0, left hamstring PL 0, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083359 - 1, neck and right shoulder PL 0 (only when turning head or lifting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083360 - right arm), left shoulder PL 0 - getting better.  EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083361 - with p-wave and no artifact, reported HR 097 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083362 - Fibrillation - see below. ref SDS 0 RUUY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083369 -  ..
083370 - Kardia recorded HR 074 at 0213 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083371 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083372 - AFL after hiking 16 miles temp 67 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083373 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083374 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083375 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083378 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083379 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250109-ecg-021309_mile_00_074_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083381 -  ..
083382 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083385 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083386 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250109-ecg-022854_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083390 -  ..
083391 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083392 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083393 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083394 - ..
083395 -                                                                                                                                                                                                                                                                                                              x
083396 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083397 -                                          x             x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083398 -       Date          250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24102  
083399 -       Miles            13     16     15      0      0      0      0     13      0      0      0      0     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  
083400 -       HR AVG          125    132    138     no     no     no     no    130     no     no     no     no    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  
083401 -         MAX           147    148    164   report report report report  151   report report report report  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 epo  
083402 -         Min            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75                       
083403 -       El Climb Ft     313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450                       
083404 -       Temp Max         41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83                       
083405 -       Wind Max          5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12                       
083406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083408 -              https://flow.polar.com/training/analysis/8030739128                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083411 -               ..
083413 -   
083414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083418 -  ..
083419 - EKG at mile 06 time 0544 HR 120 temp 41, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083420 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083421 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083424 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083425 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250109-ecg-054429_mile_06_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083429 -  ..
083430 - End hike EKG at mile 13, time 0808 HR 097 temp 43 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083431 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083432 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083435 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083436 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250109-ecg-080805_mile_13_097_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083440 -  ..
083441 - Post hike HR profile beginning 2352, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083442 - hiking 13 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083443 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083444 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083445 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083448 -        ..
083449 -       Date      250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
083450 -       Time       2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
083451 -       Hours         8       5       9      12      10      10      12      14       8      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     
083452 -       HR AVG       56      67      69      64      69      69      67      71      65      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     
083453 -       HR MAX      130     122     121     120     116     116     131     130     127     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     
083454 -       HR Min       42      44      44      46      48      48      45      44      43      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     
083455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083457 -              https://flow.polar.com/training/analysis/8031422616                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083460 -  ..
083461 - HRV seems   0% 0 and   0% good and 100% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083464 -   
083465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083467 -  ..
083468 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083469 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083470 - Dinner - hot dog potato broccoli cauliflower mushroom cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083473 -  ..
083474 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083503 -         ..
083504 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083505 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083506 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083507 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083508 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083509 -   10.  250110 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083510 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083511 -               0720....BP HR..................................................... 155  89  76  Kardia ECG reports HR status, see below. ref SDS 0 RXWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083512 -               0725....BP HR..................................................... 137  86  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083513 -               0730....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083514 -               0735....80 434440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083515 -               0745... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083516 -               0740....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083517 -               0745....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083518 -               0745....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083519 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083520 -               0745... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083521 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083522 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083523 -               1700... 40 118880 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                                                                                                                                                                                                                                                                                  
083524 -               1830............ 10 20920  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083525 -               1830............ 10 21270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
083526 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083527 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083528 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083529 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083530 -               2200... 1000 2347000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083531 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083532 -               2330... 80 434520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083533 -               2340... 40 93080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083534 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083536 -  ..
083537 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083538 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083540 -  ..
083541 - Peripheral Neuropathy and/or PAD has decreased - less pain in toes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083542 - down to heels, particularly in evening, when feet are elevated in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083543 - reclining chair.  Toes and heels less blistered and itch less severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083544 - tonight after hiking 3 days in a row.  Did not take Gabapentin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083545 - later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083547 -  ..
083548 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083549 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083551 -  ..
083552 - Reflux none - did not sleep in recliner chair after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083553 - 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083557 -  ..
083558 - Kardia recorded HR 068 at 0833 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083559 - lengths with p-waves and no artifact, likely no AFL after hiking 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083560 - miles temp 41 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083561 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083562 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083563 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083566 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083567 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250110-ecg-083302_mile_00_068_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083569 -  ..
083570 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083573 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083574 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250110-ecg-085731_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083578 -  ..
083579 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083580 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083581 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083582 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083583 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083586 -        ..
083587 -       Date      250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
083588 -       Time       2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
083589 -       Hours        11       8       5       9      12      10      10      12      14       8      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     
083590 -       HR AVG       71      56      67      69      64      69      69      67      71      65      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     
083591 -       HR MAX      116     130     122     121     120     116     116     131     130     127     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     
083592 -       HR Min       44      42      44      44      46      48      48      45      44      43      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     
083593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083595 -              https://flow.polar.com/training/analysis/8032053455                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083598 -  ..
083599 - HRV seems  70% 0 and  30% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083602 -   
083603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083605 -  ..
083606 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083607 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083608 - Dinner - hot dog potato broccoli cauliflower mushroom cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083611 -  ..
083612 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083643 -         ..
083644 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083645 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083646 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083647 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083648 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083649 -   11.  250111 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083650 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083651 -               0740....BP HR..................................................... 156 100  52  Kardia ECG reports HR status, see below. ref SDS 0 SCP2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083652 -               0745....BP HR..................................................... 148  77  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083653 -               0750....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083654 -               0755....80 434600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083655 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083656 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083657 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083658 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083659 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083660 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083661 -               0000....
083662 -  ..
083663 -           **  1046....miles...........  20.0  64.0  325 10105 minutes  temp  67 wind 16  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083664 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083665 -               1140... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
083666 -               1301....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083667 -               1301....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083668 -               1301... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083669 -               1301... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
083670 -               1301... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083671 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083672 -               1452....mile 14 stopped EKG and chia seeds peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083673 -               1452....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083674 -               1452... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
083675 -               1452... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
083676 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083677 -               1640... Hike ends mile 20... ref SDS 0 SSVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083678 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083679 -               1655....weight.................................... 182  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083680 -               1700....BP HR..................................................... 127  72 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083681 -               1710....BP HR..................................................... 118  73 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083682 -               1715....BP HR..................................................... 112  68  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083683 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083684 -               1700... 40 118920 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                                                                                                                                                                                                                                                                                  
083685 -             1 0000............ 10 20920  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
083686 -             1 0000............ 10 21270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
083687 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083688 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083689 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083690 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083691 -               2200... 1000 2348000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083692 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083693 -               2330... 80 434680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083694 -               2340... 40 93120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083695 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083698 -  ..
083699 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083700 - Pantoprazole, see case study on 200101. ref SDS 18 PVTP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083702 -  ..
083703 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083704 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083705 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083706 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083707 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083709 -  ..
083710 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083711 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083713 -  ..
083714 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083715 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083719 -  ..
083720 - Today, hiked 20 miles - did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083721 - starting hike, because both feet PL 1.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083722 - to reduce inflammation.  Was noticably bloated caused by variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083723 - heart beat and statins.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083724 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083725 - Clayton Road, Then South to Ygnacio Valley road.  Turned West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083726 - on YV.  Turned East 2.5 miles to end of Pine Hollow; at mile 8 did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083727 - EKG, had nutrition.  Took Tramadol and Gabapentin to relieve feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083728 - PL 3.  Hiked back 2.5 miles.  Took Simethicone to relieve bloating.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083729 - Turned onto Campus Drive heading West 1 mile.  At Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083730 - turned around and hiked uphill 4% grade to Visitor Parking at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083731 - College.  Hiked 2 laps in parking lots then stopped mile 12.0 for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083732 - hydration, etc.  Did not take pain meds.  Hiked another loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083733 - parking lots.  Much better than on Wednesday - not fatigued despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083734 - hiking 2 more miles at this point.  Headed North on Campus Drive and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083735 - turned left uphill 3% grade on Ygnacio Valley Road.  Took Cowell North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083736 - 1 mile, turned left onto Treat - then right on Cuneo and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083737 - seizure-like episode with difficulty controlling speed as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083738 - yesterday coming down Cowell.  Bloated entire hike and less than the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083739 - past week.  Took Simethicone about mile 10. less so at end of 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083740 - miles, aligns with medical advice reported on 091217 0600. ref SDS 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083741 - VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083745 -         ..
083746 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083747 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083748 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                            
083749 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083750 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083751 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083752 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083753 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083754 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083755 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083756 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083757 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
083758 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083759 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
083760 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083761 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
083762 -        Back.........................................   2         20  lower right pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083763 -        Hip right....................................   2         20  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
083764 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083765 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083766 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
083767 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083768 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083769 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083770 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083771 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
083772 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083773 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083774 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083775 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083776 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083777 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083778 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083779 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
083780 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083781 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083782 -        Metatarsalgia left foot...PRP 210705.........   3         76  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
083783 -        Metatarsalgia right foot..PRP 210705.........   1         50  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
083784 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
083785 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
083786 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083787 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083788 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
083789 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
083790 -        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                                                                                                                                                                                                                                                                                                                           
083791 -        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                                                                                                                                                                                                                                                                                                                                                                                    
083792 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083793 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
083794 -        Callus big toe left foot...PRP 210705........   6         40  Doctor Tang shaved calluses 251109 used Lidocane to remove more of callus - today applied neoprene cap slightly helpful - took 1 Tramadol and 1 Gabapentin mile 08 and 1 Tramadol mile 16 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - blister above callus developed on 250109 did not seem a factor after treatment by Doctor Tang on 250109                                                                                                                                                         
083795 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
083796 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083797 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
083798 -        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                                                                                                                                                                                                                                                                                                                                           
083799 -        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                                                                                                                                                                                                                                                                                                                                           
083800 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083801 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
083802 -        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                                                                                                                                                                                                                                                                                                                                                                                        
083803 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
083804 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
083805 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083806 -        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                                                                                                                                                                                                                                                                                                                                                              
083807 -  new   Callus little toe #5 left foot...PRP 210705..   6         40  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                    
083808 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
083809 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083810 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083811 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
083812 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083813 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083814 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
083815 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083816 -        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                                                                                                                                                                                                                                                                                                                                                                               
083817 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083818 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083819 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083820 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083821 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083822 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083823 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083824 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
083825 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083826 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083830 -  ..
083831 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083832 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083833 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083834 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083835 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083837 -  ..
083838 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083839 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083840 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083842 -  ..
083843 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083844 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083845 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083846 - today, but takes time to change socks, so did not change socks, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083847 - decreases time to wearing out, and the feel is less comfortable.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083849 -  ..
083850 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083851 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083852 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083853 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083854 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083857 -  ..
083858 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083859 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083860 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083861 - and also left hip.  Did not take Naproxen for pain and inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083862 - management to start hike, because it can cause colitis, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083863 - bloating.  Still bloated overnight and through the hike, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083864 - study on 200101 0701. ref SDS 18 O33H  Did not take Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083865 - Gabapentin for pain management, because there is no metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083866 - in feet starting the hike, and right foot #1 PL 1, after falling on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083867 - 241108 and next day on 241109, shown in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083868 - ref SDS 18 4W5K  Similarly, left foot #1 callus and blister treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083869 - Doctor Tank at VAMCSF on 250109 0830. ref SDS 68 T49H  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083870 - Complex that increases energy and neutralizes buildup of lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083871 - in muscles during exercise, and further reduces inflammation allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083872 - HDL to increase - see research on 200101 0701. ref SDS 18 QP6L  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083873 - small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083874 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083875 - starting hike took Ubiquinol CoQ10 per above. ref SDS 18 136K  CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083876 - is an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083877 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083878 - ref SDS 0 VD3M  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083879 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083880 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083881 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083882 - Feeling bloated starting hike this morning.  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083883 - stuff - good to build conditioning for Half Dome.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083884 - mile and turned left, onto Treat.  Feet feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083885 - blister-like from peripheral neuropathy taking statins, see side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083886 - effects in case study on 200101 0701. ref SDS 18 EU4F  Can be caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083887 - taking statins and diabetes symptoms from reduced hiking past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083888 - months.  Breathed through nose entire hike with no dyspnea.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083889 - Temperature started at 61, and reached 67.  West wind 17 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083890 - mostly 12 mph.  Hiked East on Treat .5 miles.  Right foot #1 PL 1 from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083891 - fractured toe hiking on 241109 0840. ref SDS 64 NS7O  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083892 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083893 - mostly flat grade, some places 2% uphill, and very light traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083894 - Hiked across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083895 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083896 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083897 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083898 - asphalt pavement in parking lots of shopping complex.  About 1140 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083899 - Clayton Road feeling bloated - took Simethicone, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083900 - ref SDS 0 SPRV  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083901 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083902 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083903 - metatarsalgia PL 2 both feet.  Left foot #1 and #5 PL 2, wearing only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083904 - 1 pair socks, per above. ref SDS 0 SRPT  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083905 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083906 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083907 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083908 - not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083909 - Continued on Ygnacio Valley Road; turned left onto Pine Hollow.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083910 - 2.50 miles East.  Stopped at end of Pine Hollow. mile 08 time 1301                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083911 - temp 67 and wind 15 mph; EKG looks uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083912 - reported HR 128 Tachycardia - see below. ref SDS 0 SSUT  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083913 - 3, both feet toes inflammation PL 0, peripheral neuropathy both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083914 - and wrapping up heels - possibly PAD -, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083915 - plints PL 0, right foot #1 fractured PL 0, Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083916 - foot #5 edge blister/callus PL 3 and #1 PL 2.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083917 - 1.  Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083918 - (...experiment test avoid seizure taking normal 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
083919 - Gabapentin...).  Took another (2nd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083920 - swallowed whole after EGD Dilation on 241126 1300, ref SDS 65 1X6F,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083921 - avoids capsule clogging LESV, as occurred last year on 240824, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083922 - case study. ref SDS 36 PPTU; Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083923 - hydration and swallowing nutrition - 2 spoons peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083924 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083925 - and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083926 - and energy to complete hike.  Since temperature forecast below 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083927 - reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083928 - electrolyte pill, per above. ref SDS 0 SPRV  Still bloated after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
083929 - taking Simethicone time 1140, may reflect variable heart rate.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083930 - back on Pine Hollow 2.5 miles. turned left onto Campus Drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083931 - West uphill 3% grade hiked 1 mile against wind 13 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083932 - North.  On reaching Ygnacio Valley Road turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083933 - .25 mile 5% grade.  Reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083934 - University East Bay Concord Campus.  Hiked loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083935 - Back at Administration Building continued through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083936 - parking.  Back at Administration Building stopped mile 14 time 1452                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083937 - temp 67 and wind 14 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083938 - reported HR 131 Tachycardia - see below. ref SDS 0 VO4O  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083939 - 3, right foot #1 fractured PL 1, Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083940 - edge blister/callus PL 4 and #1 PL 3.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083941 - hamstring PL 2.  Took 1 Tramadol 50 mg and 0 Gabapentin 300 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083942 - pain (...experiment test avoid seizure taking normal 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
083943 - Gabapentin...).  With specific areas having low PL, and despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083944 - magnesium, entire body strong/normal, unlike feeling very weak on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083945 - Wednesday 240108, per above. ref SDS 0 QVWX  Took another (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083946 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083947 - 241126 1300, ref SDS 65 1X6F, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083948 - occurred last year on 240824, see case study. ref SDS 36 PPTU; Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083949 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083950 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083951 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083952 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083953 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083954 - electrolytes, then did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083955 - ref SDS 0 SPRV  Did not change socks to avoid wearing 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
083956 - double-ply socks that avoids severe ware and increases protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083957 - against blisters and calluses - experimenting today.  The time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083958 - change socks disrupts the hike.  Unlike Wednesday, body did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083959 - wasted - felt strong/normal.  Hiked another loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083960 - Back at Visitor Parking, exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
083961 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083962 - flat grade .5 miles.  At mile 17, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083963 - uphill 3% grade .5 miles against wind 15 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083964 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083965 - to avoid severe camber.  Continued West .5 mile to summit.  At mile 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083966 - end of concrete traffic barrier turned around.  Hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083967 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083968 - downhill 5% grade - left hip PL 0 - then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083969 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083970 - left onto Treat hiking West .25 miles back to Cuneo.  Final .50 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083971 - through residential streets then home.  Ended hike mile 20 time 1640                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083972 - temp 64, wind 10, entire body tired, normal after 20 miles.  Feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083973 - 4, left foot #1 edge PL 5, #5 edge PL 5, right foot #1 fracture PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083974 - #5 PL 0, burning sensation PL 0, shin splints PL 0, left knee PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083975 - (swollen), right knee PL 0, left shoulder PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
083976 - shoulder PL 0 intermittantly, lower back right side PL 3, left elbow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
083977 - PL 0, when lifting.  EKG uniform with no artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
083978 - 129 - see below. ref SDS 0 SSVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083986 -  ..
083987 - Kardia recorded HR 050 at 0827 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083988 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
083989 - miles temp 66 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
083990 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
083991 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
083992 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
083993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
083995 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
083996 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250111-ecg-082726_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
083998 -  ..
083999 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084002 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084003 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250111-ecg-090226_mile_00_069_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084007 -  ..
084008 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084009 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084010 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084011 - ..
084012 -                                                                                                                                                                                                                                                                                                              x
084013 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084014 -                                          x             x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084015 -       Date          250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24102  
084016 -       Miles            20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
084017 -       HR AVG          131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
084018 -         MAX           151   report  147    148    164   report report report report  151   report report report report  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   repo  
084019 -         Min            66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75         
084020 -       El Climb Ft     520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450         
084021 -       Temp Max         67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83         
084022 -       Wind Max         15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12         
084023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084025 -              https://flow.polar.com/training/analysis/8032300774                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084028 -               ..
084030 -   
084031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084035 -  ..
084036 - EKG at mile 08 time 1301 HR 128 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084037 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084038 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084041 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084042 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250111-ecg-130128_mile_08_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084046 -  ..
084047 - EKG at mile 14 time 1452 HR 131 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084048 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084049 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084052 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084053 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250111-ecg-145243_mile_14_131_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084057 -  ..
084058 - End hike EKG at mile 20, time 1640 HR 129 temp 64 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084059 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084060 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084063 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084064 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250111-ecg-164030_mile_20_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084069 -  ..
084070 - Post hike HR profile beginning 2344, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084071 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084072 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084073 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084074 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084077 -        ..
084078 -       Date      250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
084079 -       Time       2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
084080 -       Hours         8      11       8       5       9      12      10      10      12      14       8      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     
084081 -       HR AVG       71      71      56      67      69      64      69      69      67      71      65      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     
084082 -       HR MAX      144     116     130     122     121     120     116     116     131     130     127     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     
084083 -       HR Min       47      44      42      44      44      46      48      48      45      44      43      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     
084084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084086 -              https://flow.polar.com/training/analysis/8032839754                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084089 -  ..
084090 - HRV seems  80% 0 and   0% good and  20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084093 -   
084094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084096 -  ..
084097 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084098 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084099 - Dinner - eggs broccoli cauliflower mushroom onion - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084102 -  ..
084103 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084134 -         ..
084135 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084136 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084137 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084138 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084139 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084140 -   12.  250112 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084141 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084142 -               0730....BP HR..................................................... 133  87  65  Kardia ECG reports HR status, see below. ref SDS 0 8USV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084143 -               0735....BP HR..................................................... 148  77  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084144 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084145 -               0745....80 434600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084146 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084147 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084148 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084149 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084150 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084151 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084152 -               0000....
084153 -  ..
084154 -           **  1104....miles...........  16.0  80.0  261 10105 minutes  temp  66 wind 20  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084155 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084156 -               1150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
084157 -               1325....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084158 -               1335....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084159 -               1335... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084160 -               1335... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
084161 -               1335... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084162 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084163 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084164 -               1555... Hike ends mile 16... ref SDS 0 SVPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084165 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084166 -               1610....weight.................................... 182  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084167 -               1620....BP HR..................................................... 114  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084168 -               1630....BP HR..................................................... 110  74  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084169 -               1655....BP HR.....................................................  92  64  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084170 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084171 -               1700... 40 118920 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                                                                                                                                                                                                                                                                                  
084172 -               1830............ 10 20920  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084173 -               1830............ 10 21270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084174 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084175 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084176 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084177 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084178 -               2200... 1000 2348000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084179 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084180 -               2330... 80 434680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084181 -               2340... 40 93120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084182 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084185 -  ..
084186 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084187 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084189 -  ..
084190 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084191 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084192 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084193 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084194 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084196 -  ..
084197 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084198 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084200 -  ..
084201 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084202 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084206 -  ..
084207 - Today, hiked 16 miles - did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084208 - starting hike, because both feet PL 1.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084209 - to reduce inflammation.  Was noticably bloated caused by variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084210 - heart beat and statins.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084211 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084212 - Clayton Road, Then South to Clayton Road.  Turned West 1 mile on YV.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084213 - Turned East on Pine Hollow .5 miles.  Turned around at Discovery Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084214 - Hiked back .5 miles.  Turned West onto Campus Drive 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084215 - Ygnacio Valley Road turned around and hiked uphill 4% grade to Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084216 - Parking at the College.  Hiked lap around main buildings.  Did EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084217 - pain meds, hydration and nutrition, changed socks.  Hiked loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084218 - parking lots.  Headed North on Campus Drive and turned left uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084219 - grade on Ygnacio Valley Road.  Took Cowell North 1 mile, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084220 - onto Treat - then right on Cuneo.  Continued in residential streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084221 - and home.  No seizure-like episode with difficulty controlling speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084222 - as occurred last week coming down Cowell.  Bloated entire hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084223 - much less at end of 16 miles.  Took Simethicone about mile 1. less so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084224 - at end of 16 miles, aligns with medical advice reported on 091217                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084225 - 0600. ref SDS 2 VX54   Polar GPS/HR monitor reports average HR 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084226 - points less that prior hikes. ref SDS 0 SUVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084230 -         ..
084231 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084232 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084233 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did take Simethicone today, hiking reduced symptoms by end of 16 miles                                                                                                                                                                                                                                                                                                                            
084234 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084235 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084236 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084237 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084238 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084239 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084240 -        Spine below neck lift left or right arm......   4          2  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084241 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084242 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
084243 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084244 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
084245 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084246 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
084247 -        Back.........................................   3         30  lower right pain last 2 miles or so, noticed mostly at end of hike standing to do EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084248 -        Hip right....................................   2         20  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
084249 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084250 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084251 -        Knee left meniscus...PRP 231121..............   2         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
084252 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084253 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084254 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084255 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084256 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
084257 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084258 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084259 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084260 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084261 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084262 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084263 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084264 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
084265 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084266 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084267 -        Metatarsalgia left foot...PRP 210705.........   3         76  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
084268 -        Metatarsalgia right foot..PRP 210705.........   1         50  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
084269 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
084270 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
084271 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084272 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084273 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
084274 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
084275 -        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                                                                                                                                                                                                                                                                                                                           
084276 -        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                                                                                                                                                                                                                                                                                                                                                                                    
084277 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084278 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
084279 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 251109 used Lidocane to remove more of callus - today applied neoprene cap slightly helpful - took 1 Tramadol and 1 Gabapentin mile 08 and 1 Tramadol mile 16 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - blister above callus developed on 250109 did not seem a factor after treatment by Doctor Tang on 250109                                                                                                                                                         
084280 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
084281 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084282 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
084283 -        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                                                                                                                                                                                                                                                                                                                                           
084284 -        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                                                                                                                                                                                                                                                                                                                                           
084285 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084286 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
084287 -        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                                                                                                                                                                                                                                                                                                                                                                                        
084288 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
084289 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
084290 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084291 -        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                                                                                                                                                                                                                                                                                                                                                              
084292 -  new   Callus little toe #5 left foot...PRP 210705..   7         40  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                    
084293 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
084294 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084295 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084296 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
084297 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084298 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084299 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
084300 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084301 -        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                                                                                                                                                                                                                                                                                                                                                                               
084302 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084303 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084304 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084305 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084306 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084307 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084308 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084309 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
084310 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084311 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084315 -  ..
084316 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084317 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084318 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084319 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084320 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084322 -  ..
084323 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084324 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084325 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084327 -  ..
084328 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084329 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084330 - and #5 that has been causing blisters and calluses.  Today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084331 - effective on right foot, but not the left foot.  Changed socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084332 - 9, to decrease wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084334 -  ..
084335 - Bandaging - tried neoprene cap on left foot #1 - helpful for maybe 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084336 - miles, then PL 5 rest of hike even with Tramadol and Gabapentin at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084337 - mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084339 -  ..
084340 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084341 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084342 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084343 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084344 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084347 -  ..
084348 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084349 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084350 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084351 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084352 - management, because there is no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084353 - the hike, and right foot #1 PL 1, after falling on 241108 and next day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084354 - on 241109, shown in case study on 200101 0701. ref SDS 18 4W5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084355 - Similarly, left foot #1 and #5 both callus PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084356 - Tank at VAMCSF on 250109 0830. ref SDS 68 T49H  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084357 - that increases energy and neutralizes buildup of lactic acid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084358 - muscles during exercise, and further reduces inflammation allowing HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084359 - to increase - see research on 200101 0701. ref SDS 18 QP6L  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084360 - amount peanut butter and margarine, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084361 - and energy, and had some avocado for HDL.  Just before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084362 - took Ubiquinol CoQ10 per above. ref SDS 0 OK9M  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084363 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084364 - giving human cells energy - see case study on 200101 0701. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084365 - 5F6N No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084366 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084367 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084368 - rate) see case study on 200101 0701. ref SDS 18 O33H  Feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084369 - starting hike this morning.  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084370 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084371 - left, onto Treat.  Feet feeling swelled and blister-like from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084372 - peripheral neuropathy taking statins, see side effects in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084373 - on 200101 0701. ref SDS 18 EU4F  Can be caused taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084374 - diabetes symptoms from reduced hiking past 6 months.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084375 - nose entire hike with no dyspnea.  Temperature started at 60, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084376 - reached 66.  West wind 20 mph and mostly 12 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084377 - .5 miles.  Right foot #1 PL 1 from fractured toe hiking on 241109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084378 - 0840. ref SDS 64 NS7O  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084379 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084380 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084381 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084382 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084383 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084384 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084385 - shopping complex.  About 1140 on Clayton Road feeling bloated - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084386 - Simethicone, per above. ref SDS 0 SRQW  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084387 - light and continued on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084388 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084389 - miles.  Feeling metatarsalgia PL 2 both feet.  Left foot #1 and #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084390 - 4, wearing only 1 pair socks, per above. ref SDS 0 SSYX  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084391 - hike crossing Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084392 - miles on asphalt shoulder.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084393 - hiking on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084394 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084395 - time ____.  Continued on Ygnacio Valley Road; turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084396 - Hollow.  Hiked 0.50 miles East.  At Discovery Way turned around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084397 - Hiked back 0.5 miles.  Turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084398 - uphill 3% grade hiked 1 mile with wind 17 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084399 - On reaching Ygnacio Valley Road turned around and hiked uphill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084400 - mile 5% grade.  Reached Visitor Parking at California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084401 - East Bay Concord Campus.  Hiked loop around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084402 - Administration Building stopped mile 09 time 1335 temp 64 and wind 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084403 - mph; EKG looks variable with artifact.  Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084404 - Tachycardia - see below. ref SDS 0 SUX8  HR 118 is considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084405 - improvement compared to previous hikes the past week.  Both feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084406 - right foot #1 fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084407 - blister/callus PL 4 and #1 PL 4.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084408 - hamstring PL 0, lower back PL 2, left hip PL 2.  Took 1 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084409 - and 1 Gabapentin 300 mg for pain (...experiment test avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084410 - taking normal 2nd dose Gabapentin...).  With specific areas having low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084411 - PL, and despite magnesium, entire body strong/normal, unlike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084412 - very weak on Wednesday 240108, per above. ref SDS 0 QVWX  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084413 - (2nd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084414 - Dilation on 241126 1300, ref SDS 65 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084415 - LESV, as occurred last year on 240824, see case study. ref SDS 36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084416 - PPTU; Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084417 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084418 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084419 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084420 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084421 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084422 - above. ref SDS 0 SRQW  Changed socks to avoid wearing 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084423 - double-ply socks that avoids severe ware and increases protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084424 - against blisters and calluses - experimenting today.  The time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084425 - change socks disrupts the hike.  Hiked loop through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084426 - Back at Visitor Parking, exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084427 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084428 - flat grade .5 miles.  At mile 12, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084429 - uphill 3% grade .5 miles against wind 15 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084430 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084431 - to avoid severe camber.  Continued West .5 mile to summit.  At mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084432 - end of concrete traffic barrier turned around.  Hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084433 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084434 - downhill 5% grade - left hip PL 0 - then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084435 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084436 - left onto Treat hiking West .25 miles back to Cuneo.  Final 1.0 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084437 - through residential streets then home.  Ended hike mile 20 time 1555                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084438 - temp 62, wind 12, Feet PL 3, left foot #1 edge PL 6, #5 edge PL 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084439 - right foot #1 fracture PL 1, #5 PL 0, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084440 - splints PL 0, left knee PL 2 (swollen), right knee PL 0, left shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084441 - PL 0, neck and right shoulder PL 0 intermittantly, lower back middle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084442 - PL 4, left elbow PL 0, when lifting.  EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084443 - Kardia reported HR 121 - see below. ref SDS 0 SVPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084451 -  ..
084452 - Kardia recorded HR 054 at 0949 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084453 - lengths with p-waves and no artifact, likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084454 - miles temp 67 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084455 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084456 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084457 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084460 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084461 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250112-ecg-094931_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084463 -  ..
084464 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084467 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084468 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250112-ecg-101136_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084472 -  ..
084473 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084474 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084475 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084476 - ..
084477 -                                                                                                                                                                                                                                                                                                              x
084478 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084479 -                                          x             x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084480 -       Date          250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24102  
084481 -       Miles            16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
084482 -       HR AVG          120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
084483 -         MAX           137    151   report  147    148    164   report report report report  151   report report report report  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  
084484 -         Min            71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                                        65     71     75  
084485 -       El Climb Ft     520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                                       450    530    450  
084486 -       Temp Max         65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                                        78     77     83  
084487 -       Wind Max         20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                                        10     12     12  
084488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084490 -              https://flow.polar.com/training/analysis/8033029344                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084493 -               ..
084495 -   
084496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084500 -  ..
084501 - EKG at mile 09 time 1335 HR 118 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084502 - Tachycardia... heart rate looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084503 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
084504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084506 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084507 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250112-ecg-133501_mile_08_118_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084511 -  ..
084512 - End hike EKG at mile 16, time 1555 HR 121 temp 62 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084513 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084514 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084517 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084518 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250112-ecg-155554_mile_16_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084522 -  ..
084523 - Post hike HR profile beginning 1936, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084524 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084525 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084526 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084527 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084530 -        ..
084531 -       Date      250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
084532 -       Time       1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
084533 -       Hours        12       8      11       8       5       9      12      10      10      12      14       8      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     
084534 -       HR AVG       66      71      71      56      67      69      64      69      69      67      71      65      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     
084535 -       HR MAX      127     144     116     130     122     121     120     116     116     131     130     127     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     
084536 -       HR Min       39      47      44      42      44      44      46      48      48      45      44      43      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     
084537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084539 -              https://flow.polar.com/training/analysis/8033425854                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084541 -  ..
084542 - HRV seems   0% 0 and  20% good and  80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084545 -   
084546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084548 -  ..
084549 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084550 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084551 - Dinner - hamburger eggs broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084554 -  ..
084555 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084581 -         ..
084582 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084583 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084584 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084585 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084586 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084587 -   13.  250113 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084588 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084589 -               0730....BP HR..................................................... 147  84  52  Kardia ECG reports HR status, see below. ref SDS 0 1YFM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084590 -               0735....BP HR..................................................... 160  90  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084591 -               0740....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084592 -               0745....80 434760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084593 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084594 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084595 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084596 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084597 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084598 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084599 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084600 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084601 -               1700... 40 118960 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                                                                                                                                                                                                                                                                                  
084602 -             1 0000............ 10 20920  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084603 -             1 0000............ 10 21270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084604 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084605 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084606 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084607 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084608 -               2200... 1000 2349000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084609 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084610 -               2330... 80 434840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084611 -               2340... 40 93160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084612 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084615 -  ..
084616 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084617 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084619 -  ..
084620 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084621 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084622 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084623 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084624 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084626 -  ..
084627 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084628 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084630 -  ..
084631 - Reflux did not sleep in recliner chair after EGD dilation on 241126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084632 - 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084635 -  ..
084636 - Kardia recorded HR 051 at 0907 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084637 - lengths with p-waves and no artifact, likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084638 - miles temp 67 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084639 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084640 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084641 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084644 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084645 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250113-ecg-090736_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084647 -  ..
084648 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084651 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084652 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250113-ecg-101728_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084656 -  ..
084657 - Post hike HR profile beginning 1938, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084658 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084659 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084660 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084661 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084664 -        ..
084665 -       Date      250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
084666 -       Time       1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
084667 -       Hours        12      12       8      11       8       5       9      12      10      10      12      14       8      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     
084668 -       HR AVG       68      66      71      71      56      67      69      64      69      69      67      71      65      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     
084669 -       HR MAX      126     127     144     116     130     122     121     120     116     116     131     130     127     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     
084670 -       HR Min       45      39      47      44      42      44      44      46      48      48      45      44      43      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     
084671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084673 -              https://flow.polar.com/training/analysis/8034062095                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084676 -  ..
084677 - HRV seems  30% 0 and  70% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084680 -   
084681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084684 -  ..
084685 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084686 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084687 - Dinner - hamburger eggs broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084690 -  ..
084691 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084718 -         ..
084719 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084720 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084721 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084722 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084723 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084724 -   14.  250114 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084725 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084726 -               0735....BP HR..................................................... 154 105  73  Kardia ECG reports HR status, see below. ref SDS 0 VZNF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084727 -               0740....BP HR..................................................... 158  85  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084728 -               0745....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084729 -               0745....80 434920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084730 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084731 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084732 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084733 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084734 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084735 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084736 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084737 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084738 -               1700... 40 119000 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                                                                                                                                                                                                                                                                                  
084739 -               1830............ 10 20930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084740 -               1830............ 10 21280  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084741 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084742 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084743 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084744 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084745 -               2200... 1000 2350000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084746 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084747 -               2330... 80 435000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084748 -               2340... 40 93200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084749 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084752 -  ..
084753 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084754 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084756 -  ..
084757 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084758 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084759 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084760 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084761 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084763 -  ..
084764 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084765 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084767 -  ..
084768 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084769 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084773 -  ..
084774 - Kardia recorded HR 073 at 0836 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084775 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084776 - miles temp 60 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084777 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084778 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084779 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084782 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084783 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250114-ecg-083626_mile_00_073_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084785 -  ..
084786 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084789 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084790 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250114-ecg-091441_mile_00_059_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084793 -  ..
084794 - Post hike HR profile beginning 1939, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084795 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084796 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084797 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084798 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084801 -        ..
084802 -       Date      250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
084803 -       Time       1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
084804 -       Hours        13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
084805 -       HR AVG       69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
084806 -       HR MAX      125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
084807 -       HR Min       45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
084808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084810 -              https://flow.polar.com/training/analysis/8034755300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084813 -  ..
084814 - HRV seems  90% 0 and  10% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084817 -   
084818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084820 -  ..
084821 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084822 - Lunch - hamburger cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084823 - Dinner - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084825 -  ..
084826 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084855 -         ..
084856 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084857 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084858 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084859 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084860 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084861 -   15.  250115 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084862 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084863 -               0735....BP HR..................................................... 161  97  62  Kardia ECG reports HR status, see below. ref SDS 0 5UGS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084864 -               0740....BP HR..................................................... 161 100  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084865 -               0745....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084866 -               0745....80 435080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084867 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084868 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084869 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084870 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084871 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084872 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
084873 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084874 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084875 -               1700... 40 119040 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                                                                                                                                                                                                                                                                                  
084876 -             1 0000............ 10 20930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
084877 -             1 0000............ 10 21280  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
084878 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084879 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084880 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084881 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084882 -               2200... 1000 2351000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084883 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084884 -               2330... 80 435160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084885 -               2340... 40 93240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084886 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084888 -  ..
084889 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084890 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084892 -  ..
084893 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084894 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084895 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084896 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084897 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084899 -  ..
084900 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084901 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084903 -  ..
084904 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
084905 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084911 -  ..
084912 - Kardia recorded HR 077 at 1007 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
084913 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
084914 - AFL after hiking 00 miles temp 60 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084915 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084916 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
084917 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084920 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084921 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250115-ecg-100725_mile_00_077_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084923 -  ..
084924 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084927 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084928 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250115-ecg-103413_mile_00_069_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
084929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084932 -  ..
084933 - Post hike HR profile beginning 1957, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084934 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084935 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084936 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
084937 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
084938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084940 -        ..
084941 -       Date      250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
084942 -       Time       1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
084943 -       Hours        12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
084944 -       HR AVG       73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
084945 -       HR MAX      121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
084946 -       HR Min       48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
084947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084949 -              https://flow.polar.com/training/analysis/8035388443                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
084950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084952 -  ..
084953 - HRV seems  80% 0 and  20% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
084954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084956 -   
084957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084960 -  ..
084961 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
084962 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084963 - Dinner - hamburger potato broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
084965 -  ..
084966 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084993 -         ..
084994 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
084995 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084996 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
084997 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
084998 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
084999 -   16.  250116 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085000 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085001 -               0735....BP HR..................................................... 152  93  64  Kardia ECG reports HR status, see below. ref SDS 0 UA7C                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085002 -               0740....BP HR..................................................... 154  91  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085003 -               0745....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085004 -               0745....80 435240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085005 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085006 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085007 -               1050... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085008 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085009 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085010 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085011 -               1050....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085012 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085013 -               0000....
085014 -  ..
085015 -           **  1117....miles...........  21.0  21.0  337   337 minutes  temp  62 wind 07  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085016 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085017 -               1210... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
085018 -               1414....mile 10 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085019 -               1414....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085020 -               1414... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085021 -               1414... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
085022 -               1414... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085023 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085024 -               1531....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085025 -               1531....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085026 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085027 -               1531... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
085028 -               1531... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085029 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085030 -               1700... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
085031 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085032 -               1741... Hike ends mile 21... ref SDS 0 SVPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085033 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085034 -               1810....weight.................................... 182  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085035 -               1818....BP HR..................................................... 115  76 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085036 -               1825....BP HR..................................................... 109  77 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085037 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085038 -               1700... 40 119080 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                                                                                                                                                                                                                                                                                  
085039 -               1830............ 10 20940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085040 -               1830............ 10 21290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085041 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085042 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085043 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085044 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085045 -               2200... 1000 2352000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085046 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085047 -               2330... 80 435320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085048 -               2340... 40 93280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085049 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085052 -  ..
085053 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085054 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085056 -  ..
085057 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085058 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085059 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085060 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085061 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085063 -  ..
085064 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085065 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085067 -  ..
085068 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085069 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085073 -  ..
085074 - Today, hiked 21 miles - did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085075 - starting hike, because both feet PL 0.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085076 - to reduce inflammation.  Was noticably bloated caused by variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085077 - heart beat and statins.  Wore neoprene sleeve on #5 left foot.  Did 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085078 - mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085079 - Road.  Continued on Ayers East to Clayton Road, Then South to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085080 - Road.  Turned West 1 mile on Ygnacio Valley Road.  Turned East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085081 - Hollow 2 miles.  Turned South on Mitchell Canyon Road for 1 mile, Came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085082 - back and turned East on Pine Hollow.  Stopped at end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085083 - mile 10, for hydration, nutrition, pain and energy meds.  Hiked back 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085084 - miles.  Turned West onto Campus Drive 1 mile.  At Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085085 - turned around.  Hiked uphill 4% grade to Visitor Parking at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085086 - College.  Hiked lap around main buildings.  Did EKG, pain meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085087 - hydration and nutrition, Hiked loop through parking lots.  Headed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085088 - North on Campus Drive and turned left uphill 3% grade on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085089 - Valley Road.  Took Cowell North 1 mile, turned left onto Treat - then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085090 - right on Cuneo.  Continued in residential streets and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085091 - seizure-like episode with difficulty controlling speed as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085092 - weeks ago coming down Cowell.  Bloated entire hike and much less at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085093 - end of 21 miles.  Took Simethicone about mile 3 and mile 16.  Less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085094 - bloated at end of 20 mile hike, aligns with medical advice reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085095 - 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085099 -         ..
085100 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085101 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085102 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did take Simethicone today, hiking reduced symptoms by end of 16 miles                                                                                                                                                                                                                                                                                                                            
085103 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085104 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085105 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085106 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085107 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085108 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085109 -        Spine below neck lift left or right arm......   4          2  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085110 -        Spine near tailbone..........................   2         50  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085111 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085112 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
085113 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085114 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
085115 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085116 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
085117 -        Back.........................................   2         50  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085118 -        Hip right....................................   2         20  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
085119 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085120 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085121 -        Knee left meniscus...PRP 231121..............   1         40  took Tramadol and Gabapentin mile 10 and 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085122 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085123 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085124 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085125 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085126 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
085127 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085128 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085129 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085130 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085131 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085132 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085133 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085134 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
085135 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085136 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085137 -        Metatarsalgia left foot...PRP 210705.........   3         76  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
085138 -        Metatarsalgia right foot..PRP 210705.........   1         50  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
085139 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
085140 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
085141 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085142 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085143 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
085144 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
085145 -        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                                                                                                                                                                                                                                                                                                                           
085146 -        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                                                                                                                                                                                                                                                                                                                                                                                    
085147 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085148 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
085149 -        Callus big toe left foot...PRP 210705........   1         40  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap slightly helpful - took 1 Tramadol and 1 Gabapentin mile 10 and 1 Tramadol mile 14                                                                                                                                                                                                                                                                                                                                       
085150 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
085151 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085152 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
085153 -        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                                                                                                                                                                                                                                                                                                                                           
085154 -        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                                                                                                                                                                                                                                                                                                                                           
085155 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085156 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
085157 -        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                                                                                                                                                                                                                                                                                                                                                                                        
085158 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
085159 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
085160 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085161 -        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                                                                                                                                                                                                                                                                                                                                                              
085162 -  new   Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                    
085163 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
085164 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085165 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085166 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
085167 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085168 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085169 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
085170 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085171 -        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                                                                                                                                                                                                                                                                                                                                                                               
085172 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085173 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085174 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085175 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085176 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085177 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085178 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085179 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
085180 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085181 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085185 -  ..
085186 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085187 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085188 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085189 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085190 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085192 -  ..
085193 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085194 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085195 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085197 -  ..
085198 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085199 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085200 - and #5 that has been causing blisters and calluses.  Today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085201 - effective on right foot, but not the left foot.  Changed socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085202 - 9, to decrease wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085204 -  ..
085205 - Bandaging - tried neoprene cap on left foot #1 - helpful for maybe 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085206 - miles, then PL 5 rest of hike even with Tramadol and Gabapentin at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085207 - mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085209 -  ..
085210 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085211 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085212 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085213 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085214 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085217 -  ..
085218 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085219 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085220 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085221 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085222 - management, because there is no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085223 - the hike, and right foot #1 PL 1, after falling on 241108 and next day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085224 - on 241109, shown in case study on 200101 0701. ref SDS 18 4W5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085225 - Similarly, left foot #1 and #5 both calluses PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085226 - Tank at VAMCSF on 250109 0830. ref SDS 68 T49H  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085227 - that increases energy and neutralizes buildup of lactic acid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085228 - muscles during exercise, and further reduces inflammation allowing HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085229 - to increase - see research on 200101 0701. ref SDS 18 QP6L  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085230 - amount peanut butter and margarine, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085231 - and energy, and had some avocado for HDL.  Just before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085232 - took Ubiquinol CoQ10 per above. ref SDS 0 YK4O  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085233 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085234 - giving human cells energy - see case study on 200101 0701. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085235 - 5F6N No breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085236 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085237 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085238 - rate) see case study on 200101 0701. ref SDS 18 O33H  Feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085239 - starting hike this morning.  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085240 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085241 - left, onto Treat.  Feet feeling swelled and blister-like from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085242 - peripheral neuropathy taking statins, see side effects in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085243 - on 200101 0701. ref SDS 18 EU4F  Can be caused taking statins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085244 - diabetes symptoms from reduced hiking past 6 months.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085245 - nose entire hike with no dyspnea.  Temperature started at 60, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085246 - reached 66.  West wind 07 mph and mostly 04 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085247 - .5 miles.  Right foot #1 PL 1 from fractured toe hiking on 241109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085248 - 0840. ref SDS 64 NS7O  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085249 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085250 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085251 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085252 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085253 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085254 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085255 - shopping complex.  About 1210 on Clayton Road feeling bloated - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085256 - Simethicone, per above. ref SDS 0 TSYX  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085257 - light and continued on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085258 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085259 - miles.  Feeling metatarsalgia PL 2 both feet.  Left foot #1 and #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085260 - 4, wearing only 1 pair socks, per above. ref SDS 0 SSYX  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085261 - hike crossing Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085262 - miles on asphalt shoulder.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085263 - hiking on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085264 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085265 - time ____.  Continued on Ygnacio Valley Road; turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085267 -  ..
085268 - Hollow.  Hiked 2.00 miles East.  Turned right hiking South on North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085269 - bound lane of Mitchell Canyon Road.  Hiked 1 mile on smooth, soft                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085270 - asphalt shoulder.  Cars and big 10 wheeler rock hauling trucks passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085271 - using the South bound lane.  Hikers using the vehicle road is common                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085272 - practice heading for Mount Diablo trailhead.  Traffic is very light on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085273 - Mitchell Canyon Road, so there are no delays or traffic jams, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085274 - hiking in the middle of the road.  At the cement factory turned arund                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085275 - and hiked.  Turned right hiking 1 mile to end of Pine Hollow.  Like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085276 - every school day, there were many parents waiting to collect their                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085277 - child when school ends to drive home.  Two moms parked behind one                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085278 - another were visiting, when I walked by.  The girls explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085279 - ambitions to hike, but getting started is difficult.  Colleen related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085280 - seeing me hiking on Ygnacio Valley Road and everywhere - that I am                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085281 - discussed among friends, as unusual for consistently hiking long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085282 - distances and exposed to dangers of fast moving traffic.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085283 - mentioned a woman was recently killed walking across Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085284 - Road at the Oak Grove intersection.  She asked how far I hike, how I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085285 - got into it, and results?  Explained daily hikes vary.  I started in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085286 - 2004, when Doctor Johnson at Kaiser said Millie should hike 5+ miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085287 - per day every day to keep her blood counts high enough to qualify for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085288 - consistently getting chemotherapy cancer treatments.  He emphasized                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085289 - keeping blood counts high enough to consistently treat cancer,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085290 - requires hiking consistently.  Did this for nearly 10 years with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085291 - Milling surviving stage IV cancer.  At first, was very difficult.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085292 - Millie nearly lapped me at Lafayette Reservoir, but hiking every day,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085293 - actually 5 times a week, eventally I got stronger with better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085294 - endurance.  This carried over after Millie died I continued hiking to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085295 - treat ischemic heart disease - atherosclerosis.  Explained Colleen can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085296 - overcome resistance to hiking by just hiking to the end of street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085297 - where they live.  In a month hike around the block, then just taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085298 - any interesting route, and avoid hills for 6 months.  As with cancer,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085299 - treating heart disease requires consistent hiking.  Said goodby to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085300 - girls, and hiked to the end of Pine Hollow.  Stopped mile 10 time 1414                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085301 - temp 60 and wind 06 mph; EKG looks uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085302 - reported HR 131 Tachycardia - see below. ref SDS 0 BWTU  HR 131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085303 - reflects 3-day no hiking compared to previous hikes 3 days in a row -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085304 - will try for better consistency.  Both feet PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085305 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085306 - blister/callus PL 2 and #1 PL 1.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085307 - hamstring PL 0, lower back spine near tail bone PL 2, left hip PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085308 - Bloating ended mile 3 after taking Simethicone, now recurrent PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085309 - Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085310 - test avoid seizure taking normal 2nd dose Gabapentin...).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085311 - another (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085312 - EGD Dilation on 241126 1300, ref SDS 65 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085313 - LESV, as occurred last year on 240824, see case study. ref SDS 36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085314 - PPTU; Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085315 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085316 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085317 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085318 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085319 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085320 - above. ref SDS 0 TSYX  Hiked back 2.5 miles.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085321 - Drive heading West uphill 3% grade hiked 1 mile with wind 02 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085322 - road bends North.  On reaching Ygnacio Valley Road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085323 - hiked uphill .25 mile 5% grade.  Reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085324 - State University East Bay Concord Campus.  Stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085325 - Building mile 14 time 1531 temp 62 and wind 03 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085326 - with no artifact.  Kardia reported HR 141 Unclassified (typically                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085327 - reflectng AFL, but not actually today) - see below. ref SDS 0 MV6N  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085328 - 141 is noticably elevated compared to previous 5 hikes a week ago,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085329 - when last one yielded HR 121, also Tachycardia uniform - see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085330 - ref SDS 0 SVPW  Illustrates how quickly cardiovascular strength                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085331 - degrades when hiking is paused for 3 days.  Both feet PL 3, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085332 - #1 fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085333 - blister/callus PL 2 and #1 PL 4.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085334 - hamstring PL 0, lower back PL 2, left hip PL 2.  Took 1 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085335 - and 0 Gabapentin 300 mg for pain (...experiment test avoid seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085336 - taking normal 2nd dose Gabapentin...).  With specific areas having low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085337 - PL, and despite magnesium, entire body strong/normal, unlike feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085338 - very weak on Wednesday 240108, per above. ref SDS 0 QVWX  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085339 - (3rd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085340 - Dilation on 241126 1300, ref SDS 65 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085341 - LESV, as occurred last year on 240824, see case study. ref SDS 36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085342 - PPTU; Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085343 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085344 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085345 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085346 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085347 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085348 - above. ref SDS 0 TSYX  Feeling bloated again, hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085349 - buildings, then hiking loop through Faculty and Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085350 - Back at Visitor Parking, exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085351 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085352 - flat grade .5 miles.  At mile 18, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085353 - uphill 3% grade .5 miles against wind 02 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085354 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085355 - to avoid severe camber.  Continued West .5 mile to summit.  At mile 19                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085356 - end of concrete traffic barrier turned around.  About 1700, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085357 - another Simethicone to relieve bloating, per above. ref SDS 0 TSYX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085358 - Hiked back and turned left onto Cowell heading North .25 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085359 - asphalt shoulder downhill 5% grade - left hip PL 0 - then flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085360 - .25 miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085361 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085362 - then home.  Ended hike mile 21 time 1741 temp 58, wind 00, Feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085363 - left foot #1 edge PL 1, #5 edge PL 3, right foot #1 fracture PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085364 - PL 0, burning sensation PL 0, shin splints PL 0, left knee PL 1 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085365 - swollen), right knee PL 0, left shoulder PL 0, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085366 - PL 0 intermittantly, lower back middle PL 2 - stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085367 - backpack, left elbow PL 0, when lifting.  EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085368 - artifact, Kardia reported HR 129 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085369 - TWUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085377 -  ..
085378 - Kardia recorded HR 072 at 0928 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085379 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085380 - miles temp 60 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085381 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085382 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085383 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085386 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085387 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250116-ecg-092807_mile_00_072_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085389 -  ..
085390 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085393 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085394 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250116-ecg-104234_mile_00_081_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085398 -  ..
085399 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085400 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085401 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085402 - ..
085403 -                                                                                                                                                                                                                                                                                                              x
085404 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085405 -                                          x      x                                  y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085406 -       Date          250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24102  
085407 -       Miles            21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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         
085408 -       HR AVG          122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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      n  
085409 -         MAX           152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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  rep  
085410 -         Min            75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                              
085411 -       El Climb Ft     643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                              
085412 -       Temp Max         62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                              
085413 -       Wind Max          7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                              
085414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085416 -              https://flow.polar.com/training/analysis/8035669629                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085419 -               ..
085421 -   
085422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085426 -  ..
085427 - EKG at mile 10 time 1414 HR 131 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085428 - Tachycardia... heart rate looks uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085429 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085432 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085433 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250116-ecg-141449_mile_10_131_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085437 -  ..
085438 - EKG at mile 14 time 1531 HR 141 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085439 - Unclassified... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085440 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085443 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085444 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250116-ecg-153158_mile_14_141_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085446 -  ..
085447 - Typically this is AFL because Kardia reports AFL as unclassified and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085448 - the rhythm is perfectly uniform, as in this case, and AFL HR continues                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085449 - regardless of changes in grade and speed, but today, HR changes when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085450 - grade and speed change.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085453 -  ..
085454 - End hike EKG at mile 21, time 1741 HR 139 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085455 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085456 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085459 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085460 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250116-ecg-174136_mile_21_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085464 -  ..
085465 - Post hike HR profile beginning 1955, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085466 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085467 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085468 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085469 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085472 -        ..
085473 -       Date      250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
085474 -       Time       1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
085475 -       Hours        12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
085476 -       HR AVG       75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
085477 -       HR MAX      147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
085478 -       HR Min       49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
085479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085481 -              https://flow.polar.com/training/analysis/8036048730                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085484 -  ..
085485 - HRV seems  40% 0 and  10% good and  50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085488 -   
085489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085492 -  ..
085493 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085494 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085495 - Dinner - hamburger potato broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085497 -  ..
085498 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085526 -         ..
085527 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085528 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085529 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085530 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085531 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085532 -   17.  250117 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085533 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085534 -               0735....BP HR..................................................... 145  97  55  Kardia ECG reports HR status, see below. ref SDS 0 NY3W                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085535 -               0740....BP HR..................................................... 137  85  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085536 -               0745....weight.................................... 187                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085537 -               0745....80 435400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085538 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085539 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085540 -               1050... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085541 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085542 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085543 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085544 -               1050....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085545 -               1050... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085546 -               0000....
085547 -  ..
085548 -           **  1106....miles...........  22.0  43.0  357   695 minutes  temp  58 wind 21  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085549 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085550 -               1210... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
085551 -               1321....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085552 -               1321....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085553 -               1321... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085554 -               1321... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
085555 -               1321... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085556 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085557 -               1615....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085558 -               1615....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085559 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085560 -               1615... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
085561 -               1615... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
085562 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085563 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
085564 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085565 -               1746... Hike ends mile 22... ref SDS 0 SVPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085566 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085567 -               1810....weight.................................... 185  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085568 -               1810....BP HR..................................................... 104  72  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085569 -               1825....BP HR..................................................... 124  78 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085570 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085571 -               1830... 40 119120 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                                                                                                                                                                                                                                                                                  
085572 -             1 0000............ 10 20940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
085573 -             1 0000............ 10 21290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
085574 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085575 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085576 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085577 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085578 -               2200... 1000 2353000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085579 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085580 -               2330... 80 435480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085581 -               2340... 40 93320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085582 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085585 -  ..
085586 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085587 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085589 -  ..
085590 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085591 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085592 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085593 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085594 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085596 -  ..
085597 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085598 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085600 -  ..
085601 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085602 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085606 -  ..
085607 - Today, hiked 22 miles - took 2 Tramadol and 1 Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085608 - starting hike, because both feet PL 2.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085609 - to reduce inflammation.  Was less bloated this morning caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085610 - variable heart beat and statins.  Did not wear neoprene sleeve on #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085611 - left foot - probably a mistake.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085612 - Concord streets - Treat, Turtle Creek Road.  Continued on Ayers East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085613 - to Clayton Road, Then South on Clayton Road.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085614 - Ygnacio Valley Road.  Turned East on Pine Hollow 0.25 mile.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085615 - around on Pine Hollow; hiked back 0.25 mile.  Turned West onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085616 - Drive 1 mile.  At Ygnacio Valley Road turned around.  Hiked uphill 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085617 - grade to Visitor Parking at the College.  Hiked lap around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085618 - buildings.  Did EKG, pain meds, hydration and nutrition, Hiked 2 loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085619 - through parking lots.  Headed North on Campus Drive and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085620 - uphill 3% grade on Ygnacio Valley Road.  Continued past summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085621 - downhill 2 miles.  Hiked loop around Safeway shopping senior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085622 - apartment complex.  Stopped at Mod Pizza for EKG, pain meds, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085623 - and nutrition.  Hiked another loop around complex, then North to Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085624 - and 2 miles to Cuneo and home.  No seizure-like episode with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085625 - difficulty controlling speed as occurred weeks ago coming down Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085626 - Bloated entire hike and much less at end of 22 miles, aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085627 - medical advice reported on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085631 -         ..
085632 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085633 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085634 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did take Simethicone today, hiking reduced symptoms by end of 16 miles                                                                                                                                                                                                                                                                                                                            
085635 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085636 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085637 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085638 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085639 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085640 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085641 -        Spine below neck lift left or right arm......   4          2  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085642 -        Spine near tailbone..........................   2         50  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085643 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085644 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
085645 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085646 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
085647 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085648 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
085649 -        Back.........................................   2         50  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085650 -        Hip right....................................   2         20  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
085651 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085652 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085653 -        Knee left meniscus...PRP 231121..............   1         40  took Tramadol and Gabapentin mile 10 and 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085654 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085655 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085656 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085657 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085658 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
085659 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085660 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085661 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085662 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085663 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085664 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085665 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085666 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
085667 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085668 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085669 -        Metatarsalgia left foot...PRP 210705.........   3         76  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
085670 -        Metatarsalgia right foot..PRP 210705.........   1         50  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 08 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
085671 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
085672 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
085673 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085674 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085675 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
085676 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
085677 -        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                                                                                                                                                                                                                                                                                                                           
085678 -        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                                                                                                                                                                                                                                                                                                                                                                                    
085679 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085680 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
085681 -        Callus big toe left foot...PRP 210705........   1         40  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap slightly helpful - took 1 Tramadol and 1 Gabapentin mile 10 and 1 Tramadol mile 14                                                                                                                                                                                                                                                                                                                                       
085682 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
085683 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085684 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
085685 -        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                                                                                                                                                                                                                                                                                                                                           
085686 -        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                                                                                                                                                                                                                                                                                                                                           
085687 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085688 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
085689 -        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                                                                                                                                                                                                                                                                                                                                                                                        
085690 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
085691 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
085692 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085693 -        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                                                                                                                                                                                                                                                                                                                                                              
085694 -  new   Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin mile 00 and again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                    
085695 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
085696 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085697 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085698 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
085699 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085700 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085701 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
085702 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085703 -        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                                                                                                                                                                                                                                                                                                                                                                               
085704 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085705 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085706 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085707 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085708 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085709 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085710 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085711 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
085712 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085713 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085717 -  ..
085718 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085719 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085720 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085721 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085722 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085724 -  ..
085725 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085726 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085727 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085729 -  ..
085730 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085731 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085732 - and #5 that has been causing blisters and calluses.  Today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085733 - effective on right foot, but not the left foot.  Changed socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085734 - 9, to decrease wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085736 -  ..
085737 - Bandaging - tried neoprene cap on left foot #1 - helpful for maybe 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085738 - miles, then PL 5 rest of hike even with Tramadol and Gabapentin at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085739 - mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085741 -  ..
085742 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085743 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085744 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085745 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085746 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085749 -  ..
085750 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085751 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085752 - injection on 231121 0700. ref SDS 33 I48N  Did not take Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085753 - pain and inflammation management to start hike, because it can cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085754 - colitis.  Took 2 Tramadol and took 1 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085755 - because there is no metatarsalgia pain in feet starting the hike, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085756 - right foot #1 PL 2, after falling on 241109 and next day on 241110,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085757 - shown in case study on 200101 0701. ref SDS 18 I37L  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085758 - Complex that increases energy and reduces inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085759 - increase - 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, &                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085760 - Citrate (...see research on 240519 1653. ref SDS 48 VY92...) -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085761 - designed to swallow whole for gradual release as plastic capsules                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085762 - breakdown and release magnesium complex over time.  These capsules are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085763 - much larger than most medication pills.  They become gradually more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085764 - difficult to swallow as achalasia closes LESV over weeks and months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085765 - In August had to open the pills and empty the magnesium powder onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085766 - food to swallow all at once, rather dispense the magnesium over hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085767 - while hiking.  This reduced the prolonged effect of increased energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085768 - see an example on 240827, above. ref SDS 36 PXRP  After EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085769 - on 240910, have been able to swallow the pills whole.  Research with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085770 - Microsoft AI indicates magnesium can be effective combined with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085771 - avocado, peanut butter and margarine, reported on 240519 1653.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085772 - ref SDS 48 JH8L  Magnesium increases energy endurance by disssipating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085773 - lactic acid that causes muscle fatigue, and magnesium reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085774 - inflammation from repetitive stress injuries, e.g., knees and feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085775 - that lowers production of HDL in the liver. which then enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085776 - rise with hiking.  Magnesium further improves general health in major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085777 - organs.  Had small amount peanut butter and margarine, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085778 - for electrolytes and energy, and had some avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085779 - before starting hike took Ubiquinol CoQ10 per above. ref SDS 0 Z66A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085780 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085781 - transport chain (ETC) giving human cells energy, cited in research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085782 - 150526. ref SDS 5 5N7X  Taking statins lowers CoQ10, reported by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085783 - Doctor Stewart on 150526 1300. ref SDS 5 8M58  Physical activity                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085784 - hiking consumes CoQ10.  Adding CoQ10 maintains heart function for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085785 - energy hiking at therapeutic levels, cited by Doctor Stewart in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085786 - letter received on 151124 1357. ref SDS 7 4X5I  CoQ10 also improves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085787 - liver production of HDL, reported on 150526 1300. ref SDS 5 5N8M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085788 - Increasing HDL, together with higher EPCs, both from hiking, regresses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085789 - plaque in blood vessels, see 131125 0005, ref SDS 4 RA7K  CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085790 - further reduces shoulder myopathy caused by statins (see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085791 - 131125 0005, ref SDS 4 AT3J).  Soaking Chia seeds in water, Coca Cola,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
085792 - orange juice, etc., increases energy and aids hydration, shown in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085793 - research on 240305 1256. ref SDS 38 IZ4K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085794 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085795 - statins and overuse of Naproxen, reported on 220503 0900, ref SDS 25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085796 - TL6I, and reviewing biopsy results on 200716 0800. ref SDS 23 N88N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085797 - Bloating and stomach pain can also result from ablation procedures                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085798 - cited in letter to Doctor Pellegrini on 200508 0916, ref SDS 21 OS49,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085799 - diagnosed on 200612 0700, ref SDS 22 2U4O, and reviewed in meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085800 - with VA medical team on 220503 0900. ref SDS 25 TL6I  Bloating can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085801 - also result from Pantoprazole and Famotidine reported on 240910 1300.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085802 - ref SDS 59 ZC5F  Magnesium can also cause bloating, if too much is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085803 - taken; can relieve bloating in some cases.  Similar for Famitodine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085804 - PantopraZOL reported in the record on 240507 0930. ref SDS 44 ZC5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085805 - Did not feel bloated starting hike this morning.  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085806 - carry stuff - good to build conditioning for Half Dome.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085807 - .25 mile and turned left, onto Treat.  Starting hike feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085808 - swelled and like pins and needles due to peripheral neuropathy caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085809 - by taking statins, and by diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085810 - calming down.  Bottom of both feet not hurting yet with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085811 - pain, including left foot #5, which flared up on 240919, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085812 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085813 - indicating good condition despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085814 - Temperature started at 55, and reached 61.  West wind 21 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085815 - mostly 10 mph.  Hiked East on Treat .5 miles.  Pavement on Treat has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085816 - been restored with new asphalt after completing resurfacing the past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085817 - weeks.  Much easier on feet.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085818 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085819 - places 2% uphill, and very light traffic.  Hiked across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085820 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085821 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085822 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085823 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085824 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085825 - continued on concrete sidewalk .5 miles.  Feeling strong - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085826 - taking magnesium and CoQ10.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085827 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Since took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085828 - Tramadol and 1 Gabapentin not feeling metatarsaltia pain in feet, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085829 - no pain on edges of feet #1 and #5.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085830 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085831 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085832 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085833 - not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085834 - Continued on Ygnacio Valley Road; turned left hiked 2.50 miles East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085835 - 0.25 mile. on Pine Hollow.  Turned left onto Campus Drive hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085836 - 1 mile uphill 3% - 4% grade against wind 12 mph.  Road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085837 - On reaching Ygnacio Valley Road, turned around hiked uphill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085838 - 5% grade.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085839 - Bay Concord Campus.  Hiked loop around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085840 - Visitor Parking stopped at Administration Building mile 11 time 1502                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085841 - temp 64 and wind 07 mph; EKG looks mostly uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085842 - Kardia reported HR 134 Tachycardia - see below. ref SDS 0 UPRV  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085843 - feet metatarsalgia PL 2 and left foot #5 edge blister/callus PL 2 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085844 - #1 PL 1, right foot #1 injured by falls on 241108 and 09 PL 0, spine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085845 - below neck PL 3 intermittant.  Both ankles PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085846 - PL 0, left hamstring PL 0, left shoulder PL 0, left elbow PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085847 - intermitant.  Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085848 - (...experiment test avoid seizure reduce Tramadol and Gabapentin...).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085849 - Took another (2nd) Magnesium complex 300 mg pill - swallowed whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085850 - after EGD Dilation on 240910, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085851 - occurred on 240824, above. ref SDS 36 PPTU; magnesium provides energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085852 - for hiking, and reduces inflammation, essential to raise HDL - might                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085853 - be "secret" source that stimulates liver to increase HDL 64 on 240806                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085854 - 1104. ref SDS 58 XK7M, from HDL 61 on 240611 0700. ref SDS 52 XK7M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085855 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085856 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085857 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085858 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085859 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085860 - ejects electrolytes, then despite extending hike over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085861 - Valley Road, to save money, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085862 - above. ref SDS 0 TVQV  Hiked another loop through parking lots and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085863 - around main buildings.  Exited college heading North on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085864 - and turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085865 - miles.  At mile 17, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085866 - .5 miles against wind 08 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085867 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085868 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085869 - traffic barriar about mile 18, when break occurred during afternoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085870 - commute traffic, crossed back to South side Ygnacio Valley Road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085871 - wider shoulder.  Hiked 2 miles downhill 3-4% grade.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085872 - traffic crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085873 - Grove at traffic light.  Hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085874 - shopping complex.  Today, stopped at Mod Pizza mile 17, time 1615, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085875 - EKG mostly uniform, Kardia reported HR 118 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085876 - ref SDS 0 UPSW  Feet PL 3, left foot #1 PL 4, #5 PL 4.  Took Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085877 - for pain.  Took Magnesium for energy and avoid inflammation.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085878 - softdrink carried from home for hydration and swallow nutrition peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085879 - butter, avocado, margarine and chia seeds.  Took CoQ10, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085880 - ref SDS 0 TVQV  Did another 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085881 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085882 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085883 - Grove.  Hiked 1 mile North on asphalt shoulder in sun with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085884 - low 60s.  Crossed Treat at Stop Light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
085885 - grade concrete sidewalk.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085886 - uphill 5% grade with wind 10 mph, temp 61.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085887 - summit, mile 24, hiked another mile and turned left onto Cuneo then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085888 - home.  Ended hike mile 22 time 1746 temp 57, wind 11, Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085889 - metatarsalgia PL 4 and right foot callus underneath skin and 1" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085890 - metatarsal #4 PL 0, burning sensation PL 0, shin splints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085891 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 0 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085892 - #1 PL 2, right foot #1 injured by falls on 241108 and 09 PL 5, #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085893 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085894 - Both ankles PL 3.  Left knee meniscus PL 0, left hamstring PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085895 - shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085896 - right shoulder PL 0 intermittantly, lower back left side PL 0, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085897 - variable with considerable artifact, Kardia reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085898 - Tachycardia - see below. ref SDS 0 UPUQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085905 -  ..
085906 - Kardia recorded HR 062 at 0807 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085907 - lengths with p-waves and no artifact, likely no AFL after hiking 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085908 - miles temp 62 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085909 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085910 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
085911 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085914 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085915 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250117-ecg-080710_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085917 -  ..
085918 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
085919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085921 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085922 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250117-ecg-084725_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085926 -  ..
085927 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085928 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085929 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085930 - ..
085931 -                                                                                                                                                                                                                                                                                                              x
085932 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085933 -                                          x      x                                  y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085934 -       Date          250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24102  
085935 -       Miles            22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
085936 -       HR AVG          122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
085937 -         MAX           138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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  epo  
085938 -         Min            60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58                   87                       
085939 -       El Climb Ft     520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490                  350                       
085940 -       Temp Max         58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71                   61                       
085941 -       Wind Max         20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15                   02                       
085942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085944 -              https://flow.polar.com/training/analysis/8036255429                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085947 -               ..
085949 -   
085950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085954 -  ..
085955 - EKG at mile 08 time 1321 HR 116 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085956 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085957 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085960 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085961 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250117-ecg-132153_mile_08_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085965 -  ..
085966 - EKG at mile 17 time 1615 HR 118 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
085967 - Tachycardia... heart rate looks mostly uniform with no minor artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
085968 - - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
085969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085971 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085972 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250117-ecg-161559_mile_17_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085976 -  ..
085977 - End hike EKG at mile 22, time 1746 HR 115 temp 53 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
085978 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085979 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
085980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085982 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085983 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250117-ecg-174632_mile_22_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
085984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085987 -  ..
085988 - Post hike HR profile beginning 1921, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
085989 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
085990 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
085991 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
085992 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
085993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
085995 -        ..
085996 -       Date      250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
085997 -       Time       1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
085998 -       Hours        12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
085999 -       HR AVG       67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
086000 -       HR MAX      129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
086001 -       HR Min       44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
086002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086004 -              https://flow.polar.com/training/analysis/8036742937                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086007 -  ..
086008 - HRV seems  10% 0 and   0% good and  90% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086011 -   
086012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086015 -  ..
086016 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086017 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086018 - Dinner - eggs hamburger potato broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086020 -  ..
086021 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086047 -         ..
086048 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086049 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086050 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086051 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086052 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086053 -   18.  250118 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086054 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086055 -               0735....BP HR..................................................... 142  91  58  Kardia ECG reports HR status, see below. ref SDS 0 SUWP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086056 -               0740....BP HR..................................................... 145  85  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086057 -               0745....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086058 -               0745....80 435560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086059 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086060 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086061 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086062 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086063 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086064 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086065 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086066 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086067 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086068 -               1700... 40 119160 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                                                                                                                                                                                                                                                                                  
086069 -               1830............ 10 20960  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086070 -               1830............ 10 21310  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086071 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086072 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086073 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086074 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086075 -               2140....Tramadol 50 mg took 1 pill - restless legs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086076 -               2200... 1000 2354000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086077 -               2220... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086078 -               2330... 80 435640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086079 -               2340... 40 93360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086080 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086082 -  ..
086083 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086084 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086086 -  ..
086087 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086088 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086089 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086090 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086091 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086093 -  ..
086094 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086095 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086097 -  ..
086098 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086099 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086103 -  ..
086104 - Kardia recorded HR 061 at 0825 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086105 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086106 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086107 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086108 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086109 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086112 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086113 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250118-ecg-082509_mile_00_061_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086115 -  ..
086116 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086119 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086120 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250118-ecg-093333_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086153 -  ..
086154 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086155 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086156 - Dinner - hamburger broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086158 -  ..
086159 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086188 -         ..
086189 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086190 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086191 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086192 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086193 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086194 -   19.  250119 0920............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086195 -               0930....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086196 -               0935....BP HR..................................................... 145  97  55  Kardia ECG reports HR status, see below. ref SDS 0 UYVP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086197 -               0940....BP HR..................................................... 137  87  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086198 -               0945....weight.................................... 186                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086199 -               0945....80 435720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086200 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086201 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086202 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086203 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086204 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086205 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086206 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086207 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086208 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086209 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086210 -               1700... 40 119200 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                                                                                                                                                                                                                                                                                  
086211 -             1 0000............ 10 20960  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086212 -             1 0000............ 10 21310  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086213 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086214 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086215 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086216 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086217 -               0000... 1000 2355000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086218 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086219 -               2330... 80 435800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086220 -               2340... 40 93400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086221 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086223 -  ..
086224 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086225 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086227 -  ..
086228 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086229 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086230 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086231 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086232 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086234 -  ..
086235 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086236 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086238 -  ..
086239 - Reflux slept bed after EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086244 -  ..
086245 - Kardia recorded HR 075 at 1212 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086246 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086247 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086248 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086249 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086250 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086253 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086254 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250119-ecg-121235_mile_00_075_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086259 -  ..
086260 - Post hike HR profile beginning 2200, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086261 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086262 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086263 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086264 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086267 -        ..
086268 -       Date      250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
086269 -       Time       2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
086270 -       Hours         8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
086271 -       HR AVG       68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
086272 -       HR MAX      105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
086273 -       HR Min       48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
086274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086276 -              https://flow.polar.com/training/analysis/8037874661                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086279 -  ..
086280 - HRV seems 100% 0 and   0% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086283 -   
086284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086287 -  ..
086288 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086289 - Lunch - chips cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086290 - Dinner - hamburger eggs broccoli cauliflower mushroom onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086292 -  ..
086293 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086322 -         ..
086323 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086324 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086325 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086326 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086327 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086328 -   20.  250120 0820............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086329 -               0830....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086330 -               0835....BP HR..................................................... 143  93  56  Kardia ECG reports HR status, see below. ref SDS 0 VP3D                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086331 -               0840....BP HR..................................................... 131  78  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086332 -               0845....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086333 -               0845....80 435720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086334 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086335 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086336 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086337 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086338 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086339 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086340 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086341 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086342 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086343 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086344 -               1700... 40 119160 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                                                                                                                                                                                                                                                                                  
086345 -               1830............ 10 20970  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086346 -               1830............ 10 21320  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086347 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086348 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086349 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086350 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086351 -               2140... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086352 -               2200... 1000 2354000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086353 -               2220... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086354 -               2330... 80 435640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086355 -               2340... 40 93360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086357 -  ..
086358 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086359 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086361 -  ..
086362 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086363 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086364 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086365 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086366 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086368 -  ..
086369 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086370 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086372 -  ..
086373 - Reflux slept in bed after EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086378 -  ..
086379 - Kardia recorded HR 052 at 0700 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086380 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086381 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086382 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086383 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086384 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086387 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086388 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250120-ecg-070057_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086421 -  ..
086422 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086423 - Lunch - hotdog cottage cheese onion chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086424 - Dinner - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086426 -  ..
086427 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086456 -         ..
086457 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086458 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086459 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086460 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086461 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086462 -   21.  250121 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086463 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086464 -               0725....BP HR..................................................... 145  97  55  Kardia ECG reports HR status, see below. ref SDS 0 VRA7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086465 -               0730....BP HR..................................................... 141  96  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086466 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086467 -               0735....80 435880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086468 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086469 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086470 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086471 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086472 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086473 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086474 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086475 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086476 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086477 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086478 -               1700... 40 119240 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                                                                                                                                                                                                                                                                                  
086479 -             1 0000............ 10 20970  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086480 -             1 0000............ 10 21320  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086481 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086482 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086483 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086484 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086485 -               2200... 1000 2356000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086486 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086487 -               2330... 80 435960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086488 -               2340... 40 93440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086489 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086491 -  ..
086492 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086493 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086495 -  ..
086496 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086497 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086498 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086499 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086500 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086502 -  ..
086503 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086504 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086506 -  ..
086507 - Reflux slept in bed after EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086511 -  ..
086512 - Kardia recorded HR 068 at 0736 Possible Atrial Fibrillation looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086513 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086514 - AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086515 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086516 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086517 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086520 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086521 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250121-ecg-073613_mile_00_068_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086526 -  ..
086527 - Post hike HR profile beginning 1952, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086528 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086529 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086530 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086531 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086534 -        ..
086535 -       Date      250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
086536 -       Time       1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
086537 -       Hours        12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
086538 -       HR AVG       72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
086539 -       HR MAX      119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
086540 -       HR Min       50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
086541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086543 -              https://flow.polar.com/training/analysis/8039245367                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086546 -  ..
086547 - HRV seems  90% 0 and  10% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086550 -   
086551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086554 -  ..
086555 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086556 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086557 - Dinner - macaroni cheese eggs broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086559 -  ..
086560 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086590 -         ..
086591 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086592 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086593 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086594 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086595 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086596 -   22.  250122 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086597 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086598 -               0715....BP HR..................................................... 160  88  55  Kardia ECG reports HR status, see below. ref SDS 0 VS9P                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086599 -               0720....BP HR..................................................... 150  90  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086600 -               0725....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086601 -               0725....80 436040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086602 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086603 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086604 -               1120... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086605 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086606 -               1120....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086607 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086608 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086609 -               1120... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086610 -               0000....
086611 -  ..
086612 -           **  1152....miles...........  17.0  17.0  252   252 minutes  temp  64 wind 07  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086613 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086614 -               1320... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
086615 -               1502....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086616 -               1502....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086617 -               1502... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086618 -               1502... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
086619 -               1502... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
086620 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086621 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086622 -               1710... Hike ends mile 22... ref SDS 0 SVPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086623 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086624 -               1725....weight.................................... 182  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086625 -               1730....BP HR..................................................... 130  85 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086626 -               1740....BP HR..................................................... 128  90 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086627 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086628 -               1700... 40 119280 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                                                                                                                                                                                                                                                                                  
086629 -               1830............ 10 20980  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
086630 -               1830............ 10 21330  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
086631 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086632 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086633 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086634 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086635 -               2200... 1000 2357000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086636 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086637 -               2330... 80 436120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086638 -               2340... 40 93480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086639 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086642 -  ..
086643 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086644 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086646 -  ..
086647 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086648 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086649 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086650 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086651 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086653 -  ..
086654 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086655 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086657 -  ..
086658 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086659 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086663 -  ..
086664 - Today, hiked 17 miles - did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086665 - starting hike, because both feet PL 1.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086666 - to reduce inflammation.  Was noticably bloated caused by variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086667 - heart beat and statins.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086668 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086669 - Clayton Road, Then South to Clayton Road.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086670 - Ygnacio Valley Road.  Turned East on Pine Hollow .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086671 - around past Discovery Way.  Hiked back .5 miles.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086672 - Campus Drive 1 mile.  At Ygnacio Valley Road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086673 - uphill 4% grade to Visitor Parking at the College.  Hiked lap around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086674 - main buildings, then 2 laps through Faculty and Student Parking.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086675 - mile 11, did EKG, took pain meds, hydration and nutrition.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086676 - magnesium and CoQ10 for energy and dissipate inflammation to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086677 - HDL and EPCs.  Hiked another loop through parking lots.  Headed North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086678 - on Campus Drive and turned left uphill 3% grade on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086679 - Road.  At summit and mile 15, turned around.  Hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086680 - left onto Cowell.  Continued North 1 mile and turned left onto Treat -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086681 - then right on Cuneo.  No seizure-like episode with difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086682 - controlling speed as occurred coming down Cowell, see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086683 - 200101 0701. ref SDS 18 8K6H  Bloated entire hike and better at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086684 - hike today.  Took Simethicone about mile 3. aligns with medical advice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086685 - reported on 091217 0600. ref SDS 2 VX54   Polar GPS/HR monitor reports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086686 - average HR 20 points more that prior hikes, ref SDS 0 VSXQ,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086687 - reflects missing 4 days hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086691 -         ..
086692 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086693 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086694 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did take Simethicone about mile 3, symptoms reduced by end of 17 miles but still very noticable                                                                                                                                                                                                                                                                                                   
086695 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086696 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086697 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086698 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086699 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086700 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086701 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086702 -        Spine near tailbone..........................   0        100  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086703 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086704 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
086705 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086706 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
086707 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086708 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
086709 -        Back.........................................   0        100  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086710 -        Hip right....................................   0        100  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
086711 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086712 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086713 -        Knee left meniscus...PRP 231121..............   2         20  took Tramadol and Gabapentin mile 11 and 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086714 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086715 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086716 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086717 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086718 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
086719 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086720 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086721 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086722 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086723 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086724 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086725 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086726 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
086727 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086728 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086729 -        Metatarsalgia left foot...PRP 210705.........   2         10  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 11 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
086730 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 11 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
086731 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
086732 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
086733 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086734 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086735 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
086736 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
086737 -        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                                                                                                                                                                                                                                                                                                                           
086738 -        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                                                                                                                                                                                                                                                                                                                                                                                    
086739 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086740 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
086741 -        Callus big toe left foot...PRP 210705........   4         20  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap slightly helpful - took 1 Tramadol and 1 Gabapentin mile 11 and 1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                       
086742 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
086743 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086744 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
086745 -        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                                                                                                                                                                                                                                                                                                                                           
086746 -        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                                                                                                                                                                                                                                                                                                                                           
086747 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086748 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
086749 -        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                                                                                                                                                                                                                                                                                                                                                                                        
086750 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
086751 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
086752 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086753 -        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                                                                                                                                                                                                                                                                                                                                                              
086754 -  new   Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin mile 11 and again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                    
086755 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
086756 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086757 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086758 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
086759 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086760 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086761 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
086762 -        Diabetes toes both feet inflamed, itch.......   2         20  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms - had mild electrical shocks bottom of feet                                                                                                                                                                                                                                                                                                                                                                                                                  
086763 -        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                                                                                                                                                                                                                                                                                                                                                                               
086764 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086765 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086766 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086767 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086768 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086769 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086770 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086771 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
086772 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086773 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086777 -  ..
086778 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086779 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086780 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086781 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086782 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086784 -  ..
086785 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086786 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086787 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086789 -  ..
086790 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086791 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086792 - and #5 that has been causing blisters and calluses.  Today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086793 - effective on right foot, but not the left foot.  Changed socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086794 - 9, to decrease wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086796 -  ..
086797 - Bandaging - did not use neoprene cap today on left foot #1 - helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086798 - for maybe 5 miles, then PL 5 rest of hike even with Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086799 - Gabapentin at mile 9.  Before starting hike applied small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086800 - dyclofenic gel which has Naproxen on left foot #1 and #5.  Seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086801 - help for 5 - 10 miles.  At mile 11 both locations were PL 3, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086802 - Tramadol and Gabapentin, to finish 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086804 -  ..
086805 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086806 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086807 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086808 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086809 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086812 -  ..
086813 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086814 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086815 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086816 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086817 - management, because there is no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086818 - the hike, and right foot #1 PL 1, after falling on 241108 and next day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086819 - on 241109, shown in case study on 200101 0701. ref SDS 18 4W5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086820 - Similarly, left foot #1 and #5 both calluses PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086821 - Tang at VAMCSF on 250109 0830. ref SDS 68 T49H  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
086822 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086823 - inflammation, so allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086824 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086825 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086826 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086827 - Had small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086828 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086829 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 JA4Q  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086830 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086831 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086832 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086833 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086834 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086835 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086836 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086837 - Dome.  Applied Dyclofenic gel (small amount) to left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086838 - contains Naproxen - NSAID for pain relief until reach college and take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086839 - Tramadol and Gabapentin about mile 11 today.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086840 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086841 - pins and needles - felt electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086842 - morning - due to peripheral neuropathy caused by taking statins, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086843 - by diabetes symptoms.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086844 - of both feet not hurting yet with metatarsalgia pain, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086845 - foot #5, which flared up on 240919, per above. ref SDS 36 XVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086846 - Breathed through nose entire hike with no dyspnea, indicating good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086847 - condition despite minimal hiking last few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086848 - at 60, and reached 64.  East wind 07 mph and mostly 03 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086849 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086850 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086851 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086852 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086853 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086854 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086855 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086856 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086857 - on concrete sidewalk .5 miles.  Feeling okay - aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086858 - magnesium and CoQ10.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086859 - Valley Road using concrete sidewalk .5 miles.  About 1320 took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086860 - Simethicone to reduce bloating pain, per above. ref SDS 0 VPST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086861 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086862 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086863 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086864 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086865 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086866 - left hiked 0.50 miles East on Pine Hollow.  Turned around - hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086867 - to Ygnacio Valley Road.  Turned left heading West on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086868 - uphill 1 mile 3% grade.  Road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086869 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086870 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086871 - Hiked loop around main buildings, and hiked 2 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086872 - Faculty and Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086873 - Administration building mile 11 time 1502 temp 64 and wind 07 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086874 - looks uniform with no artifact.  Kardia reported HR 116 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086875 - (looks like AFL) - see below. ref SDS 0 VTPT  Both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086876 - PL 3.  Left foot #5 edge blister/callus PL 2 and #1 PL 1, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086877 - #1 injured by falls on 241108 and 09 PL 1.  Left knee meniscus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086878 - left hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086879 - Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain (...experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086880 - test avoid seizure taking low dose Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086881 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086882 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086883 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086884 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086885 - water/Coca Cola/orange juice) for energy and electrolytes, and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086886 - avocado for HDL - few bites.  Took Ubiquinol CoQ10 for energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086887 - complete hikes.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086888 - that ejects electrolytes, then to save money did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086889 - electrolyte pill, per above. ref SDS 0 VPST  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086890 - through Faculty and Student parking lots.  At mile 13, exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086891 - at heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086892 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
086893 - continued past Crystal Ranch Road uphill 3% grade .5 miles with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086894 - 02 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086895 - to North side Ygnacio Valley Road to avoid severe camber.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086896 - West .5 mile to summit.  At mile 15 end of concrete traffic barrier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086897 - turned around.  Hiked back and turned left onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086898 - .25 miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086899 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086900 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086901 - then home.  Ended hike mile 22 time 1746 temp 53, wind 04, Feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086902 - left foot #1 edge PL 2, #5 edge PL 3, right foot #1 fracture PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086903 - PL 0, burning sensation PL 0, shin splints PL 0, left knee PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086904 - (slightly swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
086905 - right shoulder PL 0 intermittantly, lower back middle PL 0 - stress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086906 - carrying backpack, left elbow PL 0, when lifting.  EKG uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086907 - artifact, Kardia reported HR 131 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086908 - VTRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086916 -  ..
086917 - Kardia recorded HR 057 at 0811 Unclassified looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086918 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086919 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086920 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086921 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
086922 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086925 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086926 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250122-ecg-081150_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086932 -  ..
086933 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
086934 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086935 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086936 - ..
086937 -                                                                                                                                                                                                                                                                                                              x
086938 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086939 -                                                        x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086940 -       Date          250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24110  
086941 -       Miles            17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
086942 -       HR AVG          130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
086943 -         MAX           151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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   repo  
086944 -         Min            49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58         
086945 -       El Climb Ft     520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490         
086946 -       Temp Max         64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71         
086947 -       Wind Max         07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15         
086948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086950 -              https://flow.polar.com/training/analysis/8039554282                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086953 -               ..
086955 -   
086956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086960 -  ..
086961 - EKG at mile 11 time 1503 HR 134 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086962 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
086963 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
086965 -  ..
086966 - Actually with elevated HR 134 this looks exactly like AFL, but since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086967 - HR changes with elevation and speed changes, cannot be AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086969 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086970 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250122-ecg-150222_mile_11_134_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086974 -  ..
086975 - End hike EKG at mile 17, time 1654 HR 131 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
086976 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086977 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
086978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086980 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086981 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250122-ecg-165448_mile_17_131_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
086982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086985 -  ..
086986 - Post hike HR profile beginning 1953, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
086987 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
086988 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
086989 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
086990 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
086991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
086993 -        ..
086994 -       Date      250121  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
086995 -       Time       1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
086996 -       Hours        11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
086997 -       HR AVG       69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
086998 -       HR MAX      133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
086999 -       HR Min       40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
087000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087002 -              https://flow.polar.com/training/analysis/8039851911                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087005 -  ..
087006 - Looks a little like AFL shown in Polar EKG HR tracing on 200420, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087007 - seems to show some AFL, then AF, then sinus - see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087008 - 0702, ref SDS 19 XVVX,  Ablation ended AF episodes, performed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087009 - 200430 0700. ref SDS 20 9C9M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087011 -  ..
087012 - HRV seems   0% 0 and   0% good and 100% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087015 -   
087016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087019 -  ..
087020 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087021 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087022 - Dinner - hot dog macaroni cheese eggs broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087024 -  ..
087025 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087058 -         ..
087059 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087060 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087061 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087062 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087063 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087064 -   23.  250123 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087065 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087066 -               0725....BP HR..................................................... 140  86  79  Kardia ECG reports HR status, see below. ref SDS 0 VTUQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087067 -               0730....BP HR..................................................... 140  89  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087068 -               0735....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087069 -               0735....80 436200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087070 -               1110....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087071 -               1110... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087072 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087073 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087074 -               1110....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087075 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087076 -               1110....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087077 -               1110... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087078 -               0000....
087079 -  ..
087080 -           **  1127....miles...........  21.0  21.0  339   339 minutes  temp  67 wind 07  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087081 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087082 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
087083 -               1349....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087084 -               1349....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087085 -               1349... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087086 -               1349... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
087087 -               1349... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087088 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087089 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087090 -               1537....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087091 -               1537....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087092 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087093 -               1537... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
087094 -               1537... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087095 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087096 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087097 -               1710... Hike ends mile 21... ref SDS 0 VUPY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087098 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087099 -               1725....weight.................................... 182  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087100 -               1730....BP HR.....................................................  96  52 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087101 -               1740....BP HR.....................................................  91  57  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087102 -               1820....BP HR.....................................................  81  57  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087103 -               1827....BP HR.....................................................  87  60  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087104 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087105 -               1700... 40 119320 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                                                                                                                                                                                                                                                                                  
087106 -             1 0000............ 10 20980  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087107 -             1 0000............ 10 21330  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
087108 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087109 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087110 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087111 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087112 -               2200... 1000 2358000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087113 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087114 -               2330... 80 436280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087115 -               2340... 40 93520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087116 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087119 -  ..
087120 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087121 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087123 -  ..
087124 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087125 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087126 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087127 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087128 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087130 -  ..
087131 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087132 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087134 -  ..
087135 - Reflux slept in recliner chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087136 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087140 -  ..
087141 - Today, hiked 21 miles - took Tramadol and Gabapentin before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087142 - hike, because both feet PL 2.  Took Magnesium for energy and to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087143 - inflammation.  Was noticably bloated caused by variable heart beat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087144 - statins.  Tried Dycloflenac gel on left foot #1 and #5; did not wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087145 - neoprene sleeves.  Did 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087146 - - Treat, Turtle Creek Road.  Continued on Ayers East to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087147 - Then South to Clayton Road.  Turned West 1 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087148 - Road.  Turned East on Pine Hollow 2 miles.  Turned South on Mitchell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087149 - Canyon Road for .25 mile, Came back and turned East on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087150 - Stopped at end of Pine Hollow mile 09, for hydration, nutrition, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087151 - and energy meds.  Hiked back 2.5 miles.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087152 - 1 mile.  At Ygnacio Valley Road turned around.  Hiked uphill 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087153 - to Visitor Parking at the College.  Hiked lap around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087154 - Did EKG, pain meds, hydration and nutrition, Hiked loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087155 - parking lots.  Headed North on Campus Drive and turned left uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087156 - grade on Ygnacio Valley Road.  Took Cowell North 1 mile, turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087157 - onto Treat - then right on Cuneo.  Continued in residential streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087158 - and home.  No seizure-like episode with difficulty controlling speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087159 - as occurred weeks ago coming down Cowell.  Bloated entire hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087160 - much less at end of 21 miles.  Did not take Simethicone today, Less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087161 - bloated at end of 21 mile hike, aligns with medical advice reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087162 - 091217 0600. ref SDS 2 VX54  Seem to have clogged LESV taking large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087163 - magnesium tablet after starting peanut butter avocado margerine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087164 - combination, since vomited dinner. ref SDS 0 VUUW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087168 -         ..
087169 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087170 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087171 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone, symptoms reduced by end of 21 miles but still very noticable                                                                                                                                                                                                                                                                                                            
087172 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087173 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087174 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087175 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087176 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087177 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087178 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087179 -        Spine near tailbone..........................   0        100  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087180 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087181 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
087182 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087183 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
087184 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087185 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
087186 -        Back.........................................   0        100  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087187 -        Hip right....................................   0        100  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
087188 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087189 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087190 -        Knee left meniscus...PRP 231121..............   1         20  took Tramadol and Gabapentin mile 11 and 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087191 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087192 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087193 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087194 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087195 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
087196 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087197 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087198 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087199 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087200 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087201 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087202 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087203 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
087204 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087205 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087206 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                   
087207 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                   
087208 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                   
087209 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
087210 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087211 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087212 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
087213 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
087214 -        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                                                                                                                                                                                                                                                                                                                           
087215 -        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                                                                                                                                                                                                                                                                                                                                                                                    
087216 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087217 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
087218 -        Callus big toe left foot...PRP 210705........   4         20  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                
087219 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
087220 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087221 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
087222 -        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                                                                                                                                                                                                                                                                                                                                           
087223 -        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                                                                                                                                                                                                                                                                                                                                           
087224 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087225 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
087226 -        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                                                                                                                                                                                                                                                                                                                                                                                        
087227 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
087228 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
087229 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087230 -        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                                                                                                                                                                                                                                                                                                                                                              
087231 -  new   Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                          
087232 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
087233 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087234 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087235 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
087236 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087237 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087238 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
087239 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - better after hiking to resolve rising symptoms - had mild electrical shocks bottom of feet this morning                                                                                                                                                                                                                                                                                                                                                                                                        
087240 -        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                                                                                                                                                                                                                                                                                                                                                                               
087241 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087242 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087243 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087244 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087245 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087246 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087247 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087248 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
087249 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087250 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087254 -  ..
087255 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087256 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087257 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087258 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087259 - lateral pressure both feet wearing only 1 pair double ply socks, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087260 - still difficult pain - needed more Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087262 -  ..
087263 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087264 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087265 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087267 -  ..
087268 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087269 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087270 - and #5 that has been causing blisters and calluses.  Today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087271 - effective on right foot, but not the left foot.  Changed socks at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087272 - 9, to decrease wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087274 -  ..
087275 - Bandaging - did not use neoprene cap today on left foot #1 - helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087276 - for maybe 5 miles, then PL 5 rest of hike even with Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087277 - Gabapentin at mile 9.  Before starting hike applied small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087278 - dyclofenic gel which has Naproxen on left foot #1 and #5.  Seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087279 - help for 5 - 10 miles.  At mile 11 both locations were PL 3, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087280 - Tramadol and Gabapentin, to finish 17 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087282 -  ..
087283 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087284 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087285 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087286 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087287 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087290 -  ..
087291 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087292 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087293 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087294 - and also left hip.  Took Tramadol and Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087295 - because metatarsalgia pain in feet starting the hike, and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087296 - #1 PL 1, after falling on 241108 and next day on 241109, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087297 - study on 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087298 - both calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087299 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087300 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087301 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087302 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087303 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087304 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087305 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087306 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087307 - ref SDS 0 KN5C  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087308 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087309 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087310 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087311 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087312 - fibrillation (arrhythmia - variable heart rate) see analysis by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087313 - Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087314 - stuff.  Applied Dyclofenic gel (small amount) to left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087315 - contains Naproxen - NSAID for pain relief until reach college and take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087316 - Tramadol and Gabapentin about mile 14 today - actually did not seem to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087317 - help today.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087318 - Starting hike feet feeling swelled and like pins and needles - felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087319 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087320 - neuropathy caused by taking statins, and by diabetes symptoms.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087321 - about 1 mile feet calming down.  Bottom of both feet PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087322 - metatarsalgia pain, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087323 - per above. ref SDS 36 XVTR  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087324 - dyspnea, indicating good condition despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087325 - months.  Temperature started at 62, and reached 67.  East wind 07 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087326 - and mostly 03 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087327 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087328 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087329 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087330 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087331 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087332 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087333 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087334 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087335 - Feeling okay - aligns with taking Tramadol and Gabapentin, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087336 - magnesium and CoQ10.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087337 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087338 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087339 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087340 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087341 - Did not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087342 - Continued on Ygnacio Valley Road; turned left and hiked 2.00 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087343 - East on Pine Hollow.  Turned right hiking South on North bound lane of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087344 - Mitchell Canyon Road.  Hiked .25 mile on smooth, soft asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087345 - shoulder.  Cars and big 10 wheeler rock hauling trucks passed using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087346 - the South bound lane.  Hikers using the vehicle lane is common                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087347 - practice heading for Mount Diablo trailhead.  Traffic is very light on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087348 - Mitchell Canyon Road, so there are no delays or traffic jams, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087349 - hiking in the middle of the road.  Turned arund and hiked back to Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087350 - Hollow.  Turned right hiking 1 mile to end of Pine Hollow.  Like every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087351 - school day, there were many parents waiting to collect their child                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087352 - when school ends to drive home.  At end of Pine Hollow stopped mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087353 - time 1349 temp 67 and wind 06 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087354 - Kardia reported HR 121 Tachycardia - see below. ref SDS 0 VTYU  HR 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087355 - reflects 2-days hiking compared to previous hikes 4 days in a row -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087356 - will try for better consistency.  Both feet PL 4, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087357 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087358 - blister/callus PL 2 and #1 PL 2, despite taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087359 - Gabapentin before starting hike, per above. ref SDS 0 KN5C  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087360 - meniscus PL 1, left hamstring PL 0, lower back spine near tail bone PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087361 - 0, left hip PL 0.  Bloating after not taking Simethicone PL 2.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087362 - Tramadol 50 mg and 1 Gabapentin 300 mg for pain again (...experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087363 - test avoid seizure taking normal 2nd dose Gabapentin...).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087364 - another (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087365 - EGD Dilation on 241126 1300, ref SDS 65 1X6F, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087366 - LESV, as occurred last year on 240824, see case study. ref SDS 36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087367 - PPTU; Sips softdrink carried from home and for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087368 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087369 - in water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087370 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087371 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087372 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087373 - above. ref SDS 0 VQTV  Hiked back 2.5 miles.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087374 - Drive heading West uphill 3% grade hiked 1 mile with wind 02 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087375 - road bends North.  On reaching Ygnacio Valley Road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087376 - hiked uphill .25 mile 5% grade.  Reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087377 - State University East Bay Concord Campus.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087378 - buildings, and then a loop through Faculty and Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087379 - Back at Visitor Parking stopped at Administration Building mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087380 - time 1537 temp 66 and wind 06 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087381 - Kardia reported HR 124 Tachycardia - see below. ref SDS 0 1Q8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087382 - Noticably wobbly after taking Tramadol and Gabapentin twice.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087383 - feet PL 2, right foot #1 fractured PL 1, Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087384 - foot #5 edge blister/callus PL 5 and #1 PL 4.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087385 - 1, left hamstring PL 0, lower back PL 0, left hip PL 0.  Despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087386 - already wobbly took another Tramadol 50 mg and 0 Gabapentin 300 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087387 - pain (...experiment test avoid seizure taking normal 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087388 - Gabapentin...).  With specific areas having low PL, and despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087389 - magnesium, entire body strong/normal, unlike feeling very weak on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087390 - Wednesday 240108, per above. ref SDS 0 QVWX  Took another (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087391 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087392 - 241126 1300, ref SDS 65 1X6F, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087393 - occurred last year on 240824, see case study. ref SDS 36 PPTU -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087394 - actually may have occurred again, since did not swallow magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087395 - tablet until after 1 spoon of peanut butter, avocado and margerine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087396 - later in evening esophagus feeling clogged, leading to vomiting, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087397 - below. ref SDS 0 VUUW  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087398 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087399 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087400 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087401 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087402 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087403 - pill, per above. ref SDS 0 VQTV  Feeling bloated again, hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087404 - around main buildings, Back at Visitor Parking, exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087405 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087406 - Hiked West on flat grade .5 miles.  At mile 15, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087407 - Ranch Road uphill 3% grade .5 miles with wind 04 mph.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087408 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087409 - Valley Road to avoid severe camber.  Continued West .5 mile to summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087410 - At mile 16 end of concrete traffic barrier turned around.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087411 - and turned left onto Cowell heading North .25 miles using asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087412 - shoulder downhill 5% grade - left hip PL 0 - then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087413 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087414 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087415 - Turned left and hiked 2 miles through residential traffic - Hitchcock                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087416 - Road, Kaski Lane, Court Lane - then home.  Ended hike mile 21 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087417 - 1744 temp 61, wind 02, Feet PL 7, left foot #1 edge PL 5, #5 edge PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087418 - 6, right foot #1 fracture PL 1, #5 PL 0, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087419 - splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087420 - shoulder PL 1, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087421 - middle PL 1 - stress carrying backpack, left elbow PL 0, when lifting.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087422 - EKG uniform with artifact, Kardia reported HR 118 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087423 - below. ref SDS 0 VUPY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087431 -  ..
087432 - Kardia recorded HR 057 at 0738 Unclassified looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087433 - lengths with p-waves and no artifact, likely no AFL after hiking 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087434 - miles temp 64 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087435 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087436 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087437 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087440 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087441 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250123-ecg-073825_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087447 -  ..
087448 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087449 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087450 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087451 - ..
087452 -                                                                                                                                                                                                                                                                                                              x
087453 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087454 -                                                        x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087455 -       Date          250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24110  
087456 -       Miles            21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
087457 -       HR AVG          124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
087458 -         MAX           138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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  
087459 -         Min            61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                   58  
087460 -       El Climb Ft     520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                  490  
087461 -       Temp Max         67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                   71  
087462 -       Wind Max         08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                   15  
087463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087465 -              https://flow.polar.com/training/analysis/8040225622                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087468 -               ..
087470 -   
087471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087475 -  ..
087476 - EKG at mile 09 time 1349 HR 121 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087477 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087478 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087480 -  ..
087481 - Actually with elevated HR 121 this looks exactly like AFL, but since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087482 - HR changes with elevation and speed changes, cannot be AFL.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087484 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087485 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250123-ecg-134946_mile_09_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087488 -  ..
087489 - EKG at mile 14 time 1537 HR 124 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087490 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087491 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087494 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087495 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250123-ecg-153716_mile_14_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087499 -  ..
087500 - End hike EKG at mile 22, time 1744 HR 118 temp 61 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087501 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087502 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087505 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087506 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250123-ecg-174426_mile_21_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087544 -  ..
087545 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087546 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087547 - Dinner - hot dog macaroni cheese eggs broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087549 -  ..
087550 - Vomiting: 50% dinner - acid reflux - esophagus feeling clogged, may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087551 - have originated stopping at college mile 14, swallowed magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087552 - tablet out of sequence.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087585 -         ..
087586 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087587 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087588 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087589 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087590 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087591 -   24.  250124 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087592 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087593 -               0735....BP HR..................................................... 146  95  55  Kardia ECG reports HR status, see below. ref SDS 0 WPR2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087594 -               0740....BP HR..................................................... 146  88  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087595 -               0745....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087596 -               0745....80 436360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087597 -               1110....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087598 -               1110... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087599 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087600 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087601 -               1110....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087602 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087603 -               1110....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087604 -               1110... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087605 -               0000....
087606 -  ..
087607 -           **  1307....miles...........   7.0  28.0  111   440 minutes  temp  61 wind 03  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087608 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087609 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
087610 -               0000....mile 09 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087611 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087612 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087613 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
087614 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087615 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087616 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087617 -               0000....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087618 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087619 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087620 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
087621 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
087622 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087623 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087624 -               1512... Hike ends mile 07... ref SDS 0 WPYU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087625 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087626 -               1530....weight.................................... 183  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087627 -               1540....BP HR..................................................... 124  80  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087628 -               1545....BP HR..................................................... 117  72  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087629 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087630 -               1700... 40 119360 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                                                                                                                                                                                                                                                                                  
087631 -               1830............ 10 20990  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
087632 -               1830............ 10 21340  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
087633 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087634 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087635 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087636 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087637 -               2200... 1000 2358000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087638 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087639 -               2330... 80 436440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087640 -               2340... 40 93550 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087641 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087644 -  ..
087645 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087646 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087648 -  ..
087649 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087650 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087651 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087652 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087653 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087655 -  ..
087656 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087657 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087659 -  ..
087660 - Reflux not severe, slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087661 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087665 -  ..
087666 - Today, hiked 07 miles - took Tramadol and Gabapentin before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087667 - hike, because both feet PL 1.  Took Magnesium for energy and to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087668 - inflammation.  Was noticably bloated caused by variable heart beat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087669 - statins.  Tried Dycloflenac gel on left foot #1 and #5; did not wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087670 - neoprene sleeves.  Switched to Hoka Bondi 8 shoes extra-wide.  Did 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087671 - mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087672 - Road.  Continued on Ayers East to Clayton Road.  Mile 3.5 on Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087673 - feet PL 6, despite minimal miles, having taken pain medications                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087674 - starting hike.  Turned around hiked home.  Bloated entire hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087675 - less at end of 07 miles, aligns with medical advice reported on 091217                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087676 - 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087679 -         ..
087680 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087681 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087682 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes, variable heart rate, and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone, symptoms reduced by end of 21 miles but still very noticable                                                                                                                                                                                                                                                                                                            
087683 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087684 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087685 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087686 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087687 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087688 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087689 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
087690 -        Spine near tailbone..........................   0        100  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087691 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087692 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
087693 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087694 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
087695 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087696 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
087697 -        Back.........................................   0        100  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087698 -        Hip right....................................   0        100  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
087699 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087700 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087701 -        Knee left meniscus...PRP 231121..............   1         20  took Tramadol and Gabapentin mile 11 and 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087702 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087703 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087704 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087705 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087706 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
087707 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087708 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087709 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087710 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087711 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087712 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087713 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087714 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
087715 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087716 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087717 -        Metatarsalgia left foot...PRP 210705.........   1         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                   
087718 -        Metatarsalgia right foot..PRP 210705.........   6         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                   
087719 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                   
087720 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
087721 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087722 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087723 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
087724 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
087725 -        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                                                                                                                                                                                                                                                                                                                           
087726 -        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                                                                                                                                                                                                                                                                                                                                                                                    
087727 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087728 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
087729 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap - took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                
087730 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
087731 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087732 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
087733 -        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                                                                                                                                                                                                                                                                                                                                           
087734 -        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                                                                                                                                                                                                                                                                                                                                           
087735 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087736 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
087737 -        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                                                                                                                                                                                                                                                                                                                                                                                        
087738 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
087739 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
087740 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087741 -        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                                                                                                                                                                                                                                                                                                                                                              
087742 -  new   Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution took 1 Tramadol and 1 Gabapentin at mile 09 and 1 Tramadol and 0 Gabapentin at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                          
087743 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
087744 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087745 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087746 -        Callus bottom right foot below little toe....   5        100  Doctor Tang cut out core of callus again on 240829 - took 1 Tramadol and 1 Gabapentin mile 00 - recurrance has not been active for 6 months.                                                                                                                                                                                                                                                                                                                                                                                                 
087747 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087748 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087749 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
087750 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - better after hiking to resolve rising symptoms - had mild electrical shocks bottom of feet this morning                                                                                                                                                                                                                                                                                                                                                                                                        
087751 -        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                                                                                                                                                                                                                                                                                                                                                                               
087752 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087753 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087754 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087755 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087756 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087757 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087758 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087759 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 11 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
087760 -        Wasted - very fatigued.......................   0        100  miracle - felt strong entire hike - complet turn around from Thursday and Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087761 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087765 -  ..
087766 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087767 - 8 size 10 extra-wide.  First eyelets not laced, and first laces very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087768 - loose.  Did not use new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087769 - #4-#5 on both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087770 - Felt less lateral pressure both feet wearing 2 pair double ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087771 - but still difficult pain - had to end hike at 7 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087773 -  ..
087774 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087775 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
087776 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087778 -  ..
087779 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087780 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087782 -  ..
087783 - Bandaging - did not use neoprene cap today on left foot #1 - helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087784 - for maybe 5 miles, then PL 5 rest of hike even with Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087785 - Gabapentin at mile 9.  Before starting hike applied small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087786 - dyclofenic gel which has Naproxen on left foot #1 and #5.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087787 - help - had to end hike at 7 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087789 -  ..
087790 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087791 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087792 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087793 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087794 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087797 -  ..
087798 - Concord 07 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087799 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
087800 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087801 - and also left hip.  Took Tramadol and Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087802 - because metatarsalgia pain in feet starting the hike, and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087803 - #1 PL 1, after falling on 241108 and next day on 241109, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087804 - study on 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087805 - both calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087806 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087807 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087808 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087809 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087810 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087811 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087812 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087813 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087814 - ref SDS 0 S28J  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087815 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087816 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087817 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087818 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087819 - fibrillation (arrhythmia - variable heart rate) see analysis by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087820 - Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087821 - stuff.  Applied Dyclofenic gel (small amount) to left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087822 - contains Naproxen - NSAID for pain relief until reach college and take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087823 - more Tramadol and Gabapentin about mile 14 today - actually did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087824 - seem to help today.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087825 - Starting hike feet feeling swelled and like pins and needles - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087826 - feel electrical shocks in balls of feet this morning, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087827 - 250123, per above. ref SDS 0 VSTW  After about 1 mile feet calming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087828 - down.  Bottom of both feet PL 2 with metatarsalgia pain, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087829 - left foot #5, which flared up on 240919, per above. ref SDS 36 XVTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087830 - Breathed through nose entire hike with no dyspnea, indicating good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087831 - condition despite minimal hiking last few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087832 - at 62, and reached 67.  East wind 07 mph and mostly 03 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087833 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087834 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087835 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087836 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087837 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087838 - miles on asphalt road shoulder.  Nearing mile 3 feet pain escalated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087839 - above PL 5.  Realized it would only get worse before it would be time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087840 - to take more medications according to protocol.  Hiking further would                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087841 - increase the distance for returning home, which further increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087842 - severity of injuries causing pain.  Turned around and hiked home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087843 - Ended hike mile 07 time 1512 temp 59, wind 03, Feet PL 3, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087844 - edge PL 3, #5 edge PL 4, right foot below #4 callus beneath skin PL 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087845 - left knee PL 1 (swollen), right knee PL 0, left shoulder PL 1, neck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087846 - and right shoulder PL 0 intermittantly, lower back middle PL 1 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087847 - stress carrying backpack, left elbow PL 0, when lifting.  EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087848 - uniform with considerable artifact, Kardia reported HR 113 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087849 - - see below. ref SDS 0 WPYU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087858 -  ..
087859 - Kardia recorded HR 054 at 0913 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
087860 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087861 - hiking 21 miles temp 66 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087862 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087863 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087864 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087867 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087868 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250124-ecg-091336_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087874 -  ..
087875 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087876 - hike 07 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087877 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087878 - ..
087879 -                                                                                                                                                                                                                                                                                                              x
087880 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087881 -                                                        x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087882 -       Date          250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 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 24110  
087883 -       Miles             7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
087884 -       HR AVG          121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
087885 -         MAX           131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
087886 -         Min            86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80            66                
087887 -       El Climb Ft     364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243           450                
087888 -       Temp Max         61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61            69                
087889 -       Wind Max         03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2            20                
087890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087892 -              https://flow.polar.com/training/analysis/8040735651                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087895 -               ..
087897 -   
087898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087902 -  ..
087903 - End hike EKG at mile 07, time 1512 HR 113 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
087904 - Tachycardia... looks mostly uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087905 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087908 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
087909 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250124-ecg-151217_mile_07_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
087910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087941 -  ..
087942 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087943 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087944 - Dinner - hamburger macaroni cheese eggs broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087946 -  ..
087947 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087983 -         ..
087984 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087985 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087986 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087987 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087988 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
087989 -   25.  250125 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
087990 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087991 -               0725....BP HR..................................................... 146  88  60  Kardia ECG reports HR status, see below. ref SDS 0 WSRS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087992 -               0730....BP HR..................................................... 143  91  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
087993 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
087994 -               0735....80 436520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
087995 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
087996 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
087997 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
087998 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
087999 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088000 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088001 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088002 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088003 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088004 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088005 -               1700... 40 119400 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                                                                                                                                                                                                                                                                                  
088006 -             1 0000............ 10 20990  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088007 -             1 0000............ 10 21340  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088008 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088009 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088010 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088011 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088012 -               2200... 1000 2359000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088013 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088014 -               2330... 80 436600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088015 -               2340... 40 93600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088016 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088018 -  ..
088019 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088020 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088022 -  ..
088023 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088024 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088025 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088026 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088027 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088029 -  ..
088030 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088031 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088033 -  ..
088034 - Reflux not severe, slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088035 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088040 -  ..
088041 - Kardia recorded HR 059 at 0946 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088042 - lengths with p-waves and no artifact, likely no AFL after hiking 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088043 - miles temp 59 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088044 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088045 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088046 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088049 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088050 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250125-ecg-094607_mile_00_059_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088053 -  ..
088054 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088057 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088058 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250125-ecg-142455_mile_00_068_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088062 -  ..
088063 - Post hike HR profile beginning 2122, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088064 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088065 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088066 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088067 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088070 -        ..
088071 -       Date      250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
088072 -       Time       2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
088073 -       Hours        11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
088074 -       HR AVG       66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
088075 -       HR MAX      112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
088076 -       HR Min       45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
088077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088079 -              https://flow.polar.com/training/analysis/8041844102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088082 -  ..
088083 - HRV seems   0% 0 and 100% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088086 -   
088087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088090 -  ..
088091 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088092 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088093 - Dinner - steak macaroni cheese eggs broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088095 -  ..
088096 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088124 -         ..
088125 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088126 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088127 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088128 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088129 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088130 -   26.  250126 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088131 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088132 -               0725....BP HR..................................................... 148  94  64  Kardia ECG reports HR status, see below. ref SDS 0 FWQ3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088133 -               0730....BP HR..................................................... 143  91  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088134 -               0735....weight.................................... 185                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088135 -               0735....80 436680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088136 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088137 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088138 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088139 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088140 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088141 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088142 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088143 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088144 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088145 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088146 -               1700... 40 119440 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                                                                                                                                                                                                                                                                                  
088147 -               1830............ 10 21000  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088148 -               1830............ 10 21350  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088149 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088150 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088151 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088152 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088153 -               2200... 1000 2360000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088154 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088155 -               2330... 80 436760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088156 -               2340... 40 93640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088157 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088159 -  ..
088160 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088161 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088163 -  ..
088164 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088165 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088166 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088167 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088168 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088170 -  ..
088171 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088172 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088174 -  ..
088175 - Reflux not severe, slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088176 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088180 -  ..
088181 - Kardia recorded HR 059 at 0858 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088182 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088183 - AFL after hiking 07 miles temp 59 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088184 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088185 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088186 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088189 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088190 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250126-ecg-085804_mile_00_059_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088193 -  ..
088194 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088197 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088198 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250126-ecg-104138_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088203 -  ..
088204 - Post hike HR profile beginning ____, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088205 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088206 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088207 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088208 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088211 -        ..
088212 -       Date      250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
088213 -       Time               2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
088214 -       Hours        no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
088215 -       HR AVG     report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
088216 -       HR MAX              112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
088217 -       HR Min               45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
088218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088221 -  ..
088222 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088223 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088224 - Dinner - steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088226 -  ..
088227 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088254 -         ..
088255 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088256 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088257 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088258 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088259 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088260 -   27.  250127 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088261 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088262 -               0725....BP HR..................................................... 138  82  71  Kardia ECG reports HR status, see below. ref SDS 0 WXUT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088263 -               0730....BP HR..................................................... 143  87  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088264 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088265 -               0735....80 436680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088266 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088267 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088268 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088269 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088270 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088271 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088272 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088273 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088274 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088275 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088276 -               1700... 40 119440 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                                                                                                                                                                                                                                                                                  
088277 -             1 0000............ 10 21000  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088278 -             1 0000............ 10 21350  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088279 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088280 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088281 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088282 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088283 -               2200... 1000 2360000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088284 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088285 -               2330... 80 436760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088286 -               2340... 40 93640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088287 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088290 -  ..
088291 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088292 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088294 -  ..
088295 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088296 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088297 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088298 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088299 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088301 -  ..
088302 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088303 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088305 -  ..
088306 - Reflux not severe, slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088307 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088312 -  ..
088313 - Kardia recorded HR 049 at 0818 Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088314 - lengths with p-waves and some artifact, likely no AFL after hiking 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088315 - miles temp 59 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088316 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088317 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088318 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088322 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250127-ecg-081830_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088324 -  ..
088325 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088329 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250127-ecg-100327_mile_00_077_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088334 -  ..
088335 - Post hike HR profile beginning 2012, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088336 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088337 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088338 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088339 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088342 -        ..
088343 -       Date      250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
088344 -       Time       2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
088345 -       Hours        12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
088346 -       HR AVG       71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
088347 -       HR MAX      128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
088348 -       HR Min       45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
088349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088351 -              https://flow.polar.com/training/analysis/8043074040                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088354 -  ..
088355 - HRV seems  30% 0 and  70% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088358 -   
088359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088362 -  ..
088363 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088364 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088365 - Dinner - eggs steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088367 -  ..
088368 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088395 -         ..
088396 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088397 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088398 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088399 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088400 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088401 -   28.  250128 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088402 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088403 -               0725....BP HR..................................................... 155  94  80  Kardia ECG reports HR status, see below. ref SDS 0 WFX8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088404 -               0730....BP HR..................................................... 143  80  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088405 -               0735....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088406 -               0735....80 436840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088407 -               1110....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088408 -               1110... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088409 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088410 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088411 -               1110....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088412 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088413 -               1110....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088414 -               1110... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088415 -               0000....
088416 -  ..
088417 -           **  1130....miles...........  22.0  22.0  379   379 minutes  temp  60 wind 07  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088418 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088419 -               1436....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088420 -               1436....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088421 -               1436... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088422 -               1436... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
088423 -               1436... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088424 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088425 -               1500... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
088426 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088427 -               1708....mile 18 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088428 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088429 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088430 -               1708... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
088431 -               1708... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088432 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088433 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088434 -               1841... Hike ends mile 22... ref SDS 0 XPSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088435 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088436 -               1850....weight.................................... 183  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088437 -               1855....BP HR.....................................................  95  67 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088438 -               1910....BP HR..................................................... 105  65  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088439 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088440 -               1900... 40 119480 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                                                                                                                                                                                                                                                                                  
088441 -               2000............ 10 21010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088442 -               2000............ 10 21360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088443 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088444 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088445 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088446 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088447 -               2200... 1000 2361000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088448 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088449 -               2330... 80 436920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088450 -               2340... 40 93680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088451 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088454 -  ..
088455 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088456 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088458 -  ..
088459 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088460 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088461 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088462 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088463 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088465 -  ..
088466 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088467 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088469 -  ..
088470 - Reflux severe slept in chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088471 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088475 -  ..
088476 - Today, hiked 22 miles - injury right foot #1 and left foot calluses #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088477 - and #5 still hurting - took 1 Tramadol and 1 Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088478 - starting hike.  Did 5 mile semi-loop through South Concord streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088479 - Treat, Turtle Creek Road; continued on Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088480 - West on Ygnacio Valley road 1 mile.  Turned East onto Pine Hollow for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088481 - 1.5 miles.  Hiked back and turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088482 - 1 mile.  At Ygnacio Valley Road turned around and hiked uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088483 - Visitor Parking at the College.  Did loop around main buildings then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088484 - through Faculty and Student parking.  Stopped at mile 11 for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088485 - meds, hydration, nutrition and took magnesium and CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088486 - HDL.  Hiked through parking lots again.  Left college on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088487 - North and turned left heading West uphill 3% grade on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088488 - Road.  At summit mile 15, continued West 2 miles downhill.  At Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088489 - Grove hiked loop around the block at Safeway shopping complex.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088490 - mile 18, stopped at Mod Pizza for EKG, pain meds, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088491 - nutrition.  Hiked another 1 mile loop around shopping complex.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088492 - Oak Grove 1 mile North.  Turned onto Treat and continued 2 miles East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088493 - to Cuneo then home.  Very loopy with fatigue last 4 miles - no seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088494 - symptoms, e.g. no loss motor control, seemed like possible brief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088495 - hallucinations.  HR erratic dipping into 70s while hiking 1st hour,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088496 - then maintained normal hiking HR in 120 - 130s range rest of hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088497 - similar to prior episodes, e.g., on 240920, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088498 - 240101 0712, ref SDS 36 YSVT, except HR dropped today while hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088499 - and prior episodes occurred when hiking paused - could be related to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088500 - dysfunctional Autonomic Nervous System (ANS), reviewed recently with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088501 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Was stopped about mile 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088502 - on Ayers by someone asking about benefits of hiking at therapeutic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088503 - levels; also stopped about mile 13 at college catching up with Jan on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088504 - her mail route.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088508 -         ..
088509 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088510 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088511 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can occur with diabetes, variable heart rate - autonomic nervous system,  nd is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone, symptoms less severe today, and reduced by end of 22 miles but still very noticable                                                                                                                                                                                                                                                          
088512 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088513 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088514 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088515 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088516 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088517 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088518 -        Spine below neck lifting left or right arm...   8          5  not a factor if head held steady and not raising arms, but very severe when turning head looking up or lifing arms                                                                                                                                                                                                                                                                                                                                                                                                                           
088519 -        Spine near tailbone..........................   0        100  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088520 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088521 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
088522 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088523 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
088524 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088525 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
088526 -        Back.........................................   0        100  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088527 -        Hip right....................................   0        100  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
088528 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088529 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088530 -        Knee left meniscus...PRP 231121..............   1         20  see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088531 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088532 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088533 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088534 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088535 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
088536 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088537 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088538 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088539 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088540 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088541 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088542 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088543 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
088544 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088545 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088546 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                            
088547 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                            
088548 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                            
088549 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
088550 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088551 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088552 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
088553 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
088554 -        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                                                                                                                                                                                                                                                                                                                           
088555 -        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                                                                                                                                                                                                                                                                                                                                                                                    
088556 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088557 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
088558 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                   e 18                                                                                                                                                                                                                                                                                                                  
088559 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
088560 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088561 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
088562 -        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                                                                                                                                                                                                                                                                                                                                           
088563 -        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                                                                                                                                                                                                                                                                                                                                           
088564 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088565 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
088566 -        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                                                                                                                                                                                                                                                                                                                                                                                        
088567 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
088568 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
088569 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088570 -        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                                                                                                                                                                                                                                                                                                                                                              
088571 -  new   Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                   e 18                                                                                                                                                                                                                                                                                                                                          
088572 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
088573 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088574 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088575 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                                                                          
088576 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088577 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088578 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
088579 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - better after hiking to resolve rising symptoms - had mild electrical shocks bottom of feet this morning                                                                                                                                                                                                                                                                                                                                                                                                        
088580 -        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                                                                                                                                                                                                                                                                                                                                                                               
088581 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088582 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088583 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088584 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088585 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088586 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088587 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike
088588 -         ..
088589 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 00 and again mile 11 and only 0 Tramadol mile 16 and again at mile 00 - very loopy last 4 miles, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                               
088590 -        Wasted - very fatigued.......................   4         10  reflects reduced hiking past few months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088591 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088595 -  ..
088596 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088597 - 8 size 10 extra-wide.  First eyelets not laced, and first laces very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088598 - loose.  Did not use new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088599 - #4-#5 on both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088600 - Felt less lateral pressure both feet wearing 2 pair double ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088601 - but still difficult pain - had to end hike at 7 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088603 -  ..
088604 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088605 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088606 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088608 -  ..
088609 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088610 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088612 -  ..
088613 - Bandaging - did not use neoprene cap today on left foot #1 - helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088614 - for maybe 5 miles, then PL 5 rest of hike even with Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088615 - Gabapentin at mile 9.  Before starting hike applied small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088616 - dyclofenic gel which has Naproxen on left foot #1 and #5. May have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088617 - helped - no pain until mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088619 -  ..
088620 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088621 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088622 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088623 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088624 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088627 -  ..
088628 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088629 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088630 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088631 - and also left hip.  Took Tramadol and Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088632 - because metatarsalgia pain in feet starting the hike, and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088633 - #1 PL 1, after falling on 241108 and next day on 241109, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088634 - study on 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088635 - both calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088636 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088637 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088638 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088639 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088640 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088641 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088642 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088643 - HDL.  Just before starting hike took Ubiquinol CoQ10; it is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088644 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088645 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088646 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088647 - ischemic colitis caused by statins and other drugs, also symptomatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088648 - of diabetes and atrial fibrillation (arrhythmia - variable heart rate)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088649 - see analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088650 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088651 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088652 - reach college and take more Tramadol and Gabapentin about mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088653 - today - actually did not seem to help today.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088654 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088655 - pins and needles - did not feel electrical shocks in balls of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088656 - this morning, as occurred on 250123, per above. ref SDS 0 VSTW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088657 - about 1 mile feet calming down.  Bottom of both feet PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088658 - metatarsalgia pain, including left foot #5, which flared up on 240919.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088659 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088660 - indicating good condition despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088661 - Temperature started at 57, and reached 60.  East wind 07 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088662 - mostly 03 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088663 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088664 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088665 - hike across Newhall Community park and back today.  While hiking along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088666 - Turtle Creek noticed Polar GPS/HR monitor showed HR dropped 20 - 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088667 - points and then recovered to 115 or so about 6 times between mile 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088668 - and mile 5.  This is unusual for HR to drop significantly for minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088669 - while hiking, then elevate to normal for hiking, and repeat elongated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088670 - cycles.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088671 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088672 - asphalt road shoulder.  Along this route a driver stopped and asked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088673 - about benefits of hiking - saying he has seen me in Concord, Clayton,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088674 - on Ygnacio Valley Road, in Walnut creek and Pleasant Hill.  Explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088675 - hiking is therapeutic treating atherosclerosis to regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088676 - blood vessels.  This occurs for me hiking around 20 miles per day.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088677 - The driver said he is into biking around 20 mile routes 3 - 5 times a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088678 - week.  Wished him well and continued.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088679 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088680 - of shopping complex.  Paused hike and did EKG to correlate with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088681 - anomalous drops in HR while hiking.  EKG showed HR 118 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088682 - normal for hiking.  Continued hike and crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088683 - light and on concrete sidewalk .5 miles.  Feeling strong - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088684 - taking magnesium and CoQ10.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088685 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Since took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088686 - Tramadol and 1 Gabapentin starting hike not feeling metatarsaltia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088687 - in feet, and no pain on edges of feet #1 and #5.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088688 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088689 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088690 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088691 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088692 - time ____.  Continued on Ygnacio Valley Road; turned left and hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088693 - mile East on Pine Hollow.  Turned around at Camino Salano.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088694 - 1 mile and turned left onto Campus Drive hiking West 1 mile uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088695 - - 4% grade against wind 5 mph.  Road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088696 - Valley Road, turned around hiked on Campus Road South uphill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088697 - 5% grade.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088698 - Bay Concord Campus.  Hiked loop around main buildings and through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088699 - Faculty and Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088700 - Administration Building mile 11 time 1436 temp 60 and wind 06 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088701 - looks variable with no artifact.  Kardia reported HR 121 Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088702 - Atrial Fibrillation, see below. ref SDS 0 644I  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088703 - metatarsalgia PL 1 and left foot #5 edge blister/callus PL 0 and #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088704 - 2, right foot #1 injured by falls on 241108 and 09 PL 0, spine below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088705 - neck PL 3 intermittant.  Both ankles PL 0.  Left knee meniscus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088706 - left hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088707 - Took 1 Tramadol 50 mg and 0 Gabapentin 300 mg for pain (...experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088708 - test avoid seizure reduce Tramadol and Gabapentin...).  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088709 - (2nd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088710 - Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088711 - 240824, above. ref SDS 36 PPTU; magnesium provides energy for hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088712 - and reduces inflammation, essential to raise HDL - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088713 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088714 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088715 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088716 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088717 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088718 - sweating that ejects electrolytes, then despite extending hike over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088719 - summit Ygnacio Valley Road, to save money, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088720 - electrolyte pill, per above. ref SDS 0 WWSR  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088721 - through parking lots and around main buildings.  Unusual hiking uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088722 - 5% grade less than 10% of a mile - very fatigued - nearly fell down,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088723 - legs just collapsed - on reaching 4th level parking lot, compared to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088724 - having hiked this route over 200 times.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088725 - exited college heading North on Campus Drive and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088726 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  About time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088727 - 1515 took Simethicone to relieve bloating pressure, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088728 - ref SDS 0 WWSR  At mile 14, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088729 - 3% grade .5 miles against wind 03 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088730 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088731 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088732 - end of concrete traffic barriar about mile 15, at break in afternoon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088733 - commute traffic, crossed back to South side Ygnacio Valley Road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088734 - wider shoulder.  Hiked 2 miles downhill 3-4% grade.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088735 - traffic crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088736 - Grove at traffic light.  At mile 17, hiked 1-mile loop around block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088737 - Safeway shopping complex.  Stopped at Mod Pizza mile 18, time 1708,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088738 - temp 58 and wind 07 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088739 - reported HR 120 Tachycardia, see below. ref SDS 0 6J4H  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088740 - metatarsalgia PL 1 and left foot #5 edge blister/callus PL 1 and #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088741 - 3, right foot #1 injured by falls on 241108 and 09 PL 0, spine below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088742 - neck PL 0 intermittant.  Both ankles PL 0.  Left knee meniscus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088743 - left hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088744 - Wobbly #4 from prior meds - took 0 Tramadol 50 mg and 0 Gabapentin 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088745 - mg for pain (...experiment test avoid seizure reduce Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088746 - Gabapentin...).  Took another (3rd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088747 - swallowed whole after EGD Dilation on 240910, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088748 - LESV, as occurred on 240824, ref SDS 36 PPTU; magnesium provides                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088749 - energy for hiking, and reduces inflammation, essential to raise HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088750 - see case study on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088751 - from home (borrowed glass for ice from restaraunt) and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088752 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088753 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088754 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088755 - complete hike.  Since temperature below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088756 - ejects electrolytes - did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088757 - ref SDS 0 WWSR  Did another 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088758 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088759 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088760 - Grove.  Hiked 1 mile North on asphalt shoulder in sun with temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088761 - high 50s.  Crossed Treat at Stop Light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088762 - grade concrete sidewalk.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088763 - uphill 5% grade with wind 05 mph, temp 55.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088764 - summit, mile 21, hiked another mile and turned left onto Cuneo then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088765 - home.  Ended hike mile 22 time 1841 temp 54, wind 03, Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088766 - metatarsalgia PL 4 and right foot callus underneath skin and 1" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088767 - metatarsal #4 PL 2, burning sensation PL 0, shin splints PL 0, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088768 - foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL 4 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088769 - #1 PL 3, right foot #1 injured by falls on 241108 and 09 PL 5, #4 top                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088770 - right foot #4 top blister/callus PL 0, #5 edge callus/blister PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088771 - Both ankles PL 3.  Left knee meniscus PL 0, left hamstring PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088772 - shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088773 - right shoulder PL 0 intermittantly, lower back left side PL 0, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088774 - variable with artifact, Kardia reported HR 118 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088775 - below. ref SDS 0 XPSS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088786 -  ..
088787 - Kardia recorded HR 082 at 0827 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088788 - variable heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088789 - AFL after hiking 07 miles temp 59 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088790 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088791 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088792 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088795 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088796 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250128-ecg-082701_mile_00_082_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088798 -  ..
088799 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088802 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088803 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250128-ecg-090836_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088808 -  ..
088809 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088810 - hike 07 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088811 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088812 - ..
088813 -                                                                                                                                                                                                                                                                                                              x
088814 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088815 -                                                 x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088816 -       Date          250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 241128 241127 241126 241125 241124 241123 241122 241121 241120 241119 241118 241117 241116 241115 241114 241113 241112 241111 241110 241109 24110  
088817 -       Miles            22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
088818 -       HR AVG          120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
088819 -         MAX           139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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  
088820 -         Min            56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                    80  
088821 -       El Climb Ft     512                         364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                  1243  
088822 -       Temp Max         60                          61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                    61  
088823 -       Wind Max         07                          03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                     2  
088824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088826 -              https://flow.polar.com/training/analysis/8043396062                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088829 -               ..
088831 -   
088832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088835 -  ..
088836 - EKG at mile 11 time 1436 HR 121 temp 60, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088837 - Atrial Fibrillation... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088838 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088841 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088842 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250128-ecg-143654_mile_11_121_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088846 -  ..
088847 - EKG at mile 18 time 1708 HR 120 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088848 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088849 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088852 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088853 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250128-ecg-170809_mile_18_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088859 -  ..
088860 - End hike EKG at mile 22, time 1841 HR 118 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088861 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088862 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088865 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088866 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250128-ecg-184106_mile_22_118_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
088867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088870 -  ..
088871 - Post hike HR profile beginning 2006, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088872 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088873 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088874 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088875 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088878 -        ..
088879 -       Date      250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
088880 -       Time       2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
088881 -       Hours        12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
088882 -       HR AVG       68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
088883 -       HR MAX      130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
088884 -       HR Min       41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
088885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088887 -              https://flow.polar.com/training/analysis/8043770835                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088890 -  ..
088891 - HRV seems  10% 0 and   0% good and  90% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088894 -   
088895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088898 -  ..
088899 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088900 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088901 - Dinner - eggs steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088903 -  ..
088904 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088927 -         ..
088928 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088929 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088930 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088931 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088932 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088933 -   29.  250129 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088934 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088935 -               0725....BP HR..................................................... 155  94  80  Kardia ECG reports HR status, see below. ref SDS 0 WFX8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088936 -               0730....BP HR..................................................... 143  80  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088937 -               0735....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
088938 -               0735....80 437000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088939 -               1240....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088940 -               1240... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088941 -               1240... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088942 -               1240....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088943 -               1240....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088944 -               1240....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088945 -               1240....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
088946 -               1240... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088947 -               0000....
088948 -  ..
088949 -               1254....miles...........  19.0  41.0  328   707 minutes  temp  58 wind 09  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088950 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088951 -               1404....Tramadol 50 mg took 1 pill - embedded callus bottom right foot PL 3 and increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
088952 -               1436....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088953 -               1436....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088954 -               1436... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088955 -               1436... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
088956 -               1436... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088957 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088958 -               1500... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
088959 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088960 -               1708....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088961 -               1708....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088962 -               1708... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088963 -               1708... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
088964 -               1708... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
088965 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088966 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088967 -               1854... Hike ends mile 07... ref SDS 0 XTTP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
088968 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088969 -               1910....weight.................................... 183  up..  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
088970 -               1918....BP HR..................................................... 106  73 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088971 -               1925....BP HR..................................................... 102  75 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
088972 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088973 -               1920... 40 119520 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                                                                                                                                                                                                                                                                                  
088974 -             1 0000............ 10 21010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
088975 -             1 0000............ 10 21360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
088976 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088977 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088978 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
088979 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088980 -               2200... 1000 2362000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088981 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
088982 -               2330... 80 437080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088983 -               2340... 40 93720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
088984 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088987 -  ..
088988 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
088989 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
088991 -  ..
088992 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
088993 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
088994 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088995 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
088996 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
088998 -  ..
088999 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089000 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089002 -  ..
089003 - Reflux severe slept in chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089004 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089008 -  ..
089009 - Today, hiked 19 miles - injury right foot #1 and left foot calluses #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089010 - and #5 still hurting - took 1 Tramadol and 1 Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089011 - starting hike.  Did 5 mile semi-loop through South Concord streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089012 - Treat, Turtle Creek Road; continued on Ayers to Clayton Road, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089013 - West on Ygnacio Valley road 1 mile.  Turned East onto Pine Hollow for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089014 - 1.5 miles.  Hiked back and turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089015 - 1 mile.  At Ygnacio Valley Road turned around and hiked uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089016 - Visitor Parking at the College.  Did multiple loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089017 - buildings and through Faculty and Student parking.  Stopped at mile 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089018 - for EKG, meds, hydration, nutrition and took magnesium and CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089019 - energy and HDL.  Hiked through parking lots again.  Left college on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089020 - Campus Drive North downhill.  Crossed Ygnacio Valley Road at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089021 - light.  Continued downhill on Ayers heading North and bending East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089022 - Turned left onto Turtle Creek Road hiked North 2 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089023 - onto Treat heading West 1 mile to Cuneo and home.  Decided not to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089024 - longer route over summit at Ygnacio Valley Road and down to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089025 - Still fatigued and feet hurting from hike yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089029 -         ..
089030 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089031 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089032 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can occur with diabetes, variable heart rate - autonomic nervous system,  nd is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone, symptoms less severe today, and reduced by end of 22 miles but still very noticable                                                                                                                                                                                                                                                          
089033 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089034 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089035 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089036 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089037 -        Breathing ARDS...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089038 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089039 -        Spine below neck lifting left or right arm...   0        100  not a factor if head held steady and not raising arms, but very severe when turning head looking up or lifing arms                                                                                                                                                                                                                                                                                                                                                                                                                           
089040 -        Spine near tailbone..........................   0        100  Starting hike - on and off entire hike.  Last few miles seemed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089041 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089042 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
089043 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089044 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
089045 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089046 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
089047 -        Back.........................................   0        100  See spine above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089048 -        Hip right....................................   0        100  noticed on Cuneo starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
089049 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089050 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089051 -        Knee left meniscus...PRP 231121..............   1         20  see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089052 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089053 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089054 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089055 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089056 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
089057 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089058 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089059 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089060 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089061 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089062 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089063 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089064 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
089065 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089066 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089067 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                            
089068 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                            
089069 -  new   Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 250109 and switched to old orthotic inserts on 241105 - these helped - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                            
089070 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
089071 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089072 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089073 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
089074 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
089075 -        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                                                                                                                                                                                                                                                                                                                           
089076 -        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                                                                                                                                                                                                                                                                                                                                                                                    
089077 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089078 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
089079 -        Callus big toe left foot...PRP 210705........   4         20  Doctor Tang shaved calluses 251109 did not use Lidocane to remove more of callus - today did not apply neoprene cap - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                   e 18                                                                                                                                                                                                                                                                                                                  
089080 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 251109 - less blistering today, took 1 Tramado0 and 1 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes this callus was not painful entire hike                                                                                                                                                                                                                                                                                                                                     
089081 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089082 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
089083 -        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                                                                                                                                                                                                                                                                                                                                           
089084 -        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                                                                                                                                                                                                                                                                                                                                           
089085 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089086 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
089087 -        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                                                                                                                                                                                                                                                                                                                                                                                        
089088 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
089089 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
089090 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089091 -        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                                                                                                                                                                                                                                                                                                                                                              
089092 -  new   Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang cut out core of callus again on 240926 - turned out not to be complete solution - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                   e 18                                                                                                                                                                                                                                                                                                                                          
089093 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
089094 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089095 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089096 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - see Tramadol and Gabapentin below under Wobbly. ref SDS 0 WV8H                                                                                                                                                                                                                                                                                                                                                                                                                          
089097 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089098 -        Burning sensation both feet..................   0        100  no evident sensation during and after hike today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089099 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
089100 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - better after hiking to resolve rising symptoms - had mild electrical shocks bottom of feet this morning                                                                                                                                                                                                                                                                                                                                                                                                        
089101 -        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                                                                                                                                                                                                                                                                                                                                                                               
089102 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089103 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089104 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089105 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089106 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089107 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089108 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike
089109 -         ..
089110 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 00 and again mile 11 and only 0 Tramadol mile 16 and again at mile 00 - very loopy last 4 miles, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                               
089111 -        Wasted - very fatigued.......................   4         15  Significant loss energy despite taking magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089112 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089116 -  ..
089117 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089118 - 8 size 10 extra-wide.  First eyelets not laced, and first laces very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089119 - loose.  Did not use new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089120 - #4-#5 on both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089121 - Felt less lateral pressure both feet wearing 2 pair double ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089122 - but still difficult pain - had to end hike at 7 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089124 -  ..
089125 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089126 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089127 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089129 -  ..
089130 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089131 - dual-ply Wrightsocks socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089133 -  ..
089134 - Bandaging - did not use neoprene cap today on left foot #1 - helpful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089135 - for maybe 5 miles, then PL 5 rest of hike even with Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089136 - Gabapentin at mile 9.  Before starting hike applied small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089137 - dyclofenic gel which has Naproxen on left foot #1 and #5. May have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089138 - helped - no pain until mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089140 -  ..
089141 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089142 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089143 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089144 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089145 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089148 -  ..
089149 - Concord 19 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089150 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089151 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089152 - and also left hip.  Took Tramadol and Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089153 - because metatarsalgia pain in feet starting the hike, and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089154 - #1 PL 1, after falling on 241108 and next day on 241109, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089155 - study on 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089156 - both calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089157 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089158 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089159 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089160 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089161 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089162 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089163 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089164 - HDL.  Just before starting hike took Ubiquinol CoQ10; it is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089165 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089166 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089167 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089168 - ischemic colitis caused by statins and other drugs, also symptomatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089169 - of diabetes and atrial fibrillation (arrhythmia - variable heart rate)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089170 - see analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089171 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089172 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089173 - reach college and take more Tramadol and Gabapentin about mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089174 - today - actually did not seem to help today.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089175 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089176 - pins and needles - did not feel electrical shocks in balls of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089177 - this morning, as occurred on 250123, per above. ref SDS 0 VSTW  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089178 - about 1 mile feet calming down.  Bottom of both feet PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089179 - metatarsalgia pain, including left foot #5, which flared up on 240919.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089180 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089181 - indicating good condition despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089182 - Temperature started at 53, and reached 58.  East wind 09 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089183 - mostly 04 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089184 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089185 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089186 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089187 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089188 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089189 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089190 - asphalt pavement in parking lots of shopping complex.  Did not repeat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089191 - unusual HR spikes dropping 20+ points repeatedly, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089192 - yesterday during initial 3 miles of hike, per above. ref SDS 0 WYRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089193 - Continued hike and crossed Alberto Way at traffic light and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089194 - concrete sidewalk .5 miles.  Feeling strong - aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089195 - magnesium and CoQ10 - but did not last.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089196 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089197 - Since took 1 Tramadol and 1 Gabapentin starting hike not feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089198 - metatarsaltia pain in feet, and no pain on edges of feet #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089199 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089200 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089201 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089202 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089203 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089204 - left onto Pine Hollow.  About mile 05 at time 1404, right foot callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089205 - embedded below #4 PL 3 and increasing, so took another Tramadol, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089206 - above. ref SDS 0 XPPP  Continued hike 2.5 miles East to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089207 - Hollow.  Stopped mile 08 time 1513 temp 57 and wind 06 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089208 - uniform with some artifact.  Kardia reported HR 115 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089209 - below. ref SDS 0 XTQV  Both feet PL 1, right foot #1 fractured PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089210 - bottom below #2 embedded callus PL 1, Tailor's bunions PL 0, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089211 - #5 edge blister/callus PL 1 and #1 PL 3.  Left knee meniscus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089212 - left hamstring PL 0, lower back spine near tail bone PL 0, left hip PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089213 - 0.  No bloating so far.  Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089214 - for pain (...experiment test avoid seizure taking normal 2nd dose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089215 - Gabapentin...).  Took another (2nd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089216 - swallowed whole after EGD Dilation on 241126 1300, ref SDS 65 1X6F,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089217 - avoids capsule clogging LESV, as occurred last year on 240824, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089218 - case study. ref SDS 36 PPTU - this increases energy to hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089219 - prevents inflammation from suppressing liver producing HDL, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089220 - stimulates liver to produce HDL.  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089221 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089222 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089223 - avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089224 - energy to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089225 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089226 - pill, per above. ref SDS 0 TSYX  Hiked back 2.5 miles on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089227 - Turned left onto Campus Drive heading West uphill 3% grade hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089228 - mile with wind 03 mph.  Road bends North.  On reaching Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089229 - Road, turned around hiked on Campus Road South uphill .25 mile 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089230 - grade.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089231 - Bay Concord Campus.  Hiked loop around main buildings and through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089232 - Faculty and Student parking lots.  Back at Visitor Parking hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089233 - another loop around main campus buildings.  Stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089234 - Building mile 15 time 1708 temp 54 and wind 09 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089235 - with no artifact.  Kardia reported HR 119 Tachycardia, see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089236 - ref SDS 0 XTRW  Both feet metatarsalgia PL 3 and left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089237 - blister/callus PL 2 and #1 PL 4, right foot #1 injured by falls on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089238 - 241108 and 09 PL 3, spine below neck PL 3 intermittant.  Both ankles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089239 - PL 0.  Left knee meniscus PL 0, left hamstring PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089240 - 0, left elbow PL 0 intermitant.  Took 0 Tramadol 50 mg and 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089241 - Gabapentin 300 mg for pain (...experiment test avoid seizure reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089242 - Tramadol and Gabapentin...).  Took another (3rd) Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089243 - mg pill - swallowed whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089244 - clogging LESV, as as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089245 - ref SDS 36 PPTU  Magnesium provides energy for hiking, and reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089246 - inflammation, essential to raise HDL - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089247 - ref SDS 18 QP6L  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089248 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089249 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089250 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089251 - complete hike.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089252 - that ejects electrolytes, then despite extending hike over summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089253 - Ygnacio Valley Road, to save money, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089254 - pill, per above. ref SDS 0 XPPP  Hiked another loop through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089255 - lots and around main buildings.  Did this to compare with yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089256 - and went better - very fatigued on reaching 4th level parking lot, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089257 - less so than yesterday, i.e., did not nearly fall down, see the record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089258 - hiking ojn 250128, above. ref SDS 0 WYRS  Continued loop, and back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089259 - Visitor Parking exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089260 - Crossed Ygnacio Valley Road at stop light, continuing North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089261 - on Ayers.  Road bends East, at mile 16, turned left onto Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089262 - Road.  Hiked 2 miles North on Turtle Creek Road.  At mile 18, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089263 - left onto Treat heading West.  Continued 1 mile against heavy commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089264 - traffic, and crossed Cowell at stop light.  Turned onto Cuneo.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089265 - hike mile 19 time 1854 temp 51, wind 05; Both feet metatarsalgia PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089266 - and left foot #5 edge blister/callus PL 2 and #1 PL 4, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089267 - injured by falls on 241108 and 09 PL 1, spine below neck PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089268 - intermittant.  Both ankles PL 0.  Left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089269 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089270 - looks mostly uniform with some artifact.  Kardia reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089271 - Tachycardia, see below. ref SDS 0 XTTP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089280 -  ..
089281 - Kardia recorded HR 050 at 0749 Unclassified, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089282 - lengths with p-waves and no artifact, likely no AFL after hiking 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089283 - miles temp 60 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089284 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089285 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089286 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089289 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089290 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250129-ecg-074952_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089296 -  ..
089297 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089298 - hike 07 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089299 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089300 - ..
089301 -                                                                                                                                                                                                                                                                                                              x
089302 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089303 -                                                 x                           y                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089304 -       Date          250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 241128 241127 241126 241125 241124 241123 241122 241121 241120 241119 241118 241117 241116 241115 241114 241113 241112 241111 241110 24110  
089305 -       Miles            19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
089306 -       HR AVG          121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
089307 -         MAX           159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
089308 -         Min            75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61                                                                 
089309 -       El Climb Ft     497    512                         364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530                                                                 
089310 -       Temp Max         58     60                          61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59                                                                 
089311 -       Wind Max         09     07                          03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15                                                                 
089312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089314 -              https://flow.polar.com/training/analysis/8043396062                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089317 -               ..
089319 -   
089320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089323 -  ..
089324 - EKG at mile 08 time 1513 HR 115 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089325 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089326 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089329 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089330 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250129-ecg-151339_mile_08_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089334 -  ..
089335 - EKG at mile 15 time 1708 HR 119 temp 54, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089336 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089337 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089340 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089341 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250129-ecg-170814_mile_15_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089347 -  ..
089348 - End hike EKG at mile 19, time 1854 HR 115 temp 51 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089349 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089350 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089353 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089354 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250129-ecg-185418_mile_19_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089358 -  ..
089359 - Post hike HR profile beginning 2356, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089360 - hiking 19 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089361 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089362 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089363 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089366 -        ..
089367 -       Date      250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
089368 -       Time       2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
089369 -       Hours         6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
089370 -       HR AVG       64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
089371 -       HR MAX      136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
089372 -       HR Min       34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
089373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089375 -              https://flow.polar.com/training/analysis/8044317477                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089378 -  ..
089379 - HRV seems  00% 0 and  20% good and  80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089382 -   
089383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089386 -  ..
089387 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089388 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089389 - Dinner - tuna broccoli cauliflower onion mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089391 -  ..
089392 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089415 -         ..
089416 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089417 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089418 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089419 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089420 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089421 -   30.  250130 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089422 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089423 -               0715....BP HR..................................................... 140  86  68  Kardia ECG reports HR status, see below. ref SDS 0 RSVW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089424 -               0720....BP HR..................................................... 139  78  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089425 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089426 -               0725....80 437240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089427 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089428 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089429 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089430 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089431 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089432 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089433 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089434 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089435 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089436 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089437 -               1700... 40 119560 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                                                                                                                                                                                                                                                                                  
089438 -               1830............ 10 21020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089439 -               1830............ 10 21370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089440 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089441 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089442 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089443 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089444 -               2200... 1000 2363000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089445 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089446 -               2330... 80 437320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089447 -               2340... 40 93760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089448 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089451 -  ..
089452 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089453 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089455 -  ..
089456 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089457 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089458 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089459 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089460 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089462 -  ..
089463 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089464 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089466 -  ..
089467 - Reflux none - slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089468 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089473 -  ..
089474 - Kardia recorded HR 069 at 0839 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089475 - mostly uniform heart beat lengths with p-waves and artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089476 - AFL after hiking 19 miles temp 58 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089477 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089478 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089479 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089482 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089483 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250130-ecg-083900_mile_00_069_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089488 -  ..
089489 - Post hike HR profile beginning 1924, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089490 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089491 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089492 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089493 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089496 -        ..
089497 -       Date      250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
089498 -       Time       1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
089499 -       Hours        14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
089500 -       HR AVG       62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
089501 -       HR MAX      110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
089502 -       HR Min       40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
089503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089505 -              https://flow.polar.com/training/analysis/8045111198                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089508 -  ..
089509 - HRV seems  20% 0 and  80% good and  80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089512 -   
089513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089516 -  ..
089517 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089518 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089519 - Dinner - hamburger macaroni cheese broccoli cauliflower onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089521 -  ..
089522 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089546 -         ..
089547 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089548 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089549 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089550 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089551 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089552 -   31.  250131 0740............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089553 -               0745....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089554 -               0750....BP HR..................................................... 141  83  61  Kardia ECG reports HR status, see below. ref SDS 0 YSPX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089555 -               0755....BP HR..................................................... 135  73  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089556 -               0805....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089557 -               0805....80 437320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089558 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089559 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089560 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089561 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089562 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089563 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089564 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089565 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089566 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089567 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089568 -               1700... 40 119600 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                                                                                                                                                                                                                                                                                  
089569 -             1 0000............ 10 21020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089570 -             1 0000............ 10 21370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089571 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089572 -               2100... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089573 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089574 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089575 -               2200... 1000 2364000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089576 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089577 -               2330... 80 437400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089578 -               2340... 40 93800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089579 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089582 -  ..
089583 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089584 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089586 -  ..
089587 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089588 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089589 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089590 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089591 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089593 -  ..
089594 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089595 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089597 -  ..
089598 - Reflux severe slept in chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089599 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089603 -  ..
089604 - Kardia recorded HR 056 at 1111 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089605 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089606 - AFL after hiking 00 miles temp 60 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089607 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089608 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089609 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089612 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089613 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250131-ecg-111131_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089616 -  ..
089617 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089619 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089620 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250131-ecg-123415_mile_00_059_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089625 -  ..
089626 - Post hike HR profile beginning 1920, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089627 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089628 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089629 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089630 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089633 -        ..
089634 -       Date      250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
089635 -       Time       1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
089636 -       Hours        13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
089637 -       HR AVG       67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
089638 -       HR MAX      108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
089639 -       HR Min       38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
089640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089642 -              https://flow.polar.com/training/analysis/8045781118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089645 -  ..
089646 - HRV seems  20% 0 and  60% good and  20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089649 -   
089650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089653 -  ..
089654 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089655 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089656 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089658 -  ..
089659 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089680 -         ..
089681 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089682 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089683 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089684 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089685 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089686 -   32.  250201 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089687 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089688 -               0730....BP HR..................................................... 143  81  68  Kardia ECG reports HR status, see below. ref SDS 0 GUS3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089689 -               0735....BP HR..................................................... 143  84  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089690 -               0745....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089691 -               0745....80 437480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089692 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089693 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089694 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089695 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089696 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089697 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089698 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089699 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089700 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089701 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089702 -               1700... 40 119640 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                                                                                                                                                                                                                                                                                  
089703 -               1830............ 10 21030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089704 -               1830............ 10 21380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089705 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089706 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089707 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089708 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089709 -               2200... 1000 2365000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089710 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089711 -               2330... 80 437560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089712 -               2340... 40 93840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089713 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089716 -  ..
089717 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089718 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089720 -  ..
089721 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089722 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089723 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089724 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089725 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089727 -  ..
089728 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089729 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089731 -  ..
089732 - Reflux okay slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089733 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089738 -  ..
089739 - Kardia recorded HR 056 at 0928 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089740 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089741 - AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089742 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089743 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089744 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089747 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089748 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250201-ecg-092815_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089751 -  ..
089752 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089754 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089755 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250201-ecg-130625_mile_00_067_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089759 -  ..
089760 - Post hike HR profile beginning 2343, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089761 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089762 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089763 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089764 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089767 -        ..
089768 -       Date      250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
089769 -       Time       2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
089770 -       Hours         9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
089771 -       HR AVG       73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
089772 -       HR MAX      105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
089773 -       HR Min       46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
089774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089776 -              https://flow.polar.com/training/analysis/8046964457                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089779 -  ..
089780 - HRV seems 100% 0 and   0% good and   0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089783 -   
089784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089788 -  ..
089789 - Breakfast - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
089790 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089791 - Dinner - potato hamburger broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089793 -  ..
089794 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089815 -         ..
089816 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089817 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089818 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089819 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089820 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089821 -   33.  250202 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089822 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089823 -               0720....BP HR..................................................... 151  88  70  Kardia ECG reports HR status, see below. ref SDS 0 YUWS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089824 -               0725....BP HR..................................................... 157  92  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089825 -               0730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089826 -               0730....80 437640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089827 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089828 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089829 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089830 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089831 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089832 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089833 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089834 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089835 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089836 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089837 -               1700... 40 119680 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                                                                                                                                                                                                                                                                                  
089838 -             1 0000............ 10 21030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089839 -             1 0000............ 10 21380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089840 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089841 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089842 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089843 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089844 -               2200... 1000 2366000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089845 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089846 -               2330... 80 437720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089847 -               2340... 40 93880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089848 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089851 -  ..
089852 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089853 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089855 -  ..
089856 - Peripheral Neuropathy and/or PAD has decreased with less pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089857 - inflammation in toes down to heels, including in evening, when feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089858 - are elevated in reclining chair.  Toes and heels both feet feel and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089859 - look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089860 - today.  Did not need Gabapentin and later Tramadol to reduce symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089861 - in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089863 -  ..
089864 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089865 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089867 -  ..
089868 - Reflux severe slept in chair after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089869 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089874 -  ..
089875 - Kardia recorded HR 059 at 1014 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089876 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089877 - AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089878 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089879 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089880 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089883 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089884 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250202-ecg-101430_mile_00_059_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089889 -  ..
089890 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089891 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089892 - Dinner - tuna cottage cheese onion avocado asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089894 -  ..
089895 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089916 -         ..
089917 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089918 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089919 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089920 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089921 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089922 -   34.  250203 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089923 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089924 -               0720....BP HR..................................................... 150  89  76  Kardia ECG reports HR status, see below. ref SDS 0 YWPV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089925 -               0725....BP HR..................................................... 147  92  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
089926 -               0730....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089927 -               0730....80 437640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089928 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089929 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089930 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089931 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089932 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089933 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089934 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
089935 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
089936 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089937 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089938 -               1700... 40 119680 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                                                                                                                                                                                                                                                                                  
089939 -               1830............ 10 21030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
089940 -               1830............ 10 21380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
089941 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089942 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089943 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089944 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089945 -               2200... 1000 2366000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089946 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
089947 -               2330... 80 437720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089948 -               2340... 40 93880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
089949 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089952 -  ..
089953 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089954 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
089956 -  ..
089957 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089958 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089959 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089960 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089961 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089963 -  ..
089964 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089965 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089967 -  ..
089968 - Reflux mild slept in chair for several hours, then moved to bed after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089969 - EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089973 -  ..
089974 - Kardia recorded HR 070 at 00817Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
089975 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
089976 - AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089977 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089978 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
089979 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089982 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089983 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250203-ecg-081744_mile_00_070_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
089984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089987 -  ..
089988 - Post hike HR profile beginning 1947, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
089989 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
089990 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
089991 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
089992 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
089993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
089995 -        ..
089996 -       Date      250203  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
089997 -       Time       1947    2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
089998 -       Hours        12       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
089999 -       HR AVG       79      73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
090000 -       HR MAX      119     105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
090001 -       HR Min       48      46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
090002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090004 -              https://flow.polar.com/training/analysis/8047631915                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090007 -               ..
090009 -   
090010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090014 -  ..
090015 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090016 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090017 - Dinner - hot dog cottage cheese onion avocado asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090019 -  ..
090020 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090041 -         ..
090042 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090043 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090044 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090045 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090046 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090047 -   35.  250204 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090048 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090049 -               0725....BP HR..................................................... 153  89  68  Kardia ECG reports HR status, see below. ref SDS 0 YRTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090050 -               0730....BP HR..................................................... 157  92  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090051 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090052 -               0735....80 437640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090053 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090054 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090055 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090056 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090057 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090058 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090059 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090060 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090061 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090062 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090063 -               1700... 40 119680 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                                                                                                                                                                                                                                                                                  
090064 -             1 0000............ 10 21030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090065 -             1 0000............ 10 21380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090066 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090067 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090068 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090069 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090070 -               2200... 1000 2366000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090071 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090072 -               2330... 80 437720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090073 -               2340... 40 93880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090074 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090077 -  ..
090078 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090079 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090081 -  ..
090082 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090083 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090084 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090085 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090086 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090088 -  ..
090089 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090090 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090092 -  ..
090093 - Reflux mild slept in chair for several hours, then moved to bed after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090094 - EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090098 -  ..
090099 - Kardia recorded HR 063 at 0904 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090100 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090101 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090102 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090103 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090104 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090107 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090108 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250204-ecg-090403_mile_00_063_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090111 -  ..
090112 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090114 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090115 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250204-ecg-102018_mile_00_072_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090120 -  ..
090121 - Post hike HR profile beginning 2224, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090122 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090123 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090124 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090125 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090127 -       ..
090128 -                    e
090129 -       Date      250204  250203  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
090130 -       Time       2223    1947    2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
090131 -       Hours         9      12       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
090132 -       HR AVG       71      79      73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
090133 -       HR MAX      167     119     105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
090134 -       HR Min       45      48      46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
090135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090137 -              https://flow.polar.com/training/analysis/8048272908                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090140 -               ..
090142 -   
090143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090147 -  ..
090148 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090149 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090150 - Dinner - hot dog rice onion avocado asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090152 -  ..
090153 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090176 -         ..
090177 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090178 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090179 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090180 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090181 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090182 -   36.  250205 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090183 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090184 -               0725....BP HR..................................................... 151  78  59  Kardia ECG reports HR status, see below. ref SDS 0 YRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090185 -               0730....BP HR..................................................... 154  76  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090186 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090187 -               0735....80 437800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090188 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090189 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090190 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090191 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090192 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090193 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090194 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090195 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090196 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090197 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090198 -               1700... 40 119720 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                                                                                                                                                                                                                                                                                  
090199 -               1830............ 10 21040  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090200 -               1830............ 10 21390  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090201 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090202 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090203 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090204 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090205 -               2200... 1000 2367000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090206 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090207 -               2330... 80 437880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090208 -               2340... 40 93920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090209 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090212 -  ..
090213 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090214 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090216 -  ..
090217 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090218 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090219 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090220 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090221 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090223 -  ..
090224 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090225 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090227 -  ..
090228 - Reflux mild slept in chair for several hours, then moved to bed after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090229 - EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090233 -  ..
090234 - Kardia recorded HR 053 at 0801 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090235 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090236 - after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090237 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090238 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090239 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090242 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090243 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250205-ecg-080136_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090246 -  ..
090247 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090249 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090250 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250205-ecg-102847_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090255 -  ..
090256 - Post hike HR profile beginning 2010, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090257 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090258 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090259 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090260 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090263 -        ..
090264 -       Date      250205  250204  250203  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
090265 -       Time       2010    2223    1947    2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
090266 -       Hours        13       9      12       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
090267 -       HR AVG       66      71      79      73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
090268 -       HR MAX      119     167     119     105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
090269 -       HR Min       42      45      48      46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
090270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090272 -              https://flow.polar.com/training/analysis/8049026651                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090275 -               ..
090277 -   
090278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090281 -  ..
090282 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090283 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090284 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090286 -  ..
090287 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090310 -         ..
090311 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090312 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090313 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090314 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090315 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090316 -   37.  250206 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090317 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090318 -               0725....BP HR..................................................... 139  77  52  Kardia ECG reports HR status, see below. ref SDS 0 4TRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090319 -               0730....BP HR..................................................... 144  81  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090320 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090321 -               0735....80 437800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090322 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090323 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090324 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090325 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090326 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090327 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090328 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090329 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090330 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090331 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090332 -               1700... 40 119720 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                                                                                                                                                                                                                                                                                  
090333 -             1 0000............ 10 21040  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090334 -             1 0000............ 10 21390  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090335 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090336 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090337 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090338 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090339 -               2200... 1000 2367000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090340 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090341 -               2330... 80 437880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090342 -               2340... 40 93920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090343 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090346 -  ..
090347 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090348 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090350 -  ..
090351 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090352 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090353 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090354 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090355 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090357 -  ..
090358 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090359 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090361 -  ..
090362 - Reflux mild slept in chair for several hours, then moved to bed after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090363 - EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090367 -  ..
090368 - Kardia recorded HR 053 at 0936 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090369 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090370 - AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090371 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090372 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090373 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090376 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090377 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250206-ecg-093603_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090380 -  ..
090381 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090383 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090384 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250206-ecg-145937_mile_00_080_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090389 -  ..
090390 - Post hike HR profile beginning 1902, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090391 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090392 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090393 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090394 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090397 -        ..
090398 -       Date      250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
090399 -       Time       1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
090400 -       Hours         6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
090401 -       HR AVG       77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
090402 -       HR MAX      118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
090403 -       HR Min       44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
090404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090406 -              https://flow.polar.com/training/analysis/8049373148                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090409 -               ..
090411 -   
090412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090415 -  ..
090416 - Breakfast - pancakes milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090417 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090418 - Dinner - hamburger macaroni cheese broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090420 -  ..
090421 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090443 -         ..
090444 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090445 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090446 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090447 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090448 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090449 -   38.  250207 0120............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090450 -               0130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090451 -               0135....BP HR..................................................... 139  77  52  Kardia ECG reports HR status, see below. ref SDS 0 YUUT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090452 -               0140....BP HR..................................................... 144  81  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090453 -               0145....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090454 -               0145....80 437960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090455 -               0333....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090456 -               0333... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090457 -               0333... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090458 -               0333....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090459 -               0333....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090460 -               0333....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090461 -               0333....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090462 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
090463 -  ..
090464 -               0333....miles...........  14.0  14.0  246   246 minutes  temp  52 wind 07  rain 30% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090465 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090466 -               0526....mile 07 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090467 -               0000....Tramadol 50 mg took 1 pill - embedded callus bottom right foot PL 3 and increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090468 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090469 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090470 -               0526... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
090471 -               0526... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090472 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090473 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
090474 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090475 -               0000....mile 15 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090476 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090477 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090478 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
090479 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090480 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090481 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090482 -               0745... Hike ends mile 14... ref SDS 0 5VSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090483 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090484 -               0750....weight.................................... 181  up..  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090485 -               0755....BP HR..................................................... 106  73 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090486 -               0800....BP HR..................................................... 102  75 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090487 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090488 -               1700... 40 119760 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                                                                                                                                                                                                                                                                                  
090489 -               1830............ 10 21050  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090490 -               1830............ 10 21400  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090491 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090492 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090493 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090494 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090495 -               2200... 1000 2368000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090496 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090497 -               2330... 80 438040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090498 -               2340... 40 93960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090499 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090502 -  ..
090503 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090504 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090506 -  ..
090507 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090508 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090509 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090510 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090511 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090513 -  ..
090514 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090515 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090517 -  ..
090518 - Reflux mild slept in chair for several hours, then moved to bed after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090519 - EGD dilation on 241126 1300, ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090522 -  ..
090523 - Today, hiked 14 miles in San Francisco Golden Gate Park - took Tramdol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090524 - and Gabapentin for metatarsalgia feet pain; took Magnesium and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090525 - nutrition with CoQ10 -- begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090526 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090527 - Light rain started intermittantly.  Continued hike South 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090528 - Great Highway.  Turn East onto JFK through Golden Gate Park past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090529 - Buffalo compound, and Sprekles Lake.  At De Young museum mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090530 - continue past Conservatory near Nancy Pelosi Drive and continued to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090531 - Stanyon.  Turned North hiking uphill on Stanyon .5 mile.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090532 - onto Paramount and halfway downhill.  Stopped for nutrition and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090533 - hydration with no pain meds, and magnesium and CoQ10.  Hike back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090534 - hospital.  Left foot #5 and left knee okay with pain meds.  Hiked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090535 - for 7 miles.  Heavy rain about mile 9 to end of hike.  The 2nd 7 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090536 - back was difficult.  Barely managed to hike last 2 miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090537 - stopping to rest going uphill 5% grade on Great Highway from Ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090538 - Beach to Cliff House then on Point Lobos to 42nd and the hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090539 - breathing through mouth indicating decreased conditioning since doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090540 - same route on 240829, per above. ref SDS 36 QRXX  Very slow pace last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090541 - half mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090545 -         ..
090546 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090547 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090548 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
090549 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090550 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090551 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090552 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090553 -        Breathing ARDS...............................   3         30  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090554 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090555 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090556 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090557 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
090558 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090559 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
090560 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090561 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
090562 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090563 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090564 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090565 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090566 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
090567 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090568 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090569 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090570 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090571 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
090572 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090573 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090574 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090575 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090576 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090577 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090578 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090579 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
090580 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090581 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090582 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
090583 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
090584 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
090585 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
090586 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090587 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090588 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
090589 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
090590 -        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                                                                                                                                                                                                                                                                                                                           
090591 -        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                                                                                                                                                                                                                                                                                                                                                                                    
090592 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090593 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
090594 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
090595 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
090596 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090597 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
090598 -        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                                                                                                                                                                                                                                                                                                                                           
090599 -        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                                                                                                                                                                                                                                                                                                                                           
090600 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090601 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
090602 -        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                                                                                                                                                                                                                                                                                                                                                                                        
090603 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
090604 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
090605 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090606 -        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                                                                                                                                                                                                                                                                                                                                                              
090607 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
090608 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
090609 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090610 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090611 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
090612 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090613 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
090614 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
090615 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090616 -        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                                                                                                                                                                                                                                                                                                                                                                               
090617 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090618 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090619 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090620 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090621 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090622 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090623 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090624 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
090625 -        Wasted - very fatigued.......................   4         20  about mile 11 seemed unsuually fatigued despite taking magnesium & CoQ10 - legs did not feel fatibued breathed through nose, but lacked strength                                                                                                                                                                                                                                                                                                                                                                                         
090626 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090630 -  ..
090631 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090632 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090633 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090634 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090635 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090637 -  ..
090638 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090639 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090640 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090642 -  ..
090643 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090644 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090645 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090646 - today, but takes time to change socks, so did not change socks, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090647 - decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090649 -  ..
090650 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090651 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090652 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090653 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090654 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090657 -  ..
090658 - San Francisco 14 mile route, reported on 170519, ref SDS 8 WTRS - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090659 - Glucosamine Chondroitin for OA protection, mainly left knee treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090660 - with PRP intra articular injection 13 times, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090661 - 0701, ref SDS 18 TTPV, and also left hip.  Did not take Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090662 - pain and inflammation management to start hike, because it can cause                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090663 - colitis, including bloating.  At the hospital, before starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090664 - hike, took 1 Tramadol and took 1 Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090665 - because there is metatarsalgia pain in feet starting the hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090666 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090667 - shown in case study on 200101 0701. ref SDS 18 4W5K  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090668 - Complex that increases energy and neutralizes buildup of lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090669 - in muscles during exercise, and further reduces inflammation allowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090670 - HDL to increase - see research on 200101 0701. ref SDS 18 QP6L  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090671 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090672 - caused by taking statins and other drugs, also symptomatic of diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090673 - and colitis, see case study on 200101 0701. ref SDS 18 O33H  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090674 - bloated starting hike this morning.  Took backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090675 - good to build conditioning for Half Dome.  Temperature cold 41 and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090676 - wind.  Departed VAMCSF campus in dark at 0401.  Hiked slowly downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090677 - on 42nd Street to warm up.  Turned corner heading downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090678 - Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090679 - "Great Highway" going South along ocean beach.  Slight sprinkles of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090680 - rain - intermittent.  Pace picked up as magnesium triggered rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090681 - strength.  At mile 2 turned onto John F Kennedy (JFK) Drive entering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090682 - Golden Gate Park.  Maintained pace going slightly uphill into the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090683 - for .5 miles.  Said hello to early morning jogger going West -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090684 - normally this pass occurs nearer to the Highway 1 bridge, but today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090685 - was delayed 40 minutes by the man falling on Point Lobos.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090686 - corner and continued East on JFK.  Dark and with few widely spaced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090687 - street lights, cannot see the road.  Passed Buffalo compound, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090688 - Spreckles Lake.  Hiked past Lindley Meadow, then past Helman Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090689 - Both feet pain level 1.  Hiked under bridge at Crossover Drive (part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090690 - of highway 1 that goes to Golden Gate Bridge). - JFK is blocked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090691 - vehicle traffic the rest of the way through the park to Stanyon,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090692 - limiting attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090693 - coronavirus.  Now that the epidemic has been delcared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090694 - continues to deny access to drivers on JFK.  At mile 5, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090695 - Young Museum.  Still too early to encounter hikers and bikers heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090696 - in both directions.  Past Conservatory turned North onto Stanyon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090697 - Hiked uphill .25 mile to summit at Fulton.  Contined downhill few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090698 - blocks and turned left onto Paramount.  Stopped mile 7, time 0526,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090699 - temp 52, wind 02; EKG mostly uniform with artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090700 - HR 125 Tachycardia - see below. ref SDS 0 YVPT  Both feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090701 - burning sensation PL 0, right foot Tailor's bunions PL 0, bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090702 - forefoot below #4 PL 0, left foot #1 PL 2 and #5 blister/callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090703 - right foot #4 top blister/callus PL 0, without pediplasti spacer, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090704 - knee PL 2, and left hamstring PL 0.  Did not feel bloated.  Softddrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090705 - carried from home to help swallow Tramadol pain pill, and swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090706 - magnesium complex for energy, HDL, and to dissipate inflammation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090707 - swallow peanut butter, avocado, margarine.  Took CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090708 - HDL, per above. ref SDS 0 6T4G  A large group of bikers - seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090709 - 50 flew by.  Continued hiking West back toward ocean.  Stayed on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090710 - side against traffic (no actual vehicle traffic in park) going Eest.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090711 - Increased pace with endorphins rising.  Waterfall not running at 0650                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090712 - this morning, before hiking under Crossover Road bridge at highway 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090713 - Hiked past Hellman Hollow then Lindley Meadow, where 9 years ago, a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090714 - truck backed up because missed a turn, and struck Kathy's car; this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090715 - got her a new car, reported on 150729 0942. ref SDS 6 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090716 - hiking past Spreckles Lake, then saw 0 Buffalo grazing in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090717 - compound.  Crossed to North side of JFK going with traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090718 - corner and headed toward the ocean.  Turned North onto Great Highway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090719 - Hiked parallel to ocean toward the Cliff House and hospital.  Halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090720 - to Cliff House had liquid CoQ10 for energy.  Maintained pace hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090721 - steep hill - 5% - 6% grade.  Could not maintain breathing without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090722 - dyspnea today.  Breathed through mount last mile uphill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090723 - hospital, similar to hike on 240829, ref SDS 36 QTSP  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090724 - condition has degraded after not hiking to recover from cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090725 - ablation on 240611 - see Polar GPS/HR report on daily hiking in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090726 - record on ref SDS 36 UVYY  At the Cliff House, turned onto Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090727 - Avenue going East; hiked uphill for 1 mile.  Became very weak and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090728 - fatigued - had to slow pace by 60%, but continued hiking without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090729 - stopping to rest, same as yesterday, reported above. ref SDS 0 QXVT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090730 - Turned onto 42nd street and maintained pace going up final hill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090731 - VA campus, continued around the parking lot.  Ended hike mile 14, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090732 - 0745, temp 52 wind 02, feet PL 2, left foot #1 callus PL 1, #5 callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090733 - PL 1, right foot bottom forefoot below #4 Pl 0, left hamstring PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090734 - left knee PL 2, neck and right shoulder PL 0 (only when turning head                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090735 - or lifting right arm), left shoulder PL 0 - getting better.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090736 - variable with p-wave and artifact, reported HR 114 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090737 - below. ref SDS 0 5VSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090743 -  ..
090744 - Kardia EKG not recorded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090748 -  ..
090749 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090750 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090751 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090752 - ..
090753 -                                                                                                                                                                                                                                                                                                              x
090754 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090755 -                                          x      x                           yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090756 -       Date          250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 241128 241127 241126 241125 241124 241123 241122 241121 241120 241119 24111  
090757 -       Miles            14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
090758 -       HR AVG          124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
090759 -         MAX           150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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  
090760 -         Min            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                                      61  
090761 -       El Climb Ft     343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                     530         
090762 -       Temp Max         52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                      59         
090763 -       Wind Max         13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                      15         
090764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090766 -              https://flow.polar.com/training/analysis/8049619154                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090769 -               ..
090771 -   
090772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090776 -  ..
090777 - EKG at mile 07 time 0526 HR 125 temp 52, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090778 - Tachycardia... heart rate looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090779 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
090780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090782 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090783 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250207-ecg-052649_mile_07_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090788 -  ..
090789 - End hike EKG at mile 14, time 0745 HR 114 temp 52 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090790 - Unclassified... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090791 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090794 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090795 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250207-ecg-074514_mile_14_114_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090799 -  ..
090800 - Post hike HR profile beginning 1926, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090801 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090802 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090803 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090804 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090807 -        ..
090808 -       Date      250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
090809 -       Time       1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
090810 -       Hours        12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
090811 -       HR AVG       73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
090812 -       HR MAX      119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
090813 -       HR Min       49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
090814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090816 -              https://flow.polar.com/training/analysis/8050261952                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090819 -               ..
090821 -   
090822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090825 -  ..
090826 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090827 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090828 - Dinner - potato hamburger broccoli onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090830 -  ..
090831 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090857 -         ..
090858 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090859 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090860 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090861 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090862 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090863 -   39.  250208 0750............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090864 -               0800....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090865 -               0835....BP HR..................................................... 150  79  62  Kardia ECG reports HR status, see below. ref SDS 0 P8DU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090866 -               0840....BP HR..................................................... 143  83  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090867 -               0845....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090868 -               0845....80 438120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090869 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090870 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090871 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090872 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090873 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090874 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090875 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090876 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
090877 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090878 -               1700... 40 119800 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                                                                                                                                                                                                                                                                                  
090879 -             1 0000............ 10 21050  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
090880 -             1 0000............ 10 21400  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
090881 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090882 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090883 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090884 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090885 -               2200... 1000 2369000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090886 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090887 -               2330... 80 438200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090888 -               2340... 40 94000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090889 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090892 -  ..
090893 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090894 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090896 -  ..
090897 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090898 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090899 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090900 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090901 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090903 -  ..
090904 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
090905 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090907 -  ..
090908 - Reflux mild slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090909 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090912 -  ..
090913 - Kardia recorded HR 055 at 0810 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090914 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090915 - after hiking 14 miles temp 52 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
090916 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090917 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
090918 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090921 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090922 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250208-ecg-081003_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090925 -  ..
090926 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090929 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090930 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250208-ecg-093849_mile_00_072_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
090931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090934 -  ..
090935 - Post hike HR profile beginning 2123, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
090936 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
090937 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090938 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090939 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
090940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090942 -        ..
090943 -       Date      250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
090944 -       Time       2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
090945 -       Hours        11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
090946 -       HR AVG       65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
090947 -       HR MAX      117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
090948 -       HR Min       39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
090949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090951 -              https://flow.polar.com/training/analysis/8050984548                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
090952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090954 -               ..
090956 -   
090957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090959 -  ..
090960 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090961 - Lunch - tuna cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
090962 - Dinner - potato hamburger broccoli cauliflower onion mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
090964 -  ..
090965 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
090993 -         ..
090994 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
090995 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090996 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
090997 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
090998 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
090999 -   40.  250209 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091000 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091001 -               0735....BP HR..................................................... 163  90  56  Kardia ECG reports HR status, see below. ref SDS 0 PVSX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091002 -               0740....BP HR..................................................... 160  87  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091003 -               0745....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091004 -               0745....80 438280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091005 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091006 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091007 -               1150... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091008 -               1150....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091009 -               1150....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091010 -               1150....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091011 -               1150....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091012 -               1150... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
091013 -  ..
091014 -               1229....miles...........  20.0  34.0  323   569 minutes  temp  60 wind 05  rain 30% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091015 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091016 -               1441....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091017 -               1441....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091018 -               1441... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091019 -               1441... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
091020 -               1441... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091021 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091022 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
091023 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091024 -               1704....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091025 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091026 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091027 -               1704... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
091028 -               1704... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091029 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091030 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091031 -               1821... Hike ends mile 20... ref SDS 0 J2CN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091032 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091033 -               1830....weight.................................... 180  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091034 -               1845....BP HR..................................................... 112  73 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091035 -               1850....BP HR..................................................... 109  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091036 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091037 -               1900... 40 119840 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                                                                                                                                                                                                                                                                                  
091038 -               2020............ 10 21060  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091039 -               2020............ 10 21410  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091040 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091041 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091042 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091043 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091044 -               2200... 1000 2370000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091045 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091046 -               2330... 80 438360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091047 -               2340... 40 94040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091048 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091051 -  ..
091052 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091053 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091055 -  ..
091056 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091057 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091058 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091059 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091060 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091062 -  ..
091063 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091064 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091066 -  ..
091067 - Reflux mild slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091068 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091071 -  ..
091072 - Today, hiked 20 miles - Took Magnesium for energy and to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091073 - inflammation.  Was noticably bloated caused by variable heart beat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091074 - statins.  Tried Dycloflenac gel on left foot #1 and #5; did not wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091075 - neoprene sleeves.  Did 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091076 - - Treat, Turtle Creek Road.  Continued on Ayers East to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091077 - Then South to Clayton Road.  Turned West 1 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091078 - Road.  Turned East on Pine Hollow 2.5 miles, and past elementry school                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091079 - to end of Pine Hollow mile 08, for hydration, nutrition, pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091080 - energy meds.  Hiked back 2.5 miles.  Turned West onto Campus Drive 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091081 - mile.  At Ygnacio Valley Road turned around.  Hiked uphill 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091082 - Visitor Parking at the College.  Hiked laps around main buildings and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091083 - through parking lots.  Did EKG, pain meds, hydration and nutrition,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091084 - Hiked more loops through parking lots.  Headed North on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091085 - and turned left uphill 3% grade on Ygnacio Valley Road past Cowell to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091086 - summit.  Turned around hiking back, and turned left on Cowell North 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091087 - mile, turned left onto Treat - then right on Cuneo and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091088 - seizure-like episode with difficulty controlling speed as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091089 - weeks ago coming down Cowell.  Bloated entire hike and much less at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091090 - end of 20 miles - aligns with medical advice reported on 091217 0600.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091091 - ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091094 -         ..
091095 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091096 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091097 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
091098 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091099 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091100 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091101 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091102 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091103 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091104 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091105 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091106 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
091107 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091108 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
091109 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091110 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
091111 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091112 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091113 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091114 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091115 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
091116 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091117 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091118 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091119 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091120 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
091121 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091122 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091123 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091124 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091125 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091126 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091127 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091128 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
091129 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091130 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091131 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
091132 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
091133 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
091134 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
091135 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091136 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091137 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
091138 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
091139 -        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                                                                                                                                                                                                                                                                                                                           
091140 -        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                                                                                                                                                                                                                                                                                                                                                                                    
091141 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091142 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
091143 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
091144 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
091145 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091146 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
091147 -        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                                                                                                                                                                                                                                                                                                                                           
091148 -        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                                                                                                                                                                                                                                                                                                                                           
091149 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091150 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
091151 -        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                                                                                                                                                                                                                                                                                                                                                                                        
091152 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
091153 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
091154 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091155 -        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                                                                                                                                                                                                                                                                                                                                                              
091156 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
091157 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
091158 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091159 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091160 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
091161 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091162 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
091163 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
091164 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091165 -        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                                                                                                                                                                                                                                                                                                                                                                               
091166 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091167 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091168 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091169 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091170 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091171 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091172 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091173 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 0 Gabapentin mile 10 and only 0 Tramadol mile 00 and again at mile 00 - was not loopy 4 hours after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                 
091174 -        Wasted - very fatigued.......................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091175 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091179 -  ..
091180 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091181 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091182 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091183 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091184 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091186 -  ..
091187 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091188 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091189 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091191 -  ..
091192 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091193 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091194 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091195 - today, but takes time to change socks, so did not change socks, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091196 - decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091198 -  ..
091199 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091200 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091201 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091202 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091203 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091206 -  ..
091207 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091208 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091209 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091210 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091211 - management, because metatarsalgia pain in feet PL 0 starting hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091212 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091213 - shown in case study on 200101 0701. ref SDS 18 4W5K  Similarly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091214 - foot #1 and #5 both calluses PL 1, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091215 - 250109 0830. ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091216 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091217 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091218 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091219 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091220 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091221 - and margarine, and chia seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091222 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091223 - per above. ref SDS 0 KN5C  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091224 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091225 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091226 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091227 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091228 - and atrial fibrillation (arrhythmia - variable heart rate) see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091229 - analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091230 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091231 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091232 - reach college and take Tramadol and Gabapentin about mile 08 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091233 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091234 - feeling swelled and like pins and needles - felt electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091235 - balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091236 - taking statins, and by diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091237 - calming down.  Bottom of both feet PL 0 with metatarsalgia pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091238 - including left foot #5, which flared up on 240919, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091239 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091240 - indicating good condition despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091241 - Temperature started at 59, and reached 60.  East wind 05 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091242 - mostly 03 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091243 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091244 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091245 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091246 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091247 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091248 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091249 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091250 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091251 - Feeling good - aligns with taking magnesium and CoQ10.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091252 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091253 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091254 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091255 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091256 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091257 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091258 - Valley Road; turned left and hiked 2.50 miles East on Pine Hollow past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091259 - Diablo Elementary school and to end of Pine Hollow.  Like every school                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091260 - day, there were many parents waiting to collect their child when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091261 - school ends to drive home.  At end of Pine Hollow stopped mile 08 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091262 - 1441 temp 56 and wind 04 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091263 - Kardia reported HR 127 Tachycardia - see below. ref SDS 0 F8XB  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091264 - feet PL 2, right foot #1 fractured PL 0, Tailor's bunions PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091265 - foot #5 edge blister/callus PL 1 and #1 PL 2, Left knee meniscus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091266 - left hamstring PL 0, lower back spine near tail bone PL 0, left hip PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091267 - 0.  Bloating after not taking Simethicone PL 2.  Took 1 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091268 - and 1 Gabapentin 300 mg for pain.  Took another (2nd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091269 - complex 300 mg pill - swallowed whole after EGD Dilation on 241126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091270 - 1300, ref SDS 65 1X6F, avoids capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091271 - year on 240824, see case study. ref SDS 36 PPTU; Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091272 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091273 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091274 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091275 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091276 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091277 - not take Nuun electrolyte pill, per above. ref SDS 0 PSUX  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091278 - 2.5 miles.  Turned left onto Campus Drive heading West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091279 - hiked 1 mile with wind 02 mph.  The road bends North.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091280 - Ygnacio Valley Road turned around and hiked uphill .25 mile 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091281 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091282 - Concord Campus.  Hiked loop around main buildings, and then 3 loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091283 - through Faculty and Student parking lots.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091284 - stopped at Administration Building mile 16 time 1704 temp 56 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091285 - 05 mph; EKG looks uniform with some artifact.  Kardia reported HR 129                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091286 - Tachycardia - see below. ref SDS 0 V3LQ  Both feet PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091287 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091288 - blister/callus PL 1 and #1 PL 2.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091289 - hamstring PL 0, lower back PL 0, left hip PL 0.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091290 - 50 mg and Gabapentin 300 mg for pain.  Took another (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091291 - complex 300 mg pill - swallowed whole after EGD Dilation on 241126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091292 - 1300, ref SDS 65 1X6F, avoids capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091293 - year on 240824, see case study. ref SDS 36 PPTU  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091294 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091295 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091296 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091297 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091298 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091299 - not take Nuun electrolyte pill, per above. ref SDS 0 PSUX  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091300 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091301 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091302 - continued past Crystal Ranch Road uphill 3% grade .5 miles with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091303 - 04 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091304 - to North side Ygnacio Valley Road to avoid severe camber.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091305 - West .5 mile to summit.  At mile 18 end of concrete traffic barrier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091306 - turned around.  Hiked back and turned left onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091307 - .25 miles using asphalt shoulder downhill 5% grade - left hip PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091308 - then flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091309 - oncoming commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091310 - miles back to Cuneo then home.  Ended hike mile 20 time 1821 temp 51,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091311 - wind 03, Both feet metatarsalgia PL 3 and right foot callus underneath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091312 - skin and 1" below metatarsal #4 PL 0, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091313 - splints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091314 - blister/callus PL 2 and #1 PL 2, right foot #1 injured by falls on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091315 - 241108 and 09 PL 1, right foot #4 top blister/callus PL 0.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091316 - ankles PL 2.  Left knee meniscus PL 0, left hamstring PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091317 - shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091318 - right shoulder PL 0 intermittantly, lower back left side PL 0, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091319 - uniform with some artifact, Kardia reported HR 128 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091320 - below. ref SDS 0 J2CN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091327 -  ..
091328 - Kardia recorded HR 053 at 0915 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091329 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091330 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091331 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091332 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091333 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091336 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091337 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250209-ecg-091530_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091342 -  ..
091343 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091344 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091345 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091346 - ..
091347 -                                                                                                                                                                                                                                                                                                              x
091348 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091349 -                                          x      x                           yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091350 -       Date          250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 241128 241127 241126 241125 241124 241123 241122 241121 24112  
091351 -       Miles            20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
091352 -       HR AVG          130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
091353 -         MAX           147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
091354 -         Min            70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                                                            
091355 -       El Climb Ft     582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                                                                   
091356 -       Temp Max         60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                                                                   
091357 -       Wind Max          5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                                                                   
091358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091360 -              https://flow.polar.com/training/analysis/8051199542                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091363 -               ..
091365 -   
091366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091370 -  ..
091371 - EKG at mile 08 time 1441 HR 127 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091372 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091373 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091376 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091377 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250209-ecg-144128_mile_08_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091382 -  ..
091383 - EKG at mile 16 time 1704 HR 129 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091384 - Tachycardia... heart rate looks uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091385 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091388 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091389 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250209-ecg-170456_mile_16_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091394 -  ..
091395 - End hike EKG at mile 20, time 1821 HR 128 temp 51 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091396 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091397 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091400 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091401 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250209-ecg-182120_mile_20_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091405 -  ..
091406 - Post hike HR profile beginning 2001, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091407 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091408 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091409 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091410 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091413 -        ..
091414 -       Date      250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
091415 -       Time       2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
091416 -       Hours        13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
091417 -       HR AVG       74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
091418 -       HR MAX      156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
091419 -       HR Min       39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
091420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091422 -              https://flow.polar.com/training/analysis/8051619226                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091425 -               ..
091427 -   
091428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091431 -  ..
091432 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091433 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091434 - Dinner - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091436 -  ..
091437 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091467 -         ..
091468 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091469 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091470 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091471 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091472 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091473 -   41.  250210 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091474 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091475 -               0735....BP HR..................................................... 149  83  59  Kardia ECG reports HR status, see below. ref SDS 0 GN2Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091476 -               0740....BP HR..................................................... 141  85  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091477 -               0745....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091478 -               0745....80 438440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091479 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091480 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091481 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091482 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091483 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091484 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091485 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091486 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091487 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091488 -               1900... 40 119880 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                                                                                                                                                                                                                                                                                  
091489 -             1 0000............ 10 21060  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091490 -             1 0000............ 10 21410  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091491 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091492 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091493 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091494 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091495 -               2200... 1000 2371000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091496 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091497 -               2330... 80 438520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091498 -               2340... 40 94080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091499 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091502 -  ..
091503 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091504 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091506 -  ..
091507 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091508 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091509 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091510 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091511 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091513 -  ..
091514 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091515 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091517 -  ..
091518 - Reflux mild slept in bed after EGD dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091519 - ref SDS 65 1X6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091523 -  ..
091524 - Kardia recorded HR 056 at 1113 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091525 - lengths with p-waves and some artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091526 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091527 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091528 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091529 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091532 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091533 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250210-ecg-111312_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091537 -  ..
091538 - Post hike HR profile beginning 1941, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091539 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091540 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091541 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091542 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091545 -        ..
091546 -       Date      250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
091547 -       Time       1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
091548 -       Hours         9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
091549 -       HR AVG       65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
091550 -       HR MAX      151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
091551 -       HR Min       45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
091552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091554 -              https://flow.polar.com/training/analysis/8052117739                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091557 -               ..
091559 -   
091560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091563 -  ..
091564 - Breakfast - cream of wheat rasins toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091565 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091566 - Dinner - tuna broccoli onioni cottage cheese fritos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091568 -  ..
091569 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091600 -         ..
091601 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091602 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091603 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091604 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091605 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091606 -   42.  250211 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091607 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091608 -               0650....BP HR..................................................... 149  83  59  Kardia ECG reports HR status, see below. ref SDS 0 7SRT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091609 -               0655....BP HR..................................................... 139  78  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091610 -               0700....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091611 -               0700....80 438600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091612 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091613 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091614 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091615 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091616 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091617 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091618 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091619 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091620 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091621 -               1700... 40 119920 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                                                                                                                                                                                                                                                                                  
091622 -               1830............ 10 21070  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091623 -               1830............ 10 21420  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091624 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091625 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091626 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091627 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091628 -               2200... 1000 2372000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091629 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091630 -               2330... 80 438680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091631 -               2340... 40 94120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091632 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091635 -  ..
091636 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091637 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091639 -  ..
091640 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091641 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091642 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091643 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091644 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091646 -  ..
091647 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091648 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091650 -  ..
091651 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091652 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091656 -  ..
091657 - Kardia recorded HR 062 at 0515 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091658 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091659 - AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091660 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091661 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091662 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091665 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091666 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250211-ecg-051540_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091671 -  ..
091672 - Post hike HR profile beginning 2141, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091673 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091674 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091675 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091676 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091679 -        ..
091680 -       Date      250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
091681 -       Time       2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
091682 -       Hours         7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
091683 -       HR AVG       81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
091684 -       HR MAX      125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
091685 -       HR Min       61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
091686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091688 -              https://flow.polar.com/training/analysis/8052864044                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091691 -               ..
091693 -   
091694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091697 -  ..
091698 - Breakfast - NPR for EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091699 - Lunch - Arbies beef sandwich - half and fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091700 - Dinner - Arbies beef sandwich - half fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091702 -  ..
091703 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091735 -         ..
091736 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091737 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091738 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091739 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091740 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091741 -   43.  250212 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091742 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091743 -               0720....BP HR..................................................... 149  83  59  Kardia ECG reports HR status, see below. ref SDS 0 8QYM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091744 -               0725....BP HR..................................................... 141  81  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091745 -               0730....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091746 -               0730....80 438760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091747 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091748 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091749 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091750 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091751 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091752 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091753 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091754 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091755 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091756 -               1700... 40 119960 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                                                                                                                                                                                                                                                                                  
091757 -             1 0000............ 10 21070  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091758 -             1 0000............ 10 21420  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091759 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091760 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091761 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091762 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091763 -               2200... 1000 2373000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091764 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091765 -               2330... 80 438840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091766 -               2340... 40 94160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091767 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091770 -  ..
091771 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091772 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091774 -  ..
091775 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091776 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091777 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091778 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091779 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091781 -  ..
091782 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091783 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091785 -  ..
091786 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091787 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091792 -  ..
091793 - Kardia recorded HR 070 at 0734 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091794 - lengths with p-waves and much artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091795 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091796 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091797 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091798 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091801 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091802 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250212-ecg-073442_mile_00_070_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091805 -  ..
091806 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091809 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091810 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250212-ecg-084610_mile_00_077_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091813 -  ..
091814 - Post hike HR profile beginning 1955, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091815 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091816 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091817 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091818 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091821 -        ..
091822 -       Date      250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
091823 -       Time       1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
091824 -       Hours        13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
091825 -       HR AVG       74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
091826 -       HR MAX      127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
091827 -       HR Min       42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
091828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091830 -              https://flow.polar.com/training/analysis/8053601849                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091833 -               ..
091835 -   
091836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091839 -  ..
091840 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091841 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091842 - Dinner - rice hamburger broccoli onion mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091844 -  ..
091845 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091877 -         ..
091878 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091879 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091880 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091881 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091882 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091883 -   44.  250213 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091884 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091885 -               0715....BP HR..................................................... 144  76  61  Kardia ECG reports HR status, see below. ref SDS 0 HVP2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091886 -               0720....BP HR..................................................... 147  80  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091887 -               0730....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091888 -               0730....80 438920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091889 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091890 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091891 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091892 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091893 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091894 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091895 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
091896 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
091897 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091898 -               1700... 40 120000 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                                                                                                                                                                                                                                                                                  
091899 -               1830............ 10 21080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
091900 -               1830............ 10 21430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
091901 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091902 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091903 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091904 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091905 -               2200... 1000 2374000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091906 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091907 -               2330... 80 439000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091908 -               2340... 40 94200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091909 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091912 -  ..
091913 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091914 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091916 -  ..
091917 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091918 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091919 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091920 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091921 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091923 -  ..
091924 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
091925 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091927 -  ..
091928 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091929 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091934 -  ..
091935 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091939 -  ..
091940 - Post hike HR profile beginning 2226, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091941 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
091942 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091943 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
091944 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
091945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091947 -        ..
091948 -       Date      250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
091949 -       Time       2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
091950 -       Hours         9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
091951 -       HR AVG       70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
091952 -       HR MAX      113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
091953 -       HR Min       44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
091954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091956 -              https://flow.polar.com/training/analysis/8054164465                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091959 -               ..
091961 -   
091962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091965 -  ..
091966 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091967 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091968 - Dinner - rice hamburger broccoli onion mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091970 -  ..
091971 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
091972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092001 -         ..
092002 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092003 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092004 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092005 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092006 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092007 -   45.  250214 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092008 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092009 -               0725....BP HR..................................................... 157  98  63  Kardia ECG reports HR status, see below. ref SDS 0 QWRU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092010 -               0730....BP HR..................................................... 152  93  66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092011 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092012 -               0735....80 439080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092013 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092014 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092015 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092016 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092017 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092018 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092019 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092020 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092021 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092022 -               1700... 40 120040 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                                                                                                                                                                                                                                                                                  
092023 -             1 0000............ 10 21080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092024 -             1 0000............ 10 21430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092025 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092026 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092027 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092028 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092029 -               2200... 1000 2375000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092030 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092031 -               2330... 80 439160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092032 -               2340... 40 94240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092033 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092036 -  ..
092037 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092038 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092040 -  ..
092041 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092042 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092043 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092044 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092045 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092047 -  ..
092048 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092049 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092051 -  ..
092052 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092053 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092056 -  ..
092057 - Kardia recorded HR 055 at 0800 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092058 - mostly variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092059 - no AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092060 - on 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092061 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092062 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092065 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092066 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250214-ecg-082005_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092069 -  ..
092070 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092073 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092074 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250214-ecg-092435_mile_00_067_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092078 -  ..
092079 - Post hike HR profile beginning 2025, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092080 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092081 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092082 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092083 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092086 -        ..
092087 -       Date      250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
092088 -       Time       2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
092089 -       Hours        11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
092090 -       HR AVG       64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
092091 -       HR MAX      116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
092092 -       HR Min       43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
092093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092095 -              https://flow.polar.com/training/analysis/8054768133                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092098 -               ..
092100 -   
092101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092104 -  ..
092105 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092106 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092107 - Dinner - rice hamburger broccoli onion mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092109 -  ..
092110 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092140 -         ..
092141 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092142 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092143 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092144 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092145 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092146 -   46.  250215 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092147 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092148 -               0720....BP HR..................................................... 158  91  69  Kardia ECG reports HR status, see below. ref SDS 0 CE8A                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092149 -               0725....BP HR..................................................... 151  88  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092150 -               0730....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092151 -               0730....80 439080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092152 -               1005....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092153 -               1005... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092154 -               1005... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092155 -               1005....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092156 -               1005....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092157 -               1005....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092158 -               1005....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092159 -               1005... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
092160 -  ..
092161 -               1025....miles...........  20.0  20.0  319   319 minutes  temp  69 wind 04  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092162 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092163 -               1235....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092164 -               1235....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092165 -               1235... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092166 -               1235... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
092167 -               1235... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092168 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092169 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
092170 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092171 -               1429....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092172 -               1429....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092173 -               1429... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092174 -               1429... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
092175 -               1429... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092176 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092177 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092178 -               1821... Hike ends mile 20... ref SDS 0 J2CN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092179 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092180 -               1830....weight.................................... 180  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092181 -               1845....BP HR..................................................... 112  73 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092182 -               1850....BP HR..................................................... 109  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092183 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092184 -               1700... 40 120040 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                                                                                                                                                                                                                                                                                  
092185 -               1830............ 10 21080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092186 -               1830............ 10 21430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092187 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092188 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092189 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092190 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092191 -               2200... 1000 2375000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092192 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092193 -               2330... 80 439160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092194 -               2340... 40 94240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092195 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092198 -  ..
092199 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092200 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092202 -  ..
092203 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092204 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092205 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092206 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092207 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092209 -  ..
092210 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092211 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092213 -  ..
092214 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092215 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092218 -  ..
092219 - Today, hiked 20 miles - Took Magnesium for energy and to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092220 - inflammation.  Was noticably bloated caused by variable heart beat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092221 - statins.  Tried Dycloflenac gel on left foot #1 and #5; did not wear                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092222 - neoprene sleeves.  Did 5 mile semi-loop through South Concord streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092223 - - Treat, Turtle Creek Road.  Continued on Ayers East to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092224 - Then South to Clayton Road.  Turned West 1 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092225 - Road.  Turned East on Pine Hollow 2.5 miles, and past elementry school                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092226 - to end of Pine Hollow mile 08.  Stopped for hydration, nutrition, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092227 - and energy meds.  Hiked back 2.5 miles.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092228 - 1 mile.  At Ygnacio Valley Road turned around.  Hiked uphill 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092229 - to Visitor Parking at the College.  Hiked laps around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092230 - and through parking lots.  Did EKG, pain meds, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092231 - nutrition, Hiked more loops through parking lots.  Headed North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092232 - Campus Drive and turned left uphill 3% grade on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092233 - past Cowell to summit.  Turned around hiking back, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092234 - onto Cowell North 1 mile, turned left onto Treat - then right on Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092235 - and home.  No seizure-like episode with difficulty controlling speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092236 - as occurred weeks ago coming down Cowell.  Bloated entire hike and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092237 - much less at end of 20 miles - aligns with medical advice reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092238 - 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092241 -         ..
092242 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092243 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092244 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
092245 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092246 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092247 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092248 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092249 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092250 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092251 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092252 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092253 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
092254 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092255 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
092256 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092257 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
092258 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092259 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092260 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092261 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092262 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
092263 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092264 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092265 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092266 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092267 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
092268 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092269 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092270 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092271 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092272 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092273 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092274 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092275 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
092276 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092277 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092278 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
092279 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
092280 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
092281 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
092282 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092283 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092284 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
092285 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
092286 -        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                                                                                                                                                                                                                                                                                                                           
092287 -        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                                                                                                                                                                                                                                                                                                                                                                                    
092288 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092289 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
092290 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
092291 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
092292 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092293 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
092294 -        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                                                                                                                                                                                                                                                                                                                                           
092295 -        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                                                                                                                                                                                                                                                                                                                                           
092296 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092297 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
092298 -        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                                                                                                                                                                                                                                                                                                                                                                                        
092299 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
092300 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
092301 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092302 -        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                                                                                                                                                                                                                                                                                                                                                              
092303 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
092304 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
092305 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092306 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092307 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
092308 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092309 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
092310 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
092311 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092312 -        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                                                                                                                                                                                                                                                                                                                                                                               
092313 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092314 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092315 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092316 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092317 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092318 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092319 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092320 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol and 1 Gabapentin mile 08, and mile 14 - was not loopy after ending hike, and no seizure symptoms                                                                                                                                                                                                                                                                                                                                                                                                                             
092321 -        Wasted - very fatigued.......................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092322 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092326 -  ..
092327 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092328 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092329 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092330 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092331 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092333 -  ..
092334 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092335 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092336 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092338 -  ..
092339 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092340 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092341 - and #5 that has been causing blisters and calluses.  Worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092342 - today, but takes time to change socks, so did not change socks, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092343 - decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092345 -  ..
092346 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092347 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092348 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092349 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092350 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092353 -  ..
092354 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092355 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092356 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092357 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092358 - management, because metatarsalgia pain in feet PL 0 starting hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092359 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092360 - shown in case study on 200101 0701. ref SDS 18 4W5K  Similarly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092361 - foot #1 and #5 both calluses PL 1, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092362 - 250109 0830. ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092363 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092364 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092365 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092366 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092367 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092368 - and margarine, and chia seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092369 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092370 - per above. ref SDS 0 KN5C  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092371 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092372 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092373 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092374 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092375 - and atrial fibrillation (arrhythmia - variable heart rate) see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092376 - analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092377 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092378 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092379 - reach college and take Tramadol and Gabapentin about mile 08 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092380 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092381 - feeling swelled and like pins and needles - felt electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092382 - balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092383 - taking statins, and by diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092384 - calming down.  Bottom of both feet PL 0 with metatarsalgia pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092385 - including left foot #5, which flared up on 240919, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092386 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092387 - indicating good condition despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092388 - Temperature started at 59, and reached 60.  East wind 05 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092389 - mostly 03 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092390 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092391 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092392 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092393 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092394 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092395 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092396 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092397 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092398 - Feeling good - aligns with taking magnesium and CoQ10.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092399 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092400 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092401 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092402 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092403 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092404 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092405 - Valley Road; turned left and hiked 2.50 miles East on Pine Hollow past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092406 - Diablo Elementary school and to end of Pine Hollow.  At end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092407 - Hollow stopped mile 08 time 1235 temp 58 and wind 04 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092408 - uniform with no artifact.  Kardia reported HR 127 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092409 - below. ref SDS 0 QYQW  Both feet PL 2, right foot #1 fractured PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092410 - Tailor's bunions PL 0, left foot #5 edge blister/callus PL 1 and #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092411 - 1, Left knee meniscus PL 2, left hamstring PL 0, lower back spine near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092412 - tail bone PL 0, left hip PL 0.  Bloating after not taking Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092413 - PL 2.  Took 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092414 - another (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092415 - EGD Dilation to 19.5 on 250211 0830, ref SDS 73 433O, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092416 - clogging LESV, as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092417 - ref SDS 36 PPTU; Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092418 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092419 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092420 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092421 - complete hike.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092422 - that ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092423 - above. ref SDS 0 QUUR  Hiked back 2.5 miles.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092424 - Drive heading West uphill 3% grade hiked 1 mile with wind 02 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092425 - road bends North.  On reaching Ygnacio Valley Road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092426 - hiked uphill .25 mile 5% grade.  Reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092427 - State University East Bay Concord Campus.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092428 - buildings, and then 1 loop through Faculty and Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092429 - Back at Visitor Parking stopped at Administration Building mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092430 - time 1429 temp 62 and wind 00 mph; EKG looks variable with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092431 - Kardia reported HR 180, Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092432 - ref SDS 0 QYRY  Bloating PL 4.  Both feet PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092433 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092434 - blister/callus PL 1 and #1 PL 2.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092435 - hamstring PL 0, lower back PL 0, left hip PL 0.  Took Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092436 - and Gabapentin 300 mg for pain.  Took another (3rd) Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092437 - 300 mg pill - swallowed whole after EGD Dilation on 241126 1300,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092438 - ref SDS 65 1X6F, avoids capsule clogging LESV, as occurred last year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092439 - on 240824, see case study. ref SDS 36 PPTU  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092440 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092441 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092442 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092443 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092444 - 80, reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092445 - electrolyte pill, per above. ref SDS 0 QUUR  Did another loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092446 - Faculty and Study parking.  Back at Visitor Parking, exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092447 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092448 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092449 - continued past Crystal Ranch Road uphill 3% grade .5 miles with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092450 - 04 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092451 - to North side Ygnacio Valley Road to avoid severe camber.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092452 - West .5 mile to summit.  At mile 18 end of concrete traffic barrier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092453 - turned around.  Hiked back and turned left onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092454 - .25 miles using asphalt shoulder downhill 5% grade - left hip PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092455 - then flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092456 - oncoming commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092457 - miles back to Cuneo then home.  Ended hike mile 20 time 1611 temp 61,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092458 - wind 06, Both feet metatarsalgia PL 3 and right foot callus underneath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092459 - skin and 1" below metatarsal #4 PL 2, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092460 - splints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092461 - blister/callus PL 2 and #1 PL 2, right foot #1 injured by falls on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092462 - 241108 and 09 PL 1, right foot #4 top blister/callus PL 0.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092463 - ankles PL 2.  Left knee meniscus PL 1, left hamstring PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092464 - shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092465 - right shoulder PL 0 intermittantly, lower back left side PL 0, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092466 - variable with some artifact, Kardia reported HR 127 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092467 - Fibrillation - see below. ref SDS 0 QBTP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092474 -  ..
092475 - Kardia recorded HR 072 at 0713 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092476 - mostly variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092477 - no AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092478 - on 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092479 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092480 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092483 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092484 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250215-ecg-071308_mile_00_072_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092488 -  ..
092489 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092490 - hike 29 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092491 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092492 - ..
092493 -                                                                                                                                                                                                                                                                                                              x
092494 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092495 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092496 -       Date          250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 241128 241127 24112  
092497 -       Miles            20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
092498 -       HR AVG          132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
092499 -         MAX           154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
092500 -         Min            56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                                  
092501 -       El Climb Ft     484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                         
092502 -       Temp Max         69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                         
092503 -       Wind Max          4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                         
092504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092506 -              https://flow.polar.com/training/analysis/8055002133                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092509 -               ..
092511 -   
092512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092516 -  ..
092517 - EKG at mile 08 time 1235 HR 127 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092518 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092519 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092522 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092523 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250215-ecg-123550_mile_08_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092528 -  ..
092529 - EKG at mile 14 time 1429 HR 180 temp 62, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092530 - Atrial Fibrillation... heart rate looks variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092531 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092534 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092535 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250215-ecg-142957_mile_14_180_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092540 -  ..
092541 - End hike EKG at mile 20, time 1611 HR 127 temp 61 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092542 - Possible Atrial Fibrillation...  looks variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092543 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092546 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092547 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250215-ecg-161133_mile_20_127_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092551 -  ..
092552 - Post hike HR profile beginning 2059, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092553 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092554 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092555 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092556 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092559 -        ..
092560 -       Date      250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
092561 -       Time       2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
092562 -       Hours        11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
092563 -       HR AVG       64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
092564 -       HR MAX      116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
092565 -       HR Min       43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
092566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092568 -              https://flow.polar.com/training/analysis/8055414294                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092570 -  ..
092571 - EKG may be signaling something...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092573 -               ..
092575 -   
092576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092579 -  ..
092580 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092581 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092582 - Dinner - rice hamburger broccoli onion mushrooms olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092584 -  ..
092585 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092615 -         ..
092616 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092617 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092618 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092619 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092620 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092621 -   47.  250216 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092622 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092623 -               0700....BP HR..................................................... 158  91  69  Kardia ECG reports HR status, see below. ref SDS 0 QYYX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092624 -               0705....BP HR..................................................... 151  88  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092625 -               0710....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092626 -               0710....80 439240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092627 -               1005....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092628 -               1005... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092629 -               1005... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092630 -               1005....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092631 -               1005....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092632 -               1005....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092633 -               1005....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092634 -               1005... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
092635 -  ..
092636 -               0924....miles...........  26.0  46.0  425   744 minutes  temp  61 wind 06  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092637 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092638 -               1136....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092639 -               1126....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092640 -               1136... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092641 -               1136... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
092642 -               1136... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092643 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092644 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
092645 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092646 -               1408....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092647 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092648 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092649 -               1408... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
092650 -               1408... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092651 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092652 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092653 -               1557....mile 22 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092654 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092655 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092656 -               1557... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
092657 -               1557... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
092658 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092659 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092660 -               1749... Hike ends mile 26... ref SDS 0 CPVT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092661 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092662 -               1800....weight.................................... 178  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092663 -               1805....BP HR..................................................... 104  71 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092664 -               1810....BP HR.....................................................  98  69  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092665 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092666 -               1830... 40 120080 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                                                                                                                                                                                                                                                                                  
092667 -             1 0000............ 10 21080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
092668 -             1 0000............ 10 21430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
092669 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092670 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092671 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092672 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092673 -               2200... 1000 2376000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092674 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092675 -               2330... 80 439320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092676 -               2340... 40 94280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092677 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092680 -  ..
092681 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092682 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092684 -  ..
092685 - Peripheral Neuropathy and/or PAD has increased with pain in toes down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092686 - to heels, particularly in evening, when feet are elevated in reclining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092687 - chair.  Toes and heels both feet feel and look less blistered, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092688 - itch less severely tonight after hiking past 3 days.  Did not need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092689 - Gabapentin and later Tramadol to reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092691 -  ..
092692 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092693 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092695 -  ..
092696 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092697 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092700 -  ..
092701 - Today, hiked 26 miles - feet hurting took Tramadol and Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092702 - Took Magnesium for energy and reduce inflammation.  Was bloated caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092703 - by variable heart beat and statins.  Tried Dycloflenac gel on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092704 - foot #1 and #5.  Did 5 mile semi-loop through South Concord streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092705 - Treat, Turtle Creek Road.  Continued on Ayers East to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092706 - Then South to Clayton Road.  Turned West 1 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092707 - Road.  Turned East on Pine Hollow 2.5 miles, and past elementry school                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092708 - to end of Pine Hollow mile 08.  Stopped for hydration, nutrition, pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092709 - and energy meds.  Hiked back 2.5 miles.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092710 - 1 mile.  At Ygnacio Valley Road turned around.  Hiked uphill 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092711 - to Visitor Parking at the College.  Hiked laps around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092712 - and through parking lots.  At mile 16, did EKG, pain meds, hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092713 - and nutrition, Hiked more loops through parking lots.  Headed North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092714 - Campus Drive and turned left uphill 3% grade on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092715 - past Cowell to summit.  At mile 20, continued West 2 miles downhill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092716 - At Oak Grove mile 22, feeling wobbly.  Stopped at Mod Pizza for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092717 - hydration and nutrition.  Did not take pain meds.  Hiked 1 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092718 - around shopping complex.  Took Oak Grove 1 mile North.  Recognized                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092719 - seizure symptoms losing motor control of legs.  Turned onto Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092720 - continued 1 mile East.  Hiking uphill near summit beyond entrance to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092721 - Lime Ridge park fell forward onto pavement.  Wide 20' shoulder avoided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092722 - danger of traffic.  Scratched forehead and lower left leg.  Could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092723 - get up - could not move.  After a few minutes motorists stopped and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092724 - gave assistance.  There was consideration to call EMS.  Finally a man                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092725 - helped me standup.  He and his wife drove me home the last mile.  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092726 - erratic dipping into 60s while hiking 1st hour, then maintained normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092727 - hiking HR in 120 - 130s range rest of hike, similar to prior episodes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092728 - e.g., on 240920, shown in case study on 240101 0712, ref SDS 36 YSVT,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092729 - except HR dropped today while hiking, and prior episodes occurred when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092730 - hiking paused - could be related to dysfunctional Autonomic Nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092731 - System (ANS), reviewed recently with Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092732 - ref SDS 69 NA4H  On arriving at home, was able to function. Seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092733 - symptoms resolved.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092737 -         ..
092738 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092739 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092740 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
092741 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092742 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092743 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092744 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092745 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092746 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092747 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092748 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092749 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
092750 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092751 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
092752 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092753 -        Hip left.....................................   3         10  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
092754 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092755 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092756 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092757 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092758 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
092759 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092760 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092761 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092762 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092763 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
092764 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092765 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092766 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092767 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092768 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092769 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092770 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092771 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
092772 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092773 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092774 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
092775 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
092776 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
092777 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
092778 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092779 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092780 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
092781 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
092782 -        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                                                                                                                                                                                                                                                                                                                           
092783 -        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                                                                                                                                                                                                                                                                                                                                                                                    
092784 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092785 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
092786 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
092787 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
092788 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092789 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
092790 -        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                                                                                                                                                                                                                                                                                                                                           
092791 -        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                                                                                                                                                                                                                                                                                                                                           
092792 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092793 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
092794 -        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                                                                                                                                                                                                                                                                                                                                                                                        
092795 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
092796 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
092797 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092798 -        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                                                                                                                                                                                                                                                                                                                                                              
092799 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
092800 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
092801 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092802 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092803 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
092804 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092805 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
092806 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
092807 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092808 -        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                                                                                                                                                                                                                                                                                                                                                                               
092809 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092810 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092811 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092812 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092813 -        Fall.........................................   1         10  mile 26 likely seizure post 6th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092814 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092815 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092816 -        Wobbly disoriented staggering dizzy..........   8         20  took 1 Tramadol and 1 Gabapentin mile 00, and mile 08 - seizure symptoms about mile 21                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092817 -        Wasted - very fatigued.......................   6         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092818 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092822 -  ..
092823 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092824 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092825 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092826 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092827 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092829 -  ..
092830 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092831 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092832 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092834 -  ..
092835 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092836 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092837 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092838 - avoid feet pain, but takes time to change socks, so did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092839 - socks, which decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092841 -  ..
092842 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092843 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092844 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092845 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092846 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092849 -  ..
092850 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092851 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092852 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092853 - and also left hip.  Took Tramadol and Gabapentin for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092854 - because metatarsalgia pain in feet PL 2 starting hike, and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092855 - #1 PL 1, after falling on 241108 and next day on 241109, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092856 - study on 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092857 - both calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092858 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092859 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092860 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092861 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092862 - EGD Dilation on 241126, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092863 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092864 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092865 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092866 - ref SDS 0 1O9J  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092867 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092868 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092869 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092870 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092871 - fibrillation, more recently since 6th cardiac ablation variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092872 - rate may occur from dysfunctional autonomic nervous system (arrhythmia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092873 - see analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092874 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092875 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092876 - can take more Tramadol and Gabapentin about mile 8.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092877 - mile and turned left, onto Treat.  Starting hike feet feeling swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092878 - and like pins and needles - did not feel electrical shocks in balls of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092879 - feet this morning - due to peripheral neuropathy - about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092880 - calming down.  Bottom of both feet PL 0 with metatarsalgia pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092881 - including left foot #5, which flared up on 240919, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092882 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092883 - indicating good condition despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092884 - Temperature started at 53, and reached 61.  East wind 06 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092885 - mostly 02 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092886 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092887 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092888 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092889 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092890 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092891 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092892 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092893 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092894 - Feeling good - aligns with taking magnesium and CoQ10.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092895 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092896 - sidewalk .5 miles - feet PL 3.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092897 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092898 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092899 - Continued West past Stop Light at Michigan Boulevard.  Feet PL 1.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092900 - not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092901 - Continued on Ygnacio Valley Road; turned left and hiked 2.50 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092902 - East on Pine Hollow past Diablo Elementary school and to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092903 - Hollow.  At end of Pine Hollow stopped mile 08 time 1136 temp 55 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092904 - wind 01 mph; EKG looks variable with minor artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092905 - HR 105 Unclassified - see below. ref SDS 0 R4TP  Both feet PL 2, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092906 - foot #1 fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092907 - blister/callus PL 1 and #1 PL 1, Left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
092908 - hamstring PL 0, left hip PL 3, right knee PL 2 lower back spine near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092909 - tail bone PL 0, Bloating after not taking Simethicone PL 2.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092910 - Tramadol 50 mg and 1 Gabapentin 300 mg for pain.  Took another (2nd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092911 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092912 - 19.5 on 250211 0830, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092913 - occurred last year on 240824, see case study. ref SDS 36 PPTU; Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092914 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092915 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092916 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092917 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092918 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092919 - electrolytes, then did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092920 - ref SDS 0 QVXT  Hiked back 2.5 miles.  Turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092921 - heading West uphill 3% grade hiked 1 mile with wind 02 mph.  The road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092922 - bends North.  On reaching Ygnacio Valley Road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092923 - uphill .25 mile 5% grade.  Noticably more tired than usual on this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092924 - part of hike.  Normally, after taking magnesium at mile 8, and CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092925 - before starting up this hill, there is no noticable fatigue - Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092926 - reports pace dropped from 16 min/mile to 22 min/mile for this stretch.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092927 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092928 - Concord Campus.  Hiked loop around main buildings, and 2 loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092929 - Faculty and Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092930 - Administration Building mile 16 time 1408 temp 61 and wind 06 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092931 - looks variable with no artifact.  Kardia reported HR 61, Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092932 - Atrial Fibrillation - see below. ref SDS 0 RPE8  Very unusual for HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092933 - 61 during a hike.  Bloating PL 2.  Both feet PL 1, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
092934 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092935 - blister/callus PL 1 and #1 PL 1.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092936 - hamstring PL 0, lower back PL 0, left hip PL 2.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092937 - 50 mg and Gabapentin 300 mg for pain.  Took another (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
092938 - complex 300 mg pill - swallowed whole after EGD Dilation on 241126                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092939 - 1300, ref SDS 65 1X6F, avoids capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092940 - year on 240824, see case study. ref SDS 36 PPTU  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092941 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092942 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092943 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092944 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092945 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092946 - not take Nuun electrolyte pill, per above. ref SDS 0 QVXT  Did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092947 - loop through Faculty and Study parking.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092948 - exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092949 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092950 - 19, continued past Crystal Ranch Road uphill 3% grade .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092951 - wind 02 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092952 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092954 -  ..
092955 - Continued West .5 mile to summit.  At mile 20 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092956 - barriar, when break occurred during afternoon traffic, crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092957 - South side Ygnacio Valley Road to use wider shoulder.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092958 - downhill 3-4% grade.  Seemed like seizure symptoms could be starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
092959 - with (loss of motor control legs) difficulty controlling pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092960 - downhill.  At break in traffic crossed back to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092961 - Valley Road.  Crossed Oak Grove at traffic light.  Stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092962 - Pizza mile 22, time 1557, temp 61 and wind 06 mph; EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092963 - with artifact.  Kardia reported HR 105, Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092964 - ref SDS 0 B3UA  Bloating PL 3.  Both feet PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092965 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092966 - blister/callus PL 2 and #1 PL 3.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092967 - hamstring PL 0, lower back PL 0, left hip PL 0.  Did not take Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092968 - 50 mg and Gabapentin 300 mg for pain, to avoid increasing seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092969 - symptoms.  Took another (4th) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
092970 - swallowed whole after EGD Dilation on 241126 1300, ref SDS 65 1X6F,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092971 - avoids capsule clogging LESV, as occurred last year on 240824, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092972 - case study. ref SDS 36 PPTU  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
092973 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092974 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092975 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092976 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
092977 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092978 - pill, per above. ref SDS 0 QVXT  Did another 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092979 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092980 - miles, turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092981 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder in sun with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092982 - about 60.  Feeling wobbly, and seemed like seizure symptoms could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
092983 - starting with pace increasing involuntarily.  Crossed Treat at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092984 - Light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
092985 - Miguel hiked .75 miles on Treat uphill 5% grade with wind 5 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092986 - 60.  Did not handle this well - seizure symptoms increased - could not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
092987 - control pace.  Planned to reach summit and then pause to gather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
092988 - control.  Before summit about mile 26, lost motor control of legs and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092989 - fell forward.  Skinned forehead and lower left leg on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092990 - pavement.  Tried to get up, but could not move.  After about a minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
092991 - people showed up.  I asked for help to stand up.  Couldn't see anyone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092992 - from my position on the pavement.  A lady's voice recommended not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092993 - helping me stand up, because I should first be examined for brain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
092994 - damage by paramedics.  Heard another woman say she is a nurse.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092995 - a few minutes, a man helped me stand up.  I saw a woman calling with a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092996 - cellphone.  The man and his wife offered to drive me home.  Explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
092997 - it is only a mile up ahead.  They helped me walk to their car maybe 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
092998 - feet away, and drove me home.  Ended hike mile 26 time 1749 temp 58,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
092999 - wind 06, Both feet metatarsalgia PL 3 and right foot callus underneath                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093000 - skin and 1" below metatarsal #4 PL 2, burning sensation PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093001 - splints PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093002 - blister/callus PL 0 and #1 PL 2, right foot #1 injured by falls on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093003 - 241108 and 09 PL 5, #4 top right foot #4 top blister/callus PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093004 - edge callus/blister PL 0.  Both ankles PL 3.  Left knee meniscus PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093005 - left hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093006 - right knee PL 0, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093007 - back left side PL 0, EKG variable with considerable artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093008 - reported HR 110 Unclassified - see below. ref SDS 0 CPVT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093016 -  ..
093017 - Kardia recorded HR 060 at 0633 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093018 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093019 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093020 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093021 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093022 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093025 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093026 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250216-ecg-063341_mile_00_060_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093030 -  ..
093031 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093032 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093033 - TSYT  Hike today was significant administratively because forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093034 - turn off GPS on arriving home, and because fell at mile 26, hitting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093035 - head on pavement.  Also tore skin on lower left leg.  Injuries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093036 - directed attention away from accurately recording the end of the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093037 - on the GPS equipment.  Repetitive drops in HR signal rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093038 - neurological deficits leading to seizure that caused fall.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093039 - ..
093040 -                                                                                                                                                                                                                                                                                                              x
093041 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093042 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093043 -       Date          250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 241128 24112  
093044 -       Miles            25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
093045 -       HR AVG          120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
093046 -         MAX           151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
093047 -         Min            55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                           
093048 -       El Climb Ft     577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                                  
093049 -       Temp Max         61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                                  
093050 -       Wind Max          6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                                  
093051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093053 -              https://flow.polar.com/training/analysis/8055745781                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093056 -               ..
093058 -   
093059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093063 -  ..
093064 - EKG at mile 08 time 1136 HR 105 temp 55, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093065 - Unclassified... heart rate looks variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093066 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093069 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093070 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250216-ecg-113643_mile_08_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093075 -  ..
093076 - EKG at mile 16 time 1408 HR 061 temp 61, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093077 - Atrial Fibrillation... heart rate looks variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093078 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093080 -  ..
093081 - Have never had HR < 80 during a hike.
093082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093083 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093084 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250216-ecg-140855_mile_16_060_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093088 -  ..
093089 - EKG at mile 22 time 1557 HR 105 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093090 - Unclassified... heart rate looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093091 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093094 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093095 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250216-ecg-155720_mile_22_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093100 -  ..
093101 - End hike EKG at mile 26, time 1749 HR 107 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093102 - Unclassified...  looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093103 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093106 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093107 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250216-ecg-174914_mile_26_107_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093111 -  ..
093112 - Post hike HR profile beginning 0303, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093113 - hiking 26 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093114 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093115 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093116 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093118 -  ..
093119 - Polar shows 250217, but for 250216...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093121 -        ..
093122 -       Date      250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  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    
093123 -       Time       0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    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     
093124 -       Hours         4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      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     
093125 -       HR AVG       60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      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     
093126 -       HR MAX      121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     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     
093127 -       HR Min       36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      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     
093128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093130 -              https://flow.polar.com/training/analysis/8056035816                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093133 -               ..
093135 -   
093136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093139 -  ..
093140 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093141 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093142 - Dinner - hamburger cottage cheese onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093144 -  ..
093145 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093175 -         ..
093176 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093177 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093178 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093179 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093180 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093181 -   48.  250217 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093182 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093183 -               0650....BP HR..................................................... 146  83  63  Kardia ECG reports HR status, see below. ref SDS 0 RVGQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093184 -               0655....BP HR..................................................... 142  81  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093185 -               0700....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093186 -               0700....80 439560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093187 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093188 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093189 -               1210... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093190 -               1210....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093191 -               1210....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093192 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093193 -               1210....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093194 -               1210... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
093195 -  ..
093196 -               1239....miles...........  05.0  05.0   84    84 minutes  temp  61 wind 06  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093197 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093198 -               1344....mile 03 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093199 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093200 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093201 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
093202 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093203 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093204 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
093205 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093206 -               1821... Hike ends mile 26... ref SDS 0 J2CN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093207 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093208 -               1830....weight.................................... 180  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093209 -               1845....BP HR..................................................... 115  71 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093210 -               1850....BP HR..................................................... 113  71 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093211 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093212 -               1920... 40 120160 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                                                                                                                                                                                                                                                                                  
093213 -               2000............ 10 21100  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093214 -               2000............ 10 21450  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
093215 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093216 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093217 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093218 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093219 -               2200... 1000 2378000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093220 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093221 -               2330... 80 439640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093222 -               2340... 40 94360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093223 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093226 -  ..
093227 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093228 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093230 -  ..
093231 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093232 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093233 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093234 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093235 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093236 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093238 -  ..
093239 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093240 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093242 -  ..
093243 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093244 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093247 -  ..
093248 - Today, hiked 05 miles - Did not take Tramadol and Gabapentin.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093249 - Magnesium for energy and reduce inflammation.  Was bloated caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093250 - variable heart beat and statins.  Tried Dycloflenac gel on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093251 - #1 and #5.  Hiked in neighborhood through residential streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093252 - Cuneo turns into Hitchcock out to Court Lane, then up steep hills to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093253 - Lime Ridge and back.  Stopped about mile 3 and did EKG - NPO, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093254 - continued 2 miles to home.  Ended hike mile 5.  No recurrance seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093255 - symptoms.  Was bloated and metatarsalgia pain, but hike not long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093256 - enough to require pain meds, hydration and nutrition.  Did not carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093257 - backpack to reduce stress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093261 -         ..
093262 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093263 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093264 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
093265 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093266 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093267 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093268 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093269 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093270 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093271 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093272 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093273 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
093274 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093275 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
093276 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093277 -        Hip left.....................................   3         10  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
093278 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093279 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093280 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093281 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093282 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
093283 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093284 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093285 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093286 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093287 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
093288 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093289 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093290 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093291 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093292 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093293 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093294 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093295 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
093296 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093297 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093298 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
093299 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
093300 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
093301 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
093302 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093303 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093304 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
093305 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
093306 -        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                                                                                                                                                                                                                                                                                                                           
093307 -        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                                                                                                                                                                                                                                                                                                                                                                                    
093308 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093309 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
093310 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
093311 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
093312 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093313 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
093314 -        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                                                                                                                                                                                                                                                                                                                                           
093315 -        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                                                                                                                                                                                                                                                                                                                                           
093316 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093317 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
093318 -        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                                                                                                                                                                                                                                                                                                                                                                                        
093319 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
093320 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
093321 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093322 -        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                                                                                                                                                                                                                                                                                                                                                              
093323 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
093324 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
093325 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093326 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093327 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
093328 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093329 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
093330 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
093331 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093332 -        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                                                                                                                                                                                                                                                                                                                                                                               
093333 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093334 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093335 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093336 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093337 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093338 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093339 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093340 -        Wobbly disoriented staggering dizzy..........   0         20  took 0 Tramadol and 0 Gabapentin mile 00, and mile 08 - seizure symptoms about mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093341 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093342 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093346 -  ..
093347 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093348 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093349 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093350 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093351 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093353 -  ..
093354 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093355 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093356 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093358 -  ..
093359 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093360 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093361 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093362 - avoid feet pain, but takes time to change socks, so did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093363 - socks, which decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093365 -  ..
093366 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093367 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093368 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093369 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093370 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093373 -  ..
093374 - Concord 05 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093375 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093376 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093377 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093378 - management, because metatarsalgia pain in feet PL 1 starting hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093379 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093380 - shown in case study on 200101 0701. ref SDS 18 4W5K  Similarly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093381 - foot #1 and #5 both calluses PL 1, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093382 - 250109 0830. ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093383 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093384 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093385 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093386 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093387 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093388 - and margarine, and chia seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093389 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093390 - per above. ref SDS 0 8K5H  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093391 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093392 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093393 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093394 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093395 - and atrial fibrillation, more recently since 6th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093396 - variable heart rate may occur from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093397 - system (arrhythmia see analysis by Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093398 - ref SDS 69 PQ5Y  Did not take backpack to carry stuff - resting after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093399 - fall yesterday, per above. ref SDS 0 QXWW  Applied Dyclofenic gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093400 - (small amount) to left foot #1 and #5 contains Naproxen - NSAID for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093401 - pain relief until can take more Tramadol and Gabapentin about mile 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093402 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093403 - feeling swelled and like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093404 - shocks in balls of feet - due to peripheral neuropathy - about 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093405 - feet calming down.  Bottom of both feet PL 0 with metatarsalgia pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093406 - including left foot #5, which flared up on 240919, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093407 - ref SDS 36 XVTR  Breathed through nose most of hike with no dyspnea on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093408 - very steep hills (> 8%) indicating good condition despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093409 - hiking last few months.  Temperature started at 60, and reached 61.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093410 - East wind 06 mph and mostly 02 mph.  Hiked North on Cuneo .25 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093411 - turned right onto Kaski heading East about .25 mile.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093412 - and hiked back to Cuneo.  Turned right onto Hitchcock heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093413 - (going Sount the same road is Cuneo).  Hiked .75 mile to Court Lane.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093414 - At Cowell, turned around and hiked back West on Court Lane.  There are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093415 - several court (deadend) streets.  Did 5 of them.  Took Emery Court and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093416 - turned right onto Peppermint Court uphill 12% max grade to top.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093417 - Turned around and hiked back to Court Lane.  Turned right and took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093418 - Court Lane to the end at Lime Ridge.  Stopped mile 03 time 1344 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093419 - 60 and wind 03 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093420 - reported HR 123 Tachycardia - see below. ref SDS 0 R4NX  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093421 - 1, right foot #1 fractured PL 1, Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093422 - edge blister/callus PL 1 and #1 PL 1, Left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093423 - hamstring PL 0, left hip PL 0, right knee PL 0 lower back spine near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093424 - tail bone PL 0, Bloating after not taking Simethicone PL 2.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093425 - take 1 Tramadol 50 mg and 1 Gabapentin 300 mg for pain, nor other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093426 - meds.  NPO for short hike, per above. ref SDS 0 UC7H  Hiked back and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093427 - turned right onto Hitchcock Drive.  Hiked 1 mile and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093428 - Cuneo to home.  Ended hike mile 05 time 1410 temp 60, wind 05, Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093429 - feet metatarsalgia PL 2 and right foot callus underneath skin and 1"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093430 - below metatarsal #4 PL 0, burning sensation PL 0, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093431 - right foot Tailor's bunions PL 0, left foot #5 edge blister/callus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093432 - 0 and #1 PL 1, right foot #1 injured by falls on 241108 and 09 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093433 - #4 top right foot #4 top blister/callus PL 0, #5 edge callus/blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093434 - PL 0.  Both ankles PL 1.  Left knee meniscus PL 0, left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093435 - 0, left shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093436 - neck and right shoulder PL 0 intermittantly, lower back left side PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093437 - 0, EKG mostly uniform with minor artifact, Kardia reported HR 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093438 - Tachycardia - see below. ref SDS 0 RWPU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093446 -  ..
093447 - Kardia EKG not recorded...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093451 -  ..
093452 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093453 - hike 05 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093454 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093455 - ..
093456 -                                                                                                                                                                                                                                                                                                              x
093457 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093458 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093459 -       Date          250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 241129 24112  
093460 -       Miles             5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
093461 -       HR AVG          121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
093462 -         MAX           147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
093463 -         Min            76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                                    
093464 -       El Climb Ft     240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                           
093465 -       Temp Max         61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                           
093466 -       Wind Max          4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                           
093467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093469 -              https://flow.polar.com/training/analysis/8056334252                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093472 -               ..
093474 -   
093475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093479 -  ..
093480 - EKG at mile 03 time 1344 HR 123 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093481 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093482 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093485 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093486 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250217-ecg-134404_mile_03_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093489 -  ..
093490 - End hike EKG at mile 05, time 1410 HR 121 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093491 - Tachycardia...  looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093492 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093495 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093496 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250217-ecg-141027_mile_05_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093500 -  ..
093501 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093502 - hiking 05 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093503 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093504 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093505 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093508 -        ..
093509 -       Date      250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209  241208    
093510 -       Time       1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355    2125     
093511 -       Hours        11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8       9     
093512 -       HR AVG       71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67      66     
093513 -       HR MAX      122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     109     
093514 -       HR Min       43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46      35     
093515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093517 -              https://flow.polar.com/training/analysis/8056672181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093520 -               ..
093522 -   
093523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093526 -  ..
093527 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093528 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093529 - Dinner - hamburger rice broccoli cauliflower onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093531 -  ..
093532 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093562 -         ..
093563 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093564 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093565 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093566 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093567 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093568 -   49.  250218 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093569 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093570 -               0710....BP HR..................................................... 146  83  63  Kardia ECG reports HR status, see below. ref SDS 0 RXYP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093571 -               0715....BP HR..................................................... 141  79  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093572 -               0720....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093573 -               0720....80 439880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093574 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093575 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093576 -               1010... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093577 -               1010....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093578 -               1010....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093579 -               1010....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093580 -               1010....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093581 -               1010... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
093582 -  ..
093583 -               1038....miles...........  14.0  19.0  231   315 minutes  temp  64 wind 07  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093584 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093585 -               1320....mile 03 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093586 -               0000....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093587 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093588 -               1320... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
093589 -               1320... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
093590 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093591 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
093592 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093593 -               1821... Hike ends mile 26... ref SDS 0 J2CN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093594 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093595 -               1830....weight.................................... 180  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093596 -               1845....BP HR..................................................... 119  80 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093597 -               1850....BP HR..................................................... 117  77 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093598 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093599 -               1700... 40 120240 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                                                                                                                                                                                                                                                                                  
093600 -             1 0000............ 10 21100  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
093601 -             1 0000............ 10 21450  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
093602 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093603 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093604 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093605 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093606 -               2200... 1000 2380000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093607 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093608 -               2330... 80 439960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093609 -               2340... 40 94440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093610 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093613 -  ..
093614 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093615 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093617 -  ..
093618 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093619 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093620 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093621 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093622 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093623 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093625 -  ..
093626 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093627 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093629 -  ..
093630 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093631 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093634 -  ..
093635 - Today, hiked 14 miles - Did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093636 - starting hike, because both feet PL 1.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093637 - to reduce inflammation.  Was noticably bloated caused by variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093638 - heart beat and statins.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093639 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093640 - Clayton Road, Then South to Clayton Road.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093641 - Ygnacio Valley Road.  Turned East on Pine Hollow .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093642 - around before Discovery Way.  Hiked back .5 miles.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093643 - Campus Drive 1 mile.  At Ygnacio Valley Road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093644 - uphill 4% grade to Visitor Parking at the College.  Hiked lap around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093645 - main buildings, then 1 lap through Faculty and Student Parking.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093646 - mile 10, did EKG, did not take pain meds.  Had hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093647 - nutrition.  Took magnesium and CoQ10 for energy and dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093648 - inflammation to increase HDL and EPCs.  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093649 - buildings.  Headed North on Campus Drive and turned left uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093650 - grade on Ygnacio Valley Road.  At summit and mile 12, turned around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093651 - Hiked back and turned left onto Cowell.  Continued North 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093652 - turned left onto Treat - then right on Cuneo.  No seizure-like episode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093653 - with difficulty controlling speed as occurred coming up Treat on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093654 - Sunday, see case study on 200101 0701. ref SDS 18 FO5H  Bloated entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093655 - hike and better at end of hike - aligns with medical advice reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093656 - on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093660 -         ..
093661 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093662 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093663 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 15 miles                                                                                                                                                                                                                                                                                                                                              
093664 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093665 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093666 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093667 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093668 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093669 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093670 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093671 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093672 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
093673 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093674 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
093675 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093676 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
093677 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093678 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093679 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093680 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093681 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
093682 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093683 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093684 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093685 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093686 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
093687 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093688 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093689 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093690 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093691 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093692 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093693 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093694 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
093695 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093696 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093697 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
093698 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
093699 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
093700 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
093701 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093702 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093703 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
093704 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
093705 -        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                                                                                                                                                                                                                                                                                                                           
093706 -        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                                                                                                                                                                                                                                                                                                                                                                                    
093707 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093708 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
093709 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
093710 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
093711 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093712 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
093713 -        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                                                                                                                                                                                                                                                                                                                                           
093714 -        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                                                                                                                                                                                                                                                                                                                                           
093715 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093716 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
093717 -        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                                                                                                                                                                                                                                                                                                                                                                                        
093718 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
093719 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
093720 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093721 -        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                                                                                                                                                                                                                                                                                                                                                              
093722 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
093723 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
093724 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093725 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093726 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
093727 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093728 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
093729 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
093730 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093731 -        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                                                                                                                                                                                                                                                                                                                                                                               
093732 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093733 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093734 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093735 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093736 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093737 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093738 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093739 -        Wobbly disoriented staggering dizzy..........   0         20  took 0 Tramadol and 0 Gabapentin mile 00, and mile 08 - seizure symptoms about mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093740 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093741 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093745 -  ..
093746 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093747 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093748 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093749 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093750 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093752 -  ..
093753 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093754 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093755 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093757 -  ..
093758 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093759 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093760 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093761 - avoid feet pain, but takes time to change socks, so did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093762 - socks, which decreases time to wearing out.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093764 -  ..
093765 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093766 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093767 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093768 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093769 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093772 -  ..
093773 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093774 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
093775 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093776 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093777 - management, because there is no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093778 - the hike, and right foot #1 PL 1, after falling on 241108 and next day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093779 - on 241109, shown in case study on 200101 0701. ref SDS 18 4W5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093780 - Similarly, left foot #1 and #5 both calluses PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093781 - Tang at VAMCSF on 250207 0900. ref SDS 71 5Q5M  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093782 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093783 - inflammation, so allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093784 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093785 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 250211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093786 - 0830. ref SDS 73 433O avoids large capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093787 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093788 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093789 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093790 - above. ref SDS 0 S54O  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093791 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093792 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093793 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093794 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093795 - atrial fibrillation (arrhythmia - variable heart rate) see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093796 - on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff - good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093797 - to build conditioning for Half Dome.  Applied Dyclofenic gel (small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093798 - amount) to left foot #1 and #5 contains Naproxen - NSAID for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093799 - relief until reach college and take Tramadol and Gabapentin about mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093800 - 11 today.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093801 - hike feet feeling swelled and like pins and needles - felt electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093802 - shocks in balls of feet this morning - due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093803 - caused by taking statins, and by diabetes symptoms.  After about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093804 - mile feet calming down.  Bottom of both feet not hurting yet with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093805 - metatarsalgia pain, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093806 - per above. ref SDS 36 XVTR  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093807 - dyspnea, indicating good condition despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093808 - months.  Temperature started at 57, and reached 64.  East wind 07 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093809 - and mostly 03 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093810 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093811 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093812 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093813 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093814 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093815 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093816 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093817 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093818 - Feeling okay - aligns with taking magnesium and CoQ10.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093819 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093820 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093821 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093822 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093823 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093824 - Texaco Gas Station store mile 5, time ____.  Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093825 - Valley Road; turned left hiked 0.50 miles East on Pine Hollow.  Before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093826 - reaching Discovery Way turned around - hiked back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093827 - Road.  Turned left heading West on Campus Drive uphill 1 mile 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093828 - grade.  Road bends North.  At Ygnacio Valley road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093829 - hiked uphill on Campus Drive 4% grade.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093830 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093831 - around main buildings, and hiked 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093832 - Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093833 - Administration building mile 10 time 1320 temp 63 and wind 01 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093834 - looks mostly uniform with some artifact.  Kardia reported HR 116                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093835 - Tachycardia - see below. ref SDS 0 RYSR  Both feet metatarsalgia PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093836 - Left foot #5 edge blister/callus PL 1 and #1 PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093837 - injured by falls on 241108 and 09 PL 1.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093838 - hamstring PL 0, left shoulder PL 0, left elbow PL 0 intermitant.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093839 - no Tramadol 50 mg and no Gabapentin 300 mg for pain.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093840 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093841 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093842 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093843 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093844 - water/Coca Cola/orange juice) for energy and electrolytes, and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093845 - avocado for HDL - few bites.  Took Ubiquinol CoQ10 for energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093846 - complete hikes.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093847 - that ejects electrolytes, then to save money did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093848 - electrolyte pill, per above. ref SDS 0 RVSY  Exited college at heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093849 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093850 - Hiked West on flat grade .5 miles.  At mile 11, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093851 - Ranch Road uphill 3% grade .5 miles against wind 04 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093852 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093853 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093854 - summit.  At mile 12 end of concrete traffic barrier turned around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093855 - Hiked back and turned left onto Cowell heading North .25 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093856 - asphalt shoulder downhill 5% grade then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093857 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093858 - left onto Treat hiking West .25 miles back to Cuneo, then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093859 - hike mile 14 time 1440 temp 64, wind 01, Feet PL 3, left foot #1 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093860 - PL 2, #5 edge PL 3, right foot #1 fracture PL 0, #5 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093861 - sensation PL 2, shin splints PL 0, left knee PL 2 (slightly swollen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093862 - right knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093863 - intermittantly, lower back middle PL 0 - stress carrying backpack,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093864 - left elbow PL 0, when lifting.  EKG mostly uniform with some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093865 - Kardia reported HR 122 Tachycardia - see below. ref SDS 0 EYJ2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093873 -  ..
093874 - Kardia EKG not recorded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093878 -  ..
093879 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
093880 - hike 07 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093881 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093882 - ..
093883 -                                                                                                                                                                                                                                                                                                              x
093884 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093885 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093886 -       Date          250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 241120 24112  
093887 -       Miles            14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
093888 -       HR AVG          123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
093889 -         MAX           140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
093890 -         Min            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                                             
093891 -       El Climb Ft     532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                                    
093892 -       Temp Max         64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                                    
093893 -       Wind Max          7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                                    
093894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093896 -              https://flow.polar.com/training/analysis/8057015447                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093899 -               ..
093901 -   
093902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093906 -  ..
093907 - EKG at mile 10 time 1320 HR 116 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093908 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093909 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093912 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093913 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250218-ecg-132055_mile_10_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093917 -  ..
093918 - End hike EKG at mile 14, time 1440 HR 122 temp 64 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
093919 - Tachycardia...  looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
093920 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
093921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093923 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093924 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250218-ecg-144033_mile_14_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
093925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093928 -  ..
093929 - Post hike HR profile beginning 2047, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093930 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093931 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093932 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
093933 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093936 -        ..
093937 -       Date      250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210  241209    
093938 -       Time       2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931    2355     
093939 -       Hours        11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13       8     
093940 -       HR AVG       67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61      67     
093941 -       HR MAX      117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     117     
093942 -       HR Min       43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43      46     
093943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093945 -              https://flow.polar.com/training/analysis/8057403713                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
093946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093948 -               ..
093950 -   
093951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093954 -  ..
093955 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
093956 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
093957 - Dinner - hamburger rice broccoli cauliflower onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
093959 -  ..
093960 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
093993 -         ..
093994 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
093995 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093996 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
093997 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
093998 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
093999 -   50.  250219 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094000 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094001 -               0710....BP HR..................................................... 149  78  60  Kardia ECG reports HR status, see below. ref SDS 0 SSUR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094002 -               0715....BP HR..................................................... 145  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094003 -               0720....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094004 -               0720....80 440020 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094005 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094006 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094007 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094008 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094009 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094010 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094011 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094012 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094013 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094014 -               1700... 40 120280 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                                                                                                                                                                                                                                                                                  
094015 -               0000............ 10 21110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094016 -               0000............ 10 21460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094017 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094018 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094019 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094020 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094021 -               2200... 1000 2381000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094022 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094023 -               2330... 80 440100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094024 -               2340... 40 94480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094025 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094028 -  ..
094029 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094030 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094032 -  ..
094033 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094034 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094035 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094036 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094037 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094038 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094040 -  ..
094041 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094042 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094044 -  ..
094045 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094046 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094051 -  ..
094052 - Kardia EKG not recorded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094056 -  ..
094057 - Post hike HR profile beginning 2157, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094058 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094059 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094060 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094061 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094064 -        ..
094065 -       Date      250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211  241210    
094066 -       Time       2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931    1931     
094067 -       Hours         9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13      13     
094068 -       HR AVG       69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61      61     
094069 -       HR MAX      119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     137     
094070 -       HR Min       47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43      43     
094071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094073 -              https://flow.polar.com/training/analysis/8058029027                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094076 -               ..
094078 -   
094079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094082 -  ..
094083 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094084 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094085 - Dinner - hamburger rice broccoli cauliflower onion olives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094087 -  ..
094088 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094121 -         ..
094122 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094123 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094124 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094125 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094126 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094127 -   51.  250220 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094128 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094129 -               0710....BP HR..................................................... 149  78  60  Kardia ECG reports HR status, see below. ref SDS 0 SWXM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094130 -               0715....BP HR..................................................... 145  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094131 -               0720....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094132 -               0720....80 440180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094133 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094134 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094135 -               0950... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094136 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094137 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094138 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094139 -               0950....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094140 -               0950... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
094141 -  ..
094142 -               1020....miles...........  20.0  39.0  325   640 minutes  temp  69 wind 08  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094143 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094144 -               1258....mile 10 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094145 -               1258....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094146 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094147 -               1258... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
094148 -               1258... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094149 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094150 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
094151 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094152 -               1606... Hike ends mile 20... ref SDS 0 SXRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094153 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094154 -               1615....weight.................................... 176  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094155 -               1620....BP HR..................................................... 112  73 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094156 -               1625....BP HR..................................................... 109  72 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094157 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094158 -               1700... 40 120320 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                                                                                                                                                                                                                                                                                  
094159 -             1 0000............ 10 21110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094160 -             1 0000............ 10 21460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094161 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094162 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094163 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094164 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094165 -               2200... 1000 2382000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094166 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094167 -               2330... 80 440260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094168 -               2340... 40 94520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094169 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094172 -  ..
094173 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094174 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094176 -  ..
094177 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094178 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094179 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094180 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094181 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094182 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094184 -  ..
094185 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094186 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094188 -  ..
094189 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094190 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094193 -  ..
094194 - Today, hiked 20 miles - Did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094195 - starting hike, because both feet PL 1.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094196 - to reduce inflammation.  Was noticably bloated related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094197 - heart beat and statins.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094198 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094199 - Clayton Road, Then South to Clayton Road.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094200 - Ygnacio Valley Road.  Turned East on Pine Hollow .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094201 - around before Discovery Way.  Hiked back .5 miles.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094202 - Campus Drive 1 mile.  At Ygnacio Valley Road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094203 - uphill 4% grade to Visitor Parking at the College.  Hiked lap through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094204 - Faculty and Student Parking.  At mile 10, did EKG, did not take pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094205 - meds.  Had hydration and nutrition.  Took Tramadol, magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094206 - CoQ10 for energy and dissipate inflammation to increase HDL and EPCs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094207 - Changed socks to reduce feet pain.  Hiked loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094208 - Headed North on Campus Drive and turned left uphill 3% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094209 - Ygnacio Valley Road.  At summit mile 12, crossed back to South side.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094210 - Hiked 2 miles downhill.  Crossed Oak Grove and stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094211 - for EKG, hydration and nutriton.  Hiked around block and then North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094212 - Oak Grove.  Turned right onto Treat and continued 2 miles East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094213 - Cuneo and home.  No seizure-like episode with difficulty controlling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094214 - speed as occurred coming up Treat on Sunday, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094215 - 0701. ref SDS 18 FO5H  Bloated less at end of hike - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094216 - medical advice reported on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094220 -         ..
094221 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094222 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094223 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                              
094224 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094225 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094226 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094227 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094228 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094229 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094230 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094231 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094232 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
094233 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094234 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
094235 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094236 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
094237 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094238 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094239 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094240 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094241 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
094242 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094243 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094244 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094245 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094246 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
094247 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094248 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094249 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094250 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094251 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094252 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094253 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094254 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
094255 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094256 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094257 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
094258 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
094259 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
094260 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
094261 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094262 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094263 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
094264 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
094265 -        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                                                                                                                                                                                                                                                                                                                           
094266 -        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                                                                                                                                                                                                                                                                                                                                                                                    
094267 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094268 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
094269 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
094270 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
094271 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094272 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
094273 -        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                                                                                                                                                                                                                                                                                                                                           
094274 -        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                                                                                                                                                                                                                                                                                                                                           
094275 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094276 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
094277 -        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                                                                                                                                                                                                                                                                                                                                                                                        
094278 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
094279 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
094280 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094281 -        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                                                                                                                                                                                                                                                                                                                                                              
094282 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
094283 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
094284 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094285 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094286 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
094287 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094288 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
094289 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
094290 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094291 -        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                                                                                                                                                                                                                                                                                                                                                                               
094292 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094293 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094294 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094295 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094296 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094297 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094298 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094299 -        Wobbly disoriented staggering dizzy..........   0         20  took 0 Tramadol and 0 Gabapentin mile 00, and mile 08 - seizure symptoms about mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094300 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094301 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094305 -  ..
094306 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094307 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094308 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094309 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094310 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094312 -  ..
094313 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094314 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094315 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094317 -  ..
094318 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094319 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094320 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094321 - avoid feet pain, but takes time to change socks.  Experimented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094322 - changing socks to reduce feet pain, instead of taking more pain meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094323 - - took only 1 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094325 -  ..
094326 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094327 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094328 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094329 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094330 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094333 -  ..
094334 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094335 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094336 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094337 - and also left hip.  Did not take Tramadol and Gabapentin for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094338 - management, because metatarsalgia pain in feet PL 0 starting hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094339 - right foot #1 PL 1, after falling on 241108 and next day on 241109,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094340 - shown in case study on 200101 0701. ref SDS 18 4W5K  Similarly, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094341 - foot #1 and #5 both calluses PL 1, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094342 - 250109 0830. ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094343 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094344 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094345 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094346 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094347 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094348 - and margarine, and chia seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094349 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094350 - per above. ref SDS 0 WF4H  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094351 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094352 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094353 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094354 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094355 - and atrial fibrillation, more recently since 6th cardiac ablation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094356 - variable heart rate may occur from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094357 - system (arrhythmia see analysis by Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094358 - ref SDS 69 PQ5Y  Took backpack to carry stuff.  Applied Dyclofenic gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094359 - (small amount) to left foot #1 and #5 contains Naproxen - NSAID for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094360 - pain relief until can take more Tramadol and Gabapentin about mile 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094361 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094362 - feeling swelled and like pins and needles - feeling electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094363 - in balls of feet this morning - due to peripheral neuropathy - about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094364 - mile 2 feet calming down.  Bottom of both feet PL 0 with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094365 - pain, including left foot #5, which flared up on 240919, ref SDS 36                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094366 - XVTR  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094367 - condition improving after minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094368 - started at 60, and reached 68.  East wind 08 mph and mostly 03 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094369 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094370 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094371 - places 3% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094372 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094373 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094374 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094375 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094376 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094377 - continued on concrete sidewalk .5 miles.  Feeling good - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094378 - taking magnesium and CoQ10.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094379 - Ygnacio Valley Road using concrete sidewalk .5 miles - feet PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094380 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094381 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094382 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094383 - at Michigan Boulevard.  Feet PL 1.  Did not stop at Union 76 Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094384 - Gas Station store mile 5, time ____.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094385 - Road; turned left and hiked 0.50 miles East on Pine Hollow past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094386 - Discovery Way.  Before Rolling Woods Way, turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094387 - to Ygnacio Valley Road.  Turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094388 - uphill 3% grade hiked 1 mile against wind 08 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094389 - North.  On reaching Ygnacio Valley Road turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094390 - .25 mile 5% grade.  Not fatigued on this part of hike, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094391 - Sunday, 250216, per above. ref SDS 0 QXWW  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094392 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094393 - through Faculty and Student parking lots, then 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094394 - buildings.  Back at Visitor Parking stopped at Administration Building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094395 - mile 10 time 1258 temp 66 and wind 05 mph; EKG looks uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094396 - artifact.  Kardia reported HR 122, Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094397 - ref SDS 0 SXQV  Bloating PL 3.  Both feet PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094398 - fractured PL 0, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094399 - blister/callus PL 1 and #1 PL 1.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094400 - hamstring PL 0, lower back PL 0, left hip PL 0.  Took Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094401 - and did not take Gabapentin 300 mg for pain.  Took another (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094402 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094403 - 250211 0830, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094404 - occurred last year on 240824, see case study. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094405 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094406 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094407 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094408 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094409 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094410 - electrolytes, then did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094411 - ref SDS 0 STYR  Changed socks to reduce feet pain.  Did another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094412 - around main buildings.  Back at Visitor Parking, exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094413 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094414 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094415 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094416 - wind 02 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094417 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094418 - Continued West .5 mile to summit.  At mile 12 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094419 - barriar when break occurred during afternoon traffic, crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094420 - South side Ygnacio Valley Road to use wider shoulder.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094421 - downhill 3-4% grade.  At break in traffic crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094422 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094423 - stop at Mod Pizza mile 14, time ____, Hiked 2 1-mile loops around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094424 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094425 - miles, turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094426 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder in sun with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094427 - about 60.  Crossed Treat at break in traffic.  Hiked 1 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094428 - flat grade concrete sidewalk.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094429 - uphill 5% grade with wind 5 mph, temp 69.  Handled this well - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094430 - fatigue and no seizure symptoms as occurred on 250216, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094431 - ref SDS 0 QXWW  Hiked last mile on flat grade to Cuneo and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094432 - Ended hike mile 20 time 1604 temp 69, wind 00, Both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094433 - PL 2 and right foot callus underneath skin and 1" below metatarsal #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094434 - PL 0, burning sensation PL 0, shin splints PL 0, right foot Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094435 - bunions PL 0, left foot #5 edge blister/callus PL 0 and #1 PL 4, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094436 - foot #1 injured by falls on 241108 and 09 PL 0, #4 top right foot #0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094437 - top blister/callus PL 0, #5 edge callus/blister PL 0.  Both ankles PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094438 - 3.  Left knee meniscus PL 0, left hamstring PL 0, left hip PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094439 - shoulder PL 0, left elbow PL 0 intermitant, right knee PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094440 - right shoulder PL 0 intermittantly, lower back left side PL 0, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094441 - uniform with some artifact, Kardia reported HR 127 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094442 - below. ref SDS 0 SXRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094450 -  ..
094451 - Kardia recorded HR 079 at 0746 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094452 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094453 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094454 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094455 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094456 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094459 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094460 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250220-ecg-074638_mile_00_079_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094463 -  ..
094464 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094467 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094468 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250220-ecg-080520_mile_00_060_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094472 -  ..
094473 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094474 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094475 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094476 - ..
094477 -                                                                                                                                                                                                                                                                                                              x
094478 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094479 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094480 -       Date          250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 24120  
094481 -       Miles            20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
094482 -       HR AVG          128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
094483 -         MAX           145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
094484 -         Min            73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                               
094485 -       El Climb Ft     532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                                      
094486 -       Temp Max         69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                                      
094487 -       Wind Max          8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                                      
094488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094490 -              https://flow.polar.com/training/analysis/8058329668                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094493 -               ..
094495 -   
094496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094500 -  ..
094501 - EKG at mile 10 time 1258 HR 122 temp 66, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094502 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094503 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094506 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094507 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250220-ecg-125825_mile_10_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094511 -  ..
094512 - End hike EKG at mile 20, time 1606 HR 127 temp 69 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094513 - Tachycardia...  looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094514 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094517 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094518 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250220-ecg-160613_mile_20_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094522 -  ..
094523 - Post hike HR profile beginning 2125, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094524 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094525 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094526 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094527 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094530 -        ..
094531 -       Date      250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212  241211    
094532 -       Time       2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011    1931     
094533 -       Hours        10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9      13     
094534 -       HR AVG       69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68      61     
094535 -       HR MAX      125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     137     
094536 -       HR Min       45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47      43     
094537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094539 -              https://flow.polar.com/training/analysis/8058772491                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094542 -               ..
094544 -   
094545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094548 -  ..
094549 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094550 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094551 - Dinner - pancake eggs milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094553 -  ..
094554 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094585 -         ..
094586 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094587 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094588 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094589 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094590 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094591 -   52.  250221 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094592 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094593 -               0710....BP HR..................................................... 136  84  52  Kardia ECG reports HR status, see below. ref SDS 0 SW7T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094594 -               0715....BP HR..................................................... 138  82  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094595 -               0720....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094596 -               0720....80 440180 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094597 -               0950....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094598 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094599 -               0950... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094600 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094601 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094602 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094603 -               0950....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094604 -               0950... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
094605 -  ..
094606 -               1025....miles...........  21.0  60.0  346   986 minutes  temp  68 wind 08  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094607 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094608 -               1258....mile 10 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094609 -               1244....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094610 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094611 -               1244... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
094612 -               1244... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094613 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094614 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
094615 -               1530....mile 17 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094616 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094617 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094618 -               1530... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
094619 -               1530... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
094620 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094621 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
094622 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094623 -               1655... Hike ends mile 21... ref SDS 0 TPRG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094624 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094625 -               1715....weight.................................... 176  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094626 -               1720....BP HR..................................................... 110  74 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094627 -               1725....BP HR..................................................... 102  65  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094628 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094629 -               1800... 40 120320 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                                                                                                                                                                                                                                                                                  
094630 -               1930............ 10 21110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
094631 -               1930............ 10 21460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
094632 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094633 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094634 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094635 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094636 -               2200... 1000 2382000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094637 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094638 -               2330... 80 440260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094639 -               2340... 40 94520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094640 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094643 -  ..
094644 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094645 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094647 -  ..
094648 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094649 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094650 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094651 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094652 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094653 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094655 -  ..
094656 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094657 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094659 -  ..
094660 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094661 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094664 -  ..
094665 - Today, hiked 21 miles - Did not take Tramadol and Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094666 - starting hike, because both feet PL 1.  Took Magnesium for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094667 - to reduce inflammation.  Was noticably bloated related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094668 - heart beat and statins.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094669 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094670 - Clayton Road, Then South to Clayton Road.  Turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094671 - Ygnacio Valley Road.  Turned East on Pine Hollow 2.5 miles.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094672 - Tramadol, hydration and nutrition.  Turned around hiked back 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094673 - miles.  Turned West onto Campus Drive 1 mile.  At Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094674 - turned around and hiked uphill 4% grade to Visitor Parking at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094675 - College.  Hiked lap around main buildings.  Headed North on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094676 - Drive and turned left uphill 3% grade on Ygnacio Valley Road.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094677 - summit mile 14, crossed back to South side.  Hiked 2 miles downhill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094678 - Crossed Oak Grove and stopped at Mod Pizza for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094679 - nutriton.  Hiked around block and then North on Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094680 - right onto Treat and continued 2 miles East to Cuneo and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094681 - seizure-like episode with difficulty controlling speed as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094682 - coming up Treat on Sunday, see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094683 - FO5H  Bloated less at end of hike - aligns with medical advice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094684 - reported on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094688 -         ..
094689 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094690 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094691 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                              
094692 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094693 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094694 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094695 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094696 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094697 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094698 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094699 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094700 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
094701 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094702 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
094703 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094704 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
094705 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094706 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094707 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094708 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094709 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
094710 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094711 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094712 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094713 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094714 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
094715 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094716 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094717 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094718 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094719 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094720 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094721 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094722 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
094723 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094724 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094725 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
094726 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
094727 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
094728 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
094729 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094730 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094731 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
094732 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
094733 -        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                                                                                                                                                                                                                                                                                                                           
094734 -        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                                                                                                                                                                                                                                                                                                                                                                                    
094735 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094736 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
094737 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
094738 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
094739 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094740 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
094741 -        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                                                                                                                                                                                                                                                                                                                                           
094742 -        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                                                                                                                                                                                                                                                                                                                                           
094743 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094744 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
094745 -        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                                                                                                                                                                                                                                                                                                                                                                                        
094746 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
094747 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
094748 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094749 -        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                                                                                                                                                                                                                                                                                                                                                              
094750 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
094751 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
094752 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094753 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094754 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
094755 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094756 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
094757 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
094758 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094759 -        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                                                                                                                                                                                                                                                                                                                                                                               
094760 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094761 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094762 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094763 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094764 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094765 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094766 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094767 -        Wobbly disoriented staggering dizzy..........   0         20  took 0 Tramadol and 0 Gabapentin mile 00, and mile 08 - seizure symptoms about mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094768 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094769 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094773 -  ..
094774 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094775 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094776 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094777 - both feet.  Shoes worked very well - great rebound energy.  Felt less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094778 - lateral pressure both feet wearing only 1 pair double ply socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094780 -  ..
094781 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094782 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094783 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094785 -  ..
094786 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094787 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094788 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094789 - avoid feet pain, but takes time to change socks, so did not do this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094790 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094792 -  ..
094793 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094794 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094795 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094796 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094797 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094800 -  ..
094801 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094802 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094803 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094804 - and also left hip.  Took Tramadol only for pain management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094805 - metatarsalgia pain in feet PL 2 starting hike, and right foot #1 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094806 - after falling on 241108 and next day on 241109, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094807 - 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094808 - calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094809 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094810 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094811 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094812 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094813 - EGD Dilation on 241126, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094814 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
094815 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094816 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094817 - ref SDS 0 BJ6T  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094818 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094819 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094820 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094821 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094822 - fibrillation, more recently since 6th cardiac ablation variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094823 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094824 - analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094825 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094826 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094827 - mile 8, can take another Tramadol.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094828 - left, onto Treat.  Starting hike feet feeling swelled and like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094829 - and needles - did not feel electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094830 - morning - due to peripheral neuropathy - about mile 2 feet calming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094831 - down.  Bottom of both feet PL 0 with metatarsalgia pain, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094832 - left foot #5, which flared up on 240919, ref SDS 36 XVTR  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094833 - through nose entire hike with no dyspnea, indicating condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094834 - improving after minimal hiking last few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094835 - at 60, and reached 68.  East wind 08 mph and mostly 03 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094836 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094837 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094838 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094839 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094840 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094841 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094842 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094843 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094844 - on concrete sidewalk .5 miles.  Feeling good - aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094845 - magnesium and CoQ10.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094846 - Valley Road using concrete sidewalk .5 miles - feet PL 2.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094847 - hike crossing Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094848 - miles on asphalt shoulder.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094849 - hiking on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094850 - Boulevard.  Feet PL 1.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094851 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094852 - left and hiked 2.50 miles East to end of Pine Hollow.  Stopped at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094853 - 08 time 1244 temp 64 and wind 07 mph; EKG looks uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094854 - artifact.  Kardia reported HR 109, Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094855 - ref SDS 0 TPQS  Bloating PL 2.  Both feet PL 3, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
094856 - fractured PL 1, Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094857 - blister/callus PL 3 and #1 PL 2.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094858 - hamstring PL 0, lower back PL 0, left hip PL 2.  Took 2 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094859 - and did not take Gabapentin 300 mg for pain.  Took another (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094860 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094861 - 250211 0830, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094862 - occurred last year on 240824, see case study. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094863 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094864 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094865 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094866 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094867 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094868 - electrolytes, then did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094869 - ref SDS 0 SVUT  Hiked back 2.50 miles West on Pine Hollow to near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094870 - Ygnacio Valley Road.  Turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094871 - uphill 3% grade hiked 1 mile against wind 08 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094872 - North.  On reaching Ygnacio Valley Road turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094873 - .25 mile 5% grade.  Not fatigued on this part of hike, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094874 - Sunday, 250216, per above. ref SDS 0 QXWW  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094875 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094876 - around main buildings.  Back at Visitor Parking exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094877 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094878 - Hiked West on flat grade .5 miles.  At mile 13, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094879 - Ranch Road uphill 3% grade .5 miles against wind 02 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094880 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094881 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094882 - summit.  At mile 13 end of concrete traffic barriar when break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094883 - occurred during afternoon traffic, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094884 - Valley Road to use wider shoulder.  Hiked 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094885 - At break in traffic crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094886 - Crossed Oak Grove at traffic light.  Hiked 1-mile loop around block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094887 - Safeway shopping complex.  Stopped at Mod Pizza mile 17, time 1530,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094888 - temp 67 and wind 06 mph; EKG looks uniform with considerable artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094889 - Kardia reported HR 124, Tachycardia - see below. ref SDS 0 EK6N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094890 - Bloating PL 2.  Both feet PL 3, right foot #1 fractured PL 0, Tailor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094891 - bunions PL 0, left foot #5 edge blister/callus PL 0 and #1 PL 3.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094892 - knee meniscus PL 0, left hamstring PL 0, lower back PL 0, left hip PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094893 - 0.  Took 0 Tramadol 50 mg and did not take Gabapentin 300 mg for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094894 - Took another (3rd) Magnesium complex 300 mg pill - swallowed whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094895 - after EGD Dilation on 250211 0830, ref SDS 73 433O, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094896 - clogging LESV, as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094897 - ref SDS 36 PPTU  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094898 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094899 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094900 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094901 - complete hike.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094902 - that ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094903 - above. ref SDS 0 SVUT  Hiked 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094904 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094905 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094906 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094907 - Light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094908 - Miguel hiked .75 miles on Treat uphill 5% grade with wind 5 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094909 - 66.  Handled this well - no fatigue and no seizure symptoms as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094910 - occurred on 250216, per above. ref SDS 0 QXWW  Hiked last mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094911 - grade to Cuneo and home.  Ended hike mile 21 time 1655 temp 66, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094912 - 06, Both feet metatarsalgia PL 4 and right foot callus underneath skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
094913 - and 1" below metatarsal #4 PL 2, burning sensation PL 0, shin splints                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094914 - PL 0, right foot Tailor's bunions PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094915 - blister/callus PL 2 and #1 PL 2, right foot #1 injured by falls on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094916 - 241108 and 09 PL 2, Both ankles PL 0.  Left knee meniscus PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094917 - hamstring PL 0, left hip PL 0, right knee PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094918 - shoulder PL 2 intermittantly, lower back left side PL 0, EKG variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094919 - with some artifact, Kardia reported HR 116 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094920 - ref SDS 0 TPRG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094928 -  ..
094929 - Kardia recorded HR 056 at 0809 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
094930 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094931 - hiking 20 miles temp 69 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094932 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
094933 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094934 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094937 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094938 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250221-ecg-080906_mile_00_056_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094943 -  ..
094944 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
094945 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
094946 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094947 - ..
094948 -                                                                                                                                                                                                                                                                                                              x
094949 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094950 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
094951 -       Date          250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 24120  
094952 -       Miles            21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
094953 -       HR AVG          118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
094954 -         MAX           139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
094955 -         Min            73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                        
094956 -       El Climb Ft     532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                               
094957 -       Temp Max         68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                               
094958 -       Wind Max          8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                               
094959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094961 -              https://flow.polar.com/training/analysis/8058923095                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094964 -               ..
094966 -   
094967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094971 -  ..
094972 - EKG at mile 08 time 1244 HR 109 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094973 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
094974 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094977 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094978 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250221-ecg-124410_mile_08_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094982 -  ..
094983 - EKG at mile 17 time 1530 HR 124 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
094984 - Tachycardia... heart rate looks uniform with considerable artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
094985 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094988 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
094989 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250221-ecg-153010_mile_17_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
094990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094993 -  ..
094994 - End hike EKG at mile 21, time 1655 HR 116 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094995 - Tachycardia...  looks variable with some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
094996 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
094997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
094999 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095000 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250221-ecg-165502_mile_21_116_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095004 -  ..
095005 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095006 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095007 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095008 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095009 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095012 -        ..
095013 -       Date      250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213  241212    
095014 -       Time       2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930    2011     
095015 -       Hours        11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13       9     
095016 -       HR AVG       60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72      68     
095017 -       HR MAX      117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     115     
095018 -       HR Min       40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45      47     
095019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095021 -              https://flow.polar.com/training/analysis/8059306295                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095024 -               ..
095026 -   
095027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095030 -  ..
095031 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095032 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095033 - Dinner - potato asparagus onion mushroom hot dog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095035 -  ..
095036 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095068 -         ..
095069 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095070 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095071 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095072 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095073 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095074 -   53.  250222 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095075 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095076 -               0730....BP HR..................................................... 135  78  57  Kardia ECG reports HR status, see below. ref SDS 0 QBN5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095077 -               0735....BP HR..................................................... 138  78  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095078 -               0740....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095079 -               0740....80 440340 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095080 -               0950....Tramadol 50 mg took 2 pills - experiment check side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095081 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095082 -               0950... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095083 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095084 -               0950....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095085 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095086 -               0950....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095087 -               0950... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
095088 -  ..
095089 -               1022....miles...........  22.0  82.0  372  1358 minutes  temp  70 wind 08  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095090 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095091 -               1318....mile 11 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095092 -               1318....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095093 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095094 -               1318... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
095095 -               1318... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095096 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095097 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
095098 -               1537....mile 18 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095099 -               1537....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095100 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095101 -               1537... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
095102 -               1537... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095103 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095104 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
095105 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095106 -               1717... Hike ends mile 22... ref SDS 0 T4MS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095107 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095108 -               1725....weight.................................... 175  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095109 -               1730....BP HR..................................................... 110  74 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095110 -               1735....BP HR..................................................... 104  71 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095111 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095112 -               1800... 40 120360 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                                                                                                                                                                                                                                                                                  
095113 -             1 0000............ 10 21110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095114 -             1 0000............ 10 21460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
095115 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095116 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095117 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095118 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095119 -               2200... 1000 2383000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095120 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095121 -               2330... 80 440420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095122 -               2340... 40 94560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095123 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095126 -  ..
095127 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095128 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095130 -  ..
095131 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095132 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095133 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095134 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095135 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095136 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095138 -  ..
095139 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095140 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095142 -  ..
095143 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095144 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095147 -  ..
095148 - Today, hiked 22 miles - Took 2 Tramadol and no Gabapentin before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095149 - starting hike, because both feet metatarsalgia and calluses PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095150 - Took Magnesium for energy and to reduce inflammation.  Was noticably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095151 - bloated related to variable heart beat and statins.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095152 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095153 - Continued on Ayers East to Clayton Road, Then South to Clayton Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095154 - Turned West 1 mile on Ygnacio Valley Road.  Turned East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095155 - .75 miles.  Turned around near Rolling Woods Way e Discovery Way.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095156 - Hiked back .75 miles.  Turned West onto Campus Drive 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095157 - Ygnacio Valley Road turned around and hiked uphill 4% grade to Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095158 - Parking at the College.  Hiked lap through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095159 - Parking.  At mile 11, did EKG, took 2 Tramasol.  Had hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095160 - nutrition.  Took magnesium and CoQ10 for energy and dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095161 - inflammation to increase HDL and EPCs.  Changed socks to reduce feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095162 - pain.  Headed North on Campus Drive and turned left uphill 3% grade on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095163 - Ygnacio Valley Road.  At summit mile 13, crossed back to South side.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095164 - Hiked 2 miles downhill.  Crossed Oak Grove and hiked 3 1-mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095165 - around shopping complex.  Mile 18 stopped at Mod Pizza for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095166 - hydration and nutriton.  Hiked around block and then North on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095167 - Grove.  Turned right onto Treat and continued 2 miles East to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095168 - and home.  No seizure-like episode with difficulty controlling speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095169 - as occurred coming up Treat on Sunday, see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095170 - ref SDS 18 FO5H  Bloated less at end of hike - aligns with medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095171 - advice reported on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095175 -         ..
095176 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095177 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095178 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, famotidine, Pantoprazole and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                              
095179 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095180 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095181 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095182 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095183 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095184 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095185 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095186 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095187 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
095188 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095189 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
095190 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095191 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
095192 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095193 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095194 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095195 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095196 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol and 0 Gabapentin mile 08 and again at mile 10                                                                                                                                                                                                                                                                                                                                                                                
095197 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095198 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095199 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095200 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095201 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
095202 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095203 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095204 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095205 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095206 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095207 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095208 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095209 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
095210 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095211 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095212 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
095213 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 241202 and switched to old orthotic inserts on 241105 - these helped - took 1 Tramadol and 0 Gabapentin at mile 10 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
095214 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
095215 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
095216 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095217 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095218 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
095219 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
095220 -        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                                                                                                                                                                                                                                                                                                                           
095221 -        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                                                                                                                                                                                                                                                                                                                                                                                    
095222 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095223 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
095224 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 241202 - 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 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks - developed blister above callus                                                                                                                                                                                                                                                  
095225 -        Callus big toe right foot...PRP 210705.......   0        100  Doctor Tang shaved calluses 241202 - less blistering today, took 1 Tramado0 and 0 Gabapentin mile 08 and again at mile 00 wore old Hoka Bondi 6 not x-wide shoes unclear how this would reduce pressure on callus in bottom right foot beneath #4                                                                                                                                                                                                                                                                                            
095226 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095227 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
095228 -        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                                                                                                                                                                                                                                                                                                                                           
095229 -        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                                                                                                                                                                                                                                                                                                                                           
095230 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095231 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
095232 -        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                                                                                                                                                                                                                                                                                                                                                                                        
095233 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
095234 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
095235 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095236 -        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                                                                                                                                                                                                                                                                                                                                                              
095237 -  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 again at mile 00 wore old Hoka Bondi 6 wide shoes only 1 pair double layer socks                                                                                                                                                                                                                                                                                                                                                           
095238 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
095239 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095240 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095241 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
095242 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095243 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
095244 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
095245 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095246 -        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                                                                                                                                                                                                                                                                                                                                                                               
095247 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095248 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095249 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095250 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095251 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095252 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095253 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095254 -        Wobbly disoriented staggering dizzy..........   0         20  took 0 Tramadol and 0 Gabapentin mile 00, and mile 08 - seizure symptoms about mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095255 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095256 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095260 -  ..
095261 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095262 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095263 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095264 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095266 -  ..
095267 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095268 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095269 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095271 -  ..
095272 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095273 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095274 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095275 - avoid feet pain, but takes time to change socks.  Experimented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095276 - changing socks to reduce feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095278 -  ..
095279 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095280 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095281 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095282 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095283 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095286 -  ..
095287 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095288 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095289 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095290 - and also left hip.  Took 2 Tramadol for pain management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095291 - metatarsalgia pain in feet PL 2 starting hike, and right foot #1 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095292 - after falling on 241108 and next day on 241109, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095293 - 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095294 - calluses PL 2, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095295 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095296 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095297 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095298 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095299 - EGD Dilation on 241126, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095300 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095301 - and chia seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095302 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095303 - ref SDS 0 PQ5G  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095304 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095305 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095306 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095307 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095308 - fibrillation, and since since 6th cardiac ablation on 240611, variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095309 - heart rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095310 - analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095311 - backpack to carry stuff.  Applied Dyclofenic gel (small amount) to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095312 - left foot #1 and #5 contains Naproxen - NSAID for pain relief until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095313 - mile 8, can take another Tramadol.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095314 - left, onto Treat.  Starting hike feet feeling swelled and like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095315 - and needles - did not feel electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095316 - morning - due to peripheral neuropathy - about mile 2 feet calming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095317 - down.  Bottom of both feet PL 1 with metatarsalgia, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095318 - foot #5, which flared up on 240919, ref SDS 36 XVTR  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095319 - nose entire hike with no dyspnea, indicating condition improving after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095320 - minimal hiking last few months.  Temperature started at 62, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095321 - reached 70.  East wind 08 mph and mostly 02 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095322 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095323 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095324 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095325 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095326 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095327 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095328 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095329 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095330 - concrete sidewalk .5 miles.  Feeling good - aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095331 - magnesium and CoQ10.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095332 - Valley Road using concrete sidewalk .5 miles - feet PL 2.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095333 - hike crossing Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095334 - miles on asphalt shoulder.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095335 - hiking on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095336 - Boulevard.  Feet PL 1.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095337 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095338 - left and hiked 0.75 miles East on Pine Hollow.  Near Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095339 - turned around and hiked back to Ygnacio Valley Road.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095340 - Campus Drive heading West uphill 3% grade hiked 1 mile against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095341 - mph.  The road bends North.  On reaching Ygnacio Valley Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095342 - around and hiked uphill .25 mile 5% grade.  Not fatigued on this part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095343 - of hike, as occurred on Sunday, 250216, per above. ref SDS 0 QXWW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095344 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095345 - Concord Campus.  Hiked loop around main buildings, and a loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095346 - Faculty and Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095347 - Administration Building mile 11 time 1318 temp 68 and wind 04 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095348 - looks somewhat uniform with artifact.  Kardia reported HR 115,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095349 - Tachycardia - see below. ref SDS 0 TU3Q  Bloating PL 2.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095350 - 4, right foot #1 fractured PL 1, left foot #5 edge blister/callus PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095351 - and #1 PL 3.  Left knee meniscus PL 2, left hamstring PL 0, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095352 - PL 0, left hip PL 0.  Took 2 Tramadol 50 mg and did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095353 - Gabapentin 300 mg for pain.  Took another (2nd) Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095354 - mg pill - swallowed whole after EGD Dilation on 250211 0830,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095355 - ref SDS 73 433O, avoids capsule clogging LESV, as occurred last year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095356 - on 240824, see case study. ref SDS 36 PPTU  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095357 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095358 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095359 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095360 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095361 - 80, reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095362 - electrolyte pill, per above. ref SDS 0 TQTQ  Changed socks to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095363 - feet pain.  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095364 - Turned left onto Ygnacio Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095365 - mile 12, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095366 - against wind 07 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095367 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095368 - camber.  Continued West .5 mile to summit.  At mile 13 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095369 - traffic barriar when break occurred during afternoon traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095370 - back to South side Ygnacio Valley Road to use wider shoulder.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095371 - miles downhill 3-4% grade.  At break in traffic crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095372 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095373 - 3 1-mile loops around block at Safeway shopping complex.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095374 - Mod Pizza mile 18, time 1537, temp 69 and wind 05 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095375 - uniform with no artifact.  Kardia reported HR 119, Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095376 - below. ref SDS 0 5UDP  Bloating PL 3.  Both feet PL 3, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095377 - fractured PL 0, left foot #5 edge blister/callus PL 0 and #1 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095378 - Left knee meniscus PL 0, lower back PL 0, left hip PL 0.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095379 - Tramadol 50 mg and did not take Gabapentin 300 mg for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095380 - another (3rd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095381 - EGD Dilation on 250211 0830, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095382 - LESV, as occurred last year on 240824, see case study. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095383 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095384 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095385 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095386 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095387 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095388 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095389 - above. ref SDS 0 TQTQ  Hiked 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095390 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095391 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095392 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095393 - Light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095394 - Miguel hiked .75 miles on Treat uphill 5% grade with wind 6 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095395 - 70.  Handled this well - no fatigue and no seizure symptoms as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095396 - occurred on 250216, per above. ref SDS 0 QXWW  Hiked last mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095397 - grade to Cuneo and home.  Ended hike mile 22 time 1717 temp 66, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095398 - 05.  Bloated PL 3, both feet metatarsalgia PL 4 and right foot callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095399 - underneath skin and 1" below metatarsal #4 PL 2, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095400 - 0, shin splints PL 0, right foot Tailor's bunions PL 0, left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095401 - edge blister/callus PL 3 and #1 PL 3, right foot #1 injured by falls                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095402 - on 241108 and 09 PL 1, Both ankles PL 1.  Left knee meniscus PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095403 - left hamstring PL 0, left hip PL 0, right knee PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095404 - shoulder PL 0 intermittantly, lower back left side PL 2, EKG variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095405 - with no artifact, Kardia reported HR 112 Possible Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095406 - - see below. ref SDS 0 T4MS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095414 -  ..
095415 - Kardia recorded HR 051 at 0815 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095416 - lengths with p-waves and no artifact, likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095417 - miles temp 67 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095418 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095419 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095420 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095423 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095424 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250222-ecg-081540_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095429 -  ..
095430 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095431 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095432 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095433 - ..
095434 -                                                                                                                                                                                                                                                                                                              x
095435 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095436 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095437 -       Date          250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 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 24120  
095438 -       Miles            22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     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  
095439 -       HR AVG          120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    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  
095440 -         MAX           134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  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 repo  
095441 -         Min            64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                                                 
095442 -       El Climb Ft     532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                                                        
095443 -       Temp Max         70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                                                        
095444 -       Wind Max          8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                                                        
095445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095447 -              https://flow.polar.com/training/analysis/8059520942                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095450 -               ..
095452 -   
095453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095457 -  ..
095458 - EKG at mile 11 time 1318 HR 115 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095459 - Tachycardia... heart rate looks somewhat uniform with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095460 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095463 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095464 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250222-ecg-131828_mile_11_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095468 -  ..
095469 - EKG at mile 18 time 1537 HR 119 temp 69, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095470 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095471 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
095472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095474 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095475 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250222-ecg-153701_mile_18_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095479 -  ..
095480 - End hike EKG at mile 22, time 1717 HR 112 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095481 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095482 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095485 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095486 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250222-ecg-171716_mile_22_112_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095490 -  ..
095491 - Post hike HR profile beginning 2035, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095492 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095493 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095494 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095495 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095498 -        ..
095499 -       Date      250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214  241213    
095500 -       Time       2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925    1930     
095501 -       Hours        12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13      13     
095502 -       HR AVG       58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65      72     
095503 -       HR MAX      115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     110     
095504 -       HR Min       40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44      45     
095505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095507 -              https://flow.polar.com/training/analysis/8060030723                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095510 -               ..
095512 -   
095513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095516 -  ..
095517 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095518 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095519 - Dinner - hamburger macaroni cheese broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095521 -  ..
095522 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095553 -         ..
095554 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095555 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095556 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095557 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095558 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095559 -   54.  250223 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095560 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095561 -               0730....BP HR..................................................... 151  78  61  Kardia ECG reports HR status, see below. ref SDS 0 KYFU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095562 -               0735....BP HR..................................................... 154  84  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095563 -               0740....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095564 -               0740....80 440640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095565 -               0000....Tramadol 50 mg took 2 pills - experiment check side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095566 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095567 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095568 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095569 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095570 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095571 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095572 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095573 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095574 -               1700... 40 120400 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                                                                                                                                                                                                                                                                                  
095575 -               1830............ 10 21120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095576 -               1830............ 10 21470  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
095577 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095578 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095579 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095580 -               0000... Gabapentin 300MG  1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095581 -               2200... 1000 2384000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095582 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095583 -               2330... 80 440500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095584 -               2340... 40 94600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095585 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095588 -  ..
095589 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095590 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095592 -  ..
095593 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095594 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095595 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095596 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095597 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095599 -  ..
095600 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095601 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095603 -  ..
095604 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095605 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095610 -  ..
095611 - Kardia recorded HR 059 at 0953 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095612 - lengths with p-waves and no artifact, likely no AFL after hiking 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095613 - miles temp 70 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095614 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095615 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095616 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095619 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095620 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250223-ecg-095348_mile_00_059_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095624 -  ..
095625 - Post hike HR profile beginning 1934, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095626 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095627 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095628 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095629 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095632 -        ..
095633 -       Date      250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215  241214    
095634 -       Time       1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122    1925     
095635 -       Hours        11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6      13     
095636 -       HR AVG       69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59      65     
095637 -       HR MAX      119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     112     
095638 -       HR Min       47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43      44     
095639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095641 -              https://flow.polar.com/training/analysis/8060520403                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095644 -               ..
095646 -   
095647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095650 -  ..
095651 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095652 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095653 - Dinner - hamburger macaroni cheese broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095655 -  ..
095656 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095687 -         ..
095688 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095689 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095690 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095691 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095692 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095693 -   55.  250224 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095694 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095695 -               0710....BP HR..................................................... 155  77  61  Kardia ECG reports HR status, see below. ref SDS 0 US6B                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095696 -               0715....BP HR..................................................... 154  84  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095697 -               0720....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095698 -               0720....80 440800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095699 -               0000....Tramadol 50 mg took 2 pills - experiment check side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095700 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095701 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095702 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095703 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095704 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095705 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095706 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095707 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095708 -               1700... 40 120440 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                                                                                                                                                                                                                                                                                  
095709 -             1 0000............ 10 21120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095710 -             1 0000............ 10 21470  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
095711 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095712 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095713 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095714 -               2100... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095715 -               2200... 1000 2385000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095716 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095717 -               2330... 80 440880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095718 -               2340... 40 94640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095719 -               0000... Tramadol 50 mg 1 pill sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095722 -  ..
095723 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095724 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095726 -  ..
095727 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095728 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095729 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095730 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095731 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095732 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095734 -  ..
095735 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095736 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095738 -  ..
095739 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095740 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095744 -  ..
095745 - Kardia recorded HR 063 at 0932 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095746 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095747 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095748 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095749 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095750 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095753 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095754 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250224-ecg-093220_mile_00_063_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095758 -  ..
095759 - Post hike HR profile beginning 2049, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095760 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095761 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095762 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095763 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095766 -        ..
095767 -       Date      250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216  241215    
095768 -       Time       2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011    0122     
095769 -       Hours        11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10       6     
095770 -       HR AVG       69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70      59     
095771 -       HR MAX      128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     107     
095772 -       HR Min       41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47      43     
095773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095775 -              https://flow.polar.com/training/analysis/8061221547                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095778 -               ..
095780 -   
095781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095784 -  ..
095785 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095786 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095787 - Dinner - eggs cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095789 -  ..
095790 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095819 -         ..
095820 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095821 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095822 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095823 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095824 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095825 -   56.  250225 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095826 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095827 -               0720....BP HR..................................................... 148  81  67  Kardia ECG reports HR status, see below. ref SDS 0 H4VL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095828 -               0725....BP HR..................................................... 153  79  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095829 -               0730....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095830 -               0730....80 440960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095831 -               0000....Tramadol 50 mg took 2 pills - experiment check side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095832 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095833 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095834 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095835 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095836 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095837 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095838 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095839 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095840 -               1700... 40 120480 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                                                                                                                                                                                                                                                                                  
095841 -               1830............ 10 21130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
095842 -               1830............ 10 21480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
095843 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095844 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095845 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095846 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095847 -               2200... 1000 2386000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095848 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095849 -               2330... 80 441040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095850 -               2340... 40 94680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095853 -  ..
095854 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095855 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095857 -  ..
095858 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095859 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095860 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095861 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095862 - regularly has resumed.  Did not need Gabapentin and later Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095863 - reduce symptoms in order to sleep.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095865 -  ..
095866 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095867 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095869 -  ..
095870 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095871 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095875 -  ..
095876 - Kardia recorded HR 060 at 0950 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095877 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095878 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095879 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095880 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095881 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095884 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095885 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250225-ecg-095026_mile_00_060_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095888 -  ..
095889 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095892 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095893 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250225-ecg-143639_mile_00_070_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095897 -  ..
095898 - Post hike HR profile beginning 1923, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095899 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095900 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095901 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095902 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095905 -        ..
095906 -       Date      250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217  241216    
095907 -       Time       1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056    2011     
095908 -       Hours         8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12      10     
095909 -       HR AVG       72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63      70     
095910 -       HR MAX      127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     115     
095911 -       HR Min       47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44      47     
095912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095914 -              https://flow.polar.com/training/analysis/8061894205                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095917 -               ..
095919 -   
095920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095923 -  ..
095924 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095925 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095926 - Dinner - potato steak (cut up) asparagus macaroni cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
095928 -  ..
095929 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
095959 -         ..
095960 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095961 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095962 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095963 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095964 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095965 -   57.  250226 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095966 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095967 -               0720....BP HR..................................................... 156  85  55  Kardia ECG reports HR status, see below. ref SDS 0 UWPS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095968 -               0725....BP HR..................................................... 158  90  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
095969 -               0730....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
095970 -               0730....80 441120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
095971 -               0000....Tramadol 50 mg took 2 pills - experiment check side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095972 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095973 -               1100... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095974 -               1100... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
095975 -               1100....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095976 -               1100....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095977 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
095978 -               1100....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
095979 -               1100... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
095980 -  ..
095981 -               1128....miles...........  21.0  21.0  340  1358 minutes  temp  71 wind 09  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
095982 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
095983 -               1430....mile 11 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095984 -               1430....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095985 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095986 -               1430... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
095987 -               1430... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095988 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095989 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
095990 -               1611....mile 16 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
095991 -               1611....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
095992 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095993 -               1611... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
095994 -               1611... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
095995 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
095996 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
095997 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
095998 -               1717... Hike ends mile 22... ref SDS 0 T4MS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
095999 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096000 -               1805....weight.................................... 175  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096001 -               1810....BP HR..................................................... 117  81  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096002 -               1815....BP HR..................................................... 127  83  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096003 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096004 -               1750... 40 120520 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                                                                                                                                                                                                                                                                                  
096005 -             1 0000............ 10 21130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096006 -             1 0000............ 10 21480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096007 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096008 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096009 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096010 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096011 -               2200... 1000 2387000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096012 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096013 -               2330... 80 441200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096014 -               2340... 40 94720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096017 -  ..
096018 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096019 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096021 -  ..
096022 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096023 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096024 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096025 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096026 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096028 -  ..
096029 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096030 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096032 -  ..
096033 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096034 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096037 -  ..
096038 - Today, hiked 21 miles - Took no Tramadol before starting hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096039 - both feet metatarsalgia PL 0, and applied Lidocaine gel to calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096040 - left foot #1 and #5.  Was bloated related to variable heart beat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096041 - statins.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096042 - Turtle Creek Road.  Continued on Ayers East to Clayton Road, Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096043 - South to Clayton Road.  Turned West 1 mile on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096044 - Turned East on Pine Hollow 1.0 mile.  Turned around at Camino Salano.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096045 - Hiked back and turned West onto Campus Drive 1 mile.  At Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096046 - Valley Road turned around and hiked uphill 4% grade to Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096047 - at the College.  Hiked lap around main buildings and through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096048 - and Student Parking.  At mile 11, did EKG, took 2 Tramasol.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096049 - hydration and nutrition.  Took magnesium and CoQ10 for energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096050 - dissipate inflammation to increase HDL and EPCs.  Headed North on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096051 - Campus Drive and turned left uphill 3% grade on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096052 - At summit mile 13, crossed back to South side.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096053 - downhill.  Crossed Oak Grove and hiked 1-mile loop around shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096054 - complex.  Mile 16 stopped at Mod Pizza for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096055 - nutriton.  Hiked around block and then North on Oak Grove.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096056 - right onto Treat and continued 2 miles East to Cuneo and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096057 - seizure episode with difficulty controlling speed as occurred coming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096058 - up Treat on 250216, see case study on 200101 0701. ref SDS 18 FO5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096059 - Bloated less at end of hike - aligns with medical advice reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096060 - 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096064 -         ..
096065 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096066 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096067 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
096068 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096069 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096070 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096071 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096072 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096073 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096074 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096075 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096076 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
096077 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096078 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
096079 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096080 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
096081 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096082 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096083 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096084 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096085 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
096086 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096087 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096088 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096089 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096090 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
096091 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096092 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096093 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096094 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096095 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096096 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096097 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096098 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
096099 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096100 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096101 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
096102 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
096103 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
096104 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
096105 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096106 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096107 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
096108 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
096109 -        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                                                                                                                                                                                                                                                                                                                           
096110 -        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                                                                                                                                                                                                                                                                                                                                                                                    
096111 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096112 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
096113 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
096114 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096115 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096116 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
096117 -        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                                                                                                                                                                                                                                                                                                                                           
096118 -        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                                                                                                                                                                                                                                                                                                                                           
096119 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096120 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
096121 -        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                                                                                                                                                                                                                                                                                                                                                                                        
096122 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
096123 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
096124 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096125 -        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                                                                                                                                                                                                                                                                                                                                                              
096126 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
096127 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
096128 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096129 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096130 -        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                                                                                                                                                                                                                                                                                                                                                                                                                           
096131 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096132 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
096133 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
096134 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096135 -        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                                                                                                                                                                                                                                                                                                                                                                               
096136 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096137 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096138 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096139 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096140 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096141 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096142 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096143 -        Wobbly disoriented staggering dizzy..........   0         20  took 2 Tramadol and 0 Gabapentin mile 11, and 1 Tramadol mile 16 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096144 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096145 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096149 -  ..
096150 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096151 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096152 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096153 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096155 -  ..
096156 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096157 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096158 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096160 -  ..
096161 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096162 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096163 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096164 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096165 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096167 -  ..
096168 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096169 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096170 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096171 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096172 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096175 -  ..
096176 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096177 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096178 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096179 - and also left hip.  Did not take Tramadol for pain management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096180 - metatarsalgia pain in feet PL 0 starting hike, and right foot #1 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096181 - after falling on 241108 and next day on 241109, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096182 - 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096183 - calluses PL 0, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096184 - ref SDS 68 T49H  Applied Lidocaine gel to left foot #1 and #5 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096185 - management until stop at mile 11 for EKG and taking Tramadol.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096186 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096187 - management, and reduce inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096188 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096189 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096190 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096191 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096192 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096193 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096194 - above. ref SDS 0 FV8N  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096195 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096196 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096197 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096198 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096199 - atrial fibrillation, and since since 6th cardiac ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096200 - variable heart rate may occur from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096201 - system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096202 - to carry stuff.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096203 - Starting hike feet swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096204 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096205 - neuropathy - about mile 2 feet calming down.  Bottom of both feet PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096206 - with metatarsalgia, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096207 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096208 - indicating condition improving after reduced hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096209 - Temperature started at 62, and reached 71.  East wind 09 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096210 - mostly 04 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096211 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096212 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096213 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096214 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096215 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096216 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096217 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096218 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096219 - Feeling good - aligns with taking magnesium and CoQ10.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096220 - turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096221 - sidewalk .5 miles - feet PL 2.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096222 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096223 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096224 - Continued West past Stop Light at Michigan Boulevard.  Feet PL 2.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096225 - not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096226 - Continued on Ygnacio Valley Road; turned left and hiked 1.00 mile East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096227 - on Pine Hollow.  At Camino Salano turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096228 - Ygnacio Valley Road.  Turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096229 - uphill 3% grade hiked 1 mile against wind 06 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096230 - North.  On reaching Ygnacio Valley Road turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096231 - .25 mile 5% grade.  Not fatigued on this part of hike, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096232 - Sunday, 250216, per above. ref SDS 0 QXWW  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096233 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096234 - around main buildings, and a loop through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096235 - lots.  Back at Visitor Parking stopped at Administration Building mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096236 - 11 time 1430 temp 70 and wind 09 mph; EKG looks uniform with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096237 - Kardia reported HR 121, Tachycardia - see below. ref SDS 0 4WUS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096238 - Bloating PL 3.  Both feet PL 3, right foot #1 fractured PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096239 - foot #5 edge blister/callus PL 2 and #1 PL 3.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096240 - 1, left hamstring PL 0, lower back PL 0, left hip PL 0.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096241 - Tramadol 50 mg and did not take Gabapentin 300 mg for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096242 - another (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096243 - EGD Dilation on 250211 0830, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096244 - LESV, as occurred last year on 240824, see case study. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096245 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096246 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096247 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096248 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096249 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096250 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096251 - above. ref SDS 0 USWX  Did not changed socks to reduce feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096252 - Exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096253 - onto Ygnacio Road.  Hiked West on flat grade .5 miles.  At mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096254 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096255 - wind 07 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096256 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096257 - Continued West .5 mile to summit.  At mile 13 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096258 - barriar when break occurred during afternoon traffic, crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096259 - South side Ygnacio Valley Road to use wider shoulder.  Hiked 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096260 - downhill 3-4% grade.  At break in traffic crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096261 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096262 - 1-mile loop around block at Safeway shopping complex.  Stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096263 - Pizza mile 16, time 1611, temp 71 and wind 05 mph; EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096264 - with no artifact.  Kardia reported HR 129, Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096265 - Fibrillation - see below. ref SDS 0 8WVT  Bloating PL 3.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096266 - 2, right foot #1 fractured PL 1, left foot #5 edge blister/callus PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096267 - and #1 PL 3.  Left knee meniscus PL 2, lower back PL 0, left hip PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096268 - Took 1 Tramadol 50 mg and did not take Gabapentin 300 mg for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096269 - Took another (3rd) Magnesium complex 300 mg pill - swallowed whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096270 - after EGD Dilation on 250211 0830, ref SDS 73 433O, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096271 - clogging LESV, as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096272 - ref SDS 36 PPTU  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096273 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096274 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096275 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096276 - complete hike.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096277 - that ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096278 - above. ref SDS 0 USWX  Hiked 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096279 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096280 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096281 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096282 - Light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096283 - Miguel hiked .75 miles on Treat uphill 5% grade with wind 6 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096284 - 70.  Handled this well - no fatigue and no seizure symptoms as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096285 - occurred on 250216, per above. ref SDS 0 QXWW  Hiked last mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096286 - grade to Cuneo.  Turned left onto Cuneo and continued to Kaski and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096287 - back, then home.  Turning onto St Matthew street, spoke with Janet for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096288 - a few moments.  She and her husband had been visiting with their                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096289 - neighbor, and Janet just came over and we talked.  She asked how long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096290 - I have lived in the complex?  Advised Mil and I moved here in 1995.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096291 - She asked as most people do how far I hike - today, 21 miles, varies                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096292 - from about 12 to 32 miles per day.  Past 6 months hiking curtailed by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096293 - odd condition following procedure last June.  Mentioned looking for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096294 - room to rent in order to keep well established routes in South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096295 - Concord, as landlord wants to end the lease next month.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096296 - mile 21 time 1743 temp 70, wind 05.  Bloated PL 3, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096297 - metatarsalgia PL 2 and right foot callus underneath skin and 1" below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096298 - metatarsal #4 PL 0, burning sensation PL 0, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096299 - foot #5 edge blister/callus PL 2 and #1 PL 1, right foot #1 injured by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096300 - falls on 241108 and 09 PL 1, Both ankles PL 1.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096301 - 2, left hamstring PL 0, left hip PL 0, right knee PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096302 - shoulder PL 0 intermittantly, lower back left side PL 0, EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096303 - with no artifact, Kardia reported HR 121 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096304 - ref SDS 0 WP5X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096312 -  ..
096313 - Kardia recorded HR 054 at 0841 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096314 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096315 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096316 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096317 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096318 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096322 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250226-ecg-084100_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096328 -  ..
096329 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096330 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096331 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096332 - ..
096333 -                                                                                                                                                                                                                                                                                                              x
096334 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096335 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096336 -       Date          250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 241213 241212 241211 241210 241209 241208 24120  
096337 -       Miles            21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0         
096338 -       HR AVG          125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no      n  
096339 -         MAX           145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report report report report report report report report report  eport  rep  
096340 -         Min            86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                                     
096341 -       El Climb Ft     532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                            
096342 -       Temp Max         71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                            
096343 -       Wind Max          9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                            
096344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096346 -              https://flow.polar.com/training/analysis/8062178175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096349 -               ..
096351 -   
096352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096356 -  ..
096357 - EKG at mile 11 time 1430 HR 121 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096358 - Tachycardia... heart rate looks uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096359 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096362 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096363 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250226-ecg-143037_mile_11_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096367 -  ..
096368 - EKG at mile 16 time 1611 HR 129 temp 71, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096369 - Atrial Fibrillation... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096370 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096373 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096374 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250226-ecg-161156_mile_16_129_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096378 -  ..
096379 - End hike EKG at mile 21, time 1743 HR 121 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096380 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096381 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096384 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096385 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250226-ecg-174321_mile_21_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096389 -  ..
096390 - Post hike HR profile beginning 2006, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096391 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096392 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096393 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096394 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096397 -        ..
096398 -       Date      250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218  241217    
096399 -       Time       2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227    2056     
096400 -       Hours        12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5      12     
096401 -       HR AVG       68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53      63     
096402 -       HR MAX      154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     115     
096403 -       HR Min       43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41      44     
096404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096406 -              https://flow.polar.com/training/analysis/8062515030                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096409 -               ..
096411 -   
096412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096415 -  ..
096416 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096417 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096418 - Dinner - potato steak (cut up) asparagus macaroni cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096420 -  ..
096421 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096451 -         ..
096452 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096453 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096454 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096455 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096456 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096457 -   58.  250227 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096458 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096459 -               0700....BP HR..................................................... 160  89  58  Kardia ECG reports HR status, see below. ref SDS 0 D8NW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096460 -               0705....BP HR..................................................... 148  77  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096461 -               0710....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096462 -               0710....80 441280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096463 -               0910....Tramadol 50 mg took 2 pills - experiment check side effects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096464 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096465 -               0910... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096466 -               0910... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096467 -               0910....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096468 -               0910....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096469 -               0910....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096470 -               0910....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096471 -               0910... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
096472 -  ..
096473 -               0939....miles...........  23.0  44.0  389   729 minutes  temp  71 wind 09  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096474 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096475 -               1153....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096476 -               1153....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096477 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096478 -               1153... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
096479 -               1153... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096480 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096481 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
096482 -               1443....mile 17 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096483 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096484 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096485 -               1443... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
096486 -               1443... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096487 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096488 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
096489 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096490 -               1652... Hike ends mile 23... ref SDS 0 T4MS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096491 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096492 -               1710....weight.................................... 176  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096493 -               1720....BP HR.....................................................  98  64 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096494 -               1730....BP HR..................................................... 107  69  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096495 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096496 -               1800... 40 120560 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                                                                                                                                                                                                                                                                                  
096497 -               1930............ 10 21140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096498 -               1930............ 10 21490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096499 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096500 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096501 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096502 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096503 -               2200... 1000 2388000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096504 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096505 -               2330... 80 441360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096506 -               2340... 40 94760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096509 -  ..
096510 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096511 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096513 -  ..
096514 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096515 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096516 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096517 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096518 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096520 -  ..
096521 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096522 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096524 -  ..
096525 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096526 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096529 -  ..
096530 - Today, hiked 23 miles - Took 2 Tramadol before starting hike, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096531 - applied Lidocaine gel to calluses on left foot #1 and #5.  Was bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096532 - related to variable heart beat and statins.  Did 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096533 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096534 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096535 - mile on Ygnacio Valley Road.  Turned East on Pine Hollow 2.50 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096536 - Did EKG, took 2 Tramadol and 1 magnesium; hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096537 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096538 - heading West uphill 1 mile.  At Ygnacio Valley Road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096539 - hiked uphill 4% grade to Visitor Parking at College.  Hiked lap around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096540 - main buildings and multiple loops through Faculty and Student Parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096541 - At mile 14, did EKG again, took 2 Tramadol again.  Had hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096542 - nutrition.  Took magnesium and CoQ10 for energy and dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096543 - inflammation to increase HDL and EPCs.  Did 2 more loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096544 - parking lots.  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096545 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096546 - miles,   At mile 20 continued past Crystal Ranch Road then uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096547 - grade past Cowell another .5 mile.  At summit and mile 12, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096548 - around.  Hiked back and turned left onto Cowell.  Continued North 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096549 - mile and turned left onto Treat - then right on Cuneo.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096550 - seizure-like episode with difficulty controlling speed as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096551 - coming up Treat on 250216, see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096552 - FO5H  Bloated entire hike and better at end of hike - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096553 - medical advice reported on 091217 0600. ref SDS 2 VX54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096557 -         ..
096558 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096559 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096560 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
096561 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096562 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096563 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096564 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096565 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096566 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096567 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096568 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096569 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
096570 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096571 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
096572 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096573 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
096574 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096575 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096576 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096577 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096578 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
096579 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096580 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096581 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096582 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096583 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
096584 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096585 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096586 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096587 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096588 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096589 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096590 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096591 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
096592 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096593 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096594 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
096595 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
096596 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
096597 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
096598 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096599 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096600 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
096601 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
096602 -        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                                                                                                                                                                                                                                                                                                                           
096603 -        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                                                                                                                                                                                                                                                                                                                                                                                    
096604 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096605 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
096606 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
096607 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096608 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096609 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
096610 -        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                                                                                                                                                                                                                                                                                                                                           
096611 -        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                                                                                                                                                                                                                                                                                                                                           
096612 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096613 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                              
096614 -        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                                                                                                                                                                                                                                                                                                                                                                                        
096615 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
096616 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
096617 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096618 -        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                                                                                                                                                                                                                                                                                                                                                              
096619 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
096620 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
096621 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096622 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096623 -        Callus bottom right foot below little toe....   3         20  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
096624 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096625 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
096626 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
096627 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096628 -        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                                                                                                                                                                                                                                                                                                                                                                               
096629 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096630 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096631 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096632 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096633 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096634 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096635 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096636 -        Wobbly disoriented staggering dizzy..........   0         20  took 2 Tramadol and 0 Gabapentin mile 11, and 1 Tramadol mile 16 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096637 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096638 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096642 -  ..
096643 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096644 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096645 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096646 - both feet.  Shoes worked very well - great rebound energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096648 -  ..
096649 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096650 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096651 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096653 -  ..
096654 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096655 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096656 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096657 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096658 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096660 -  ..
096661 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096662 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096663 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096664 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096665 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096668 -  ..
096669 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096670 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096671 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096672 - and also left hip.  Took 2 Tramadol for pain management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096673 - metatarsalgia pain in feet PL 2 starting hike, and right foot #1 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096674 - after falling on 241108 and next day on 241109, shown in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096675 - 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5 both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096676 - calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096677 - ref SDS 68 T49H  Applied Lidocaine gel to left foot #1 and #5 pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096678 - management until stop at mile 08 for EKG and taking Tramadol.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096679 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096680 - management, and reduce inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096681 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096682 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096683 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096684 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096685 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096686 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096687 - above. ref SDS 0 5Y6Q  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096688 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096689 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096690 - bloating feeling, but still bloated starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096691 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096692 - diabetes, colitis and atrial fibrillation, and since 6th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096693 - ablation on 240611, variable heart rate may occur from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096694 - autonomic nervous system (see analysis on 250114 1202, ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096695 - PQ5Y).  Took backpack to carry stuff.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096696 - left, onto Treat.  Starting hike feet swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096697 - needles - did not feel electrical shocks in balls of feet this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096698 - - due to peripheral neuropathy - about mile 2 feet calming down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096699 - Bottom of both feet PL 1 with metatarsalgia, including left foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096700 - which flared up on 240919, ref SDS 36 XVTR  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096701 - entire hike with no dyspnea, indicating condition improving after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096702 - reduced hiking last few months.  Temperature started at 64, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096703 - reached 71.  East wind 09 mph and mostly 04 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096704 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096705 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096706 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096707 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096708 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096709 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096710 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096711 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096712 - concrete sidewalk .5 miles.  Feeling good - aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096713 - magnesium and CoQ10.  At mile 4, turned right hiking West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096714 - Valley Road using concrete sidewalk .5 miles - feet PL 2.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096715 - hike crossing Park Highlands Road at Stop Light and heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096716 - miles on asphalt shoulder.  Crossed to South side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096717 - hiking on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096718 - Boulevard.  Feet PL 2.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096719 - store mile 5, time ____.  Continued on Ygnacio Valley Road; turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096720 - left and hiked 2.50 miles East to end of Pine Hollow.  Stopped mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096721 - time 1153 temp 69 and wind 13 mph; EKG looks uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096722 - artifact.  Kardia reported HR 107, Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096723 - ref SDS 0 RXJV  Bloating PL 2.  Both feet PL 3, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096724 - fractured PL 0, left foot #5 edge blister/callus PL 0 and #1 PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096725 - burning sensation PL 3.  Left knee meniscus PL 1, left hamstring PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096726 - lower back PL 0, left hip PL 0.  Took 2 Tramadol 50 mg and did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096727 - take Gabapentin 300 mg for pain.  Took another (2nd) Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096728 - 300 mg pill - swallowed whole after EGD Dilation on 250211 0830,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096729 - ref SDS 73 433O, avoids capsule clogging LESV, as occurred last year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096730 - on 240824, see case study. ref SDS 36 PPTU  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096731 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096732 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096733 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096734 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096735 - 80, reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096736 - electrolyte pill, per above. ref SDS 0 UURP  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096737 - back to Ygnacio Valley Road.  Turned left onto Campus Drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096738 - West uphill 3% grade hiked 1 mile against wind 08 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096739 - North.  On reaching Ygnacio Valley Road turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096740 - .25 mile 5% grade.  Not fatigued on this part of hike, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096741 - Sunday, 250216, per above. ref SDS 0 QXWW  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096742 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096743 - around main buildings, and 2 loops through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096744 - lots.  Back at Visitor Parking stopped at Administration Building mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096745 - 17 time 1443 temp 68 and wind 11 mph; EKG looks variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096746 - artifact.  Kardia reported HR 107, Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096747 - ref SDS 0 UYPW  Bloating PL 2.  Both feet PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096748 - fractured PL 0, left foot #5 edge blister/callus PL 2 and #1 PL 2;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096749 - right foot #5 PL 3, burning sensation PL 2.  Left knee meniscus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096750 - left hamstring PL 0, lower back PL 0, left hip PL 0.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096751 - Tramadol 50 mg and did not take Gabapentin 300 mg for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096752 - another (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096753 - EGD Dilation on 250211 0830, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096754 - LESV, as occurred last year on 240824, see case study. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096755 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096756 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096757 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096758 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096759 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096760 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096761 - above. ref SDS 0 UURP  Did not changed socks to reduce feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096762 - Hiked another loop around main buildings and through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096763 - Visited with Jan about her mom's treatment at Kaiser.  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096764 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096765 - Road.  Hiked West on flat grade .5 miles.  At mile 20, continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096766 - Crystal Ranch Road uphill 3% grade .5 miles against wind 07 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096767 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096768 - side Ygnacio Valley Road to avoid severe camber.  Continued West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096769 - mile to summit.  At mile 21 end of concrete traffic barrier turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096770 - around.  Hiked back and turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096771 - miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096772 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096773 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096774 - then home.  Ended hike mile 23 time 1652 temp 67, wind 07.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096775 - PL 2, feet PL 3, left foot #1 edge PL 4, #5 edge PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096776 - fracture PL 0, #5 PL 0, burning sensation PL 3, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096777 - left knee PL 1 (slightly swollen), right knee PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096778 - 0, neck and right shoulder PL 0 intermittantly, lower back middle PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096779 - - stress carrying backpack, left elbow PL 0, when lifting.  EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096780 - variable with some artifact, Kardia reported HR 102 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096781 - below. ref SDS 0 UYQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096789 -  ..
096790 - Kardia recorded HR 055 at 0809 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096791 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096792 - after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096793 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096794 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096795 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096798 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096799 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250227-ecg-080931_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096805 -  ..
096806 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096807 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096808 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096809 - ..
096810 -                                                                                                                                                                                                                                                                                                              x
096811 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096812 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096813 -       Date          250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 241213 241212 241211 241210 241209 24120  
096814 -       Miles            23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0  
096815 -       HR AVG          113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no  
096816 -         MAX           131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report report report report report report report report report  epo  
096817 -         Min            55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                              
096818 -       El Climb Ft     532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                                     
096819 -       Temp Max         71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                                     
096820 -       Wind Max          9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                                     
096821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096823 -              https://flow.polar.com/training/analysis/8062794537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096826 -               ..
096828 -   
096829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096833 -  ..
096834 - EKG at mile 08 time 1153 HR 107 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096835 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096836 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096839 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096840 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250227-ecg-115306_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096844 -  ..
096845 - EKG at mile 17 time 1443 HR 107 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096846 - Tachycardia... heart rate looks variable with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096847 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
096848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096850 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096851 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250227-ecg-144319_mile_17_107_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096855 -  ..
096856 - End hike EKG at mile 23, time 1652 HR 102 temp 67 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096857 - Tachycardia... looks variable with no some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096858 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096861 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096862 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250227-ecg-165253_mile_23_102_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096866 -  ..
096867 - Post hike HR profile beginning 2008, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096868 - hiking 23 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096869 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096870 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096871 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096874 -        ..
096875 -       Date      250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219  241218    
096876 -       Time       2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914    0227     
096877 -       Hours        10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13       5     
096878 -       HR AVG       62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70      53     
096879 -       HR MAX      114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     112     
096880 -       HR Min       44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44      41     
096881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096883 -              https://flow.polar.com/training/analysis/8063208423                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096886 -               ..
096888 -   
096889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096892 -  ..
096893 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096894 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096895 - Dinner - potato steak (cut up) asparagus macaroni cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096897 -  ..
096898 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096928 -         ..
096929 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096930 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096931 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096932 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096933 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096934 -   59.  250228 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096935 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096936 -               0720....BP HR..................................................... 157  85  51  Kardia ECG reports HR status, see below. ref SDS 0 VSQT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096937 -               0725....BP HR..................................................... 151  89  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096938 -               0730....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096939 -               0730....80 441440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096940 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096941 -               0910....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096942 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096943 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096944 -               0910... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096945 -               0910....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096946 -               0910....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096947 -               0910....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096948 -               0910....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
096949 -               0910... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
096950 -  ..
096951 -               1026....miles...........  15.0  59.0  253   982 minutes  temp  78 wind 12  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096952 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096953 -               1253....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096954 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096955 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
096956 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096957 -               1253... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
096958 -               1253... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096959 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096960 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
096961 -               0000....mile 17 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096962 -               0000....Tramadol 50 mg took 1 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
096963 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096964 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
096965 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
096966 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096967 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
096968 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096969 -               1652... Hike ends mile 23... ref SDS 0 T4MS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
096970 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096971 -               1710....weight.................................... 176  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
096972 -               1720....BP HR..................................................... 108  73 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096973 -               1730....BP HR..................................................... 111  72 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
096974 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096975 -               1800... 40 120600 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                                                                                                                                                                                                                                                                                  
096976 -             1 0000............ 10 21140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
096977 -             1 0000............ 10 21490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
096978 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096979 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096980 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096981 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
096982 -               2200... 1000 2389000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
096983 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
096984 -               2330... 80 441520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096985 -               2340... 40 94800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
096986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096988 -  ..
096989 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
096990 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
096992 -  ..
096993 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096994 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
096995 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096996 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
096997 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
096999 -  ..
097000 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097001 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097003 -  ..
097004 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097005 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097008 -  ..
097009 - Today, hiked 15 miles - nearly out of Tramadol, requested refill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097010 - 250226 0908. ref SDS 75 4N6O  Took 2 oxycodone 4 mg before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097011 - hike.  Was bloated related to variable heart rate and statins.  Did 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097012 - mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097013 - Road.  Continued on Ayers East to Clayton Road, Then South 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097014 - turned West 1 mile on Ygnacio Valley Road.  Turned East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097015 - 0.25 mile.  Hiked back to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097016 - Campus Drive heading West uphill 1 mile.  At Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097017 - turned around and hiked uphill 4% grade to Visitor Parking at College.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097018 - Hiked 2 laps around main buildings.  Called VAMCSF - Pharmacy said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097019 - Lauren ordered new subscription for Tramadol, requested in letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097020 - submitted on 240226.  At mile 08, did EKG, did not take 2 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097021 - oxycodone, because still very loopy from 1st 2 taken before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097022 - hike.  Had hydration and nutrition.  Took magnesium and CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097023 - energy and dissipate inflammation to increase HDL and EPCs.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097024 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097025 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles,   At mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097026 - turned left and hiked uphill South on Crystal Ranch Road 5% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097027 - summit continued another mile on flat grade.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097028 - back to Ygnacio Valley Road.  Turned left heading uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097029 - mile.  Turned onto Cowell hiking North downhill 5% grade .25 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097030 - then flat grade.  Turned left going West on Treat and home.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097031 - seizure-like episode with difficulty controlling speed as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097032 - coming up Treat on 250216, see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097033 - FO5H  Bloated entire hike and significant pain in feet from taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097034 - oxycodone 5 mg only once.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097037 -         ..
097038 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097039 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097040 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
097041 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097042 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097043 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097044 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097045 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097046 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097047 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097048 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097049 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
097050 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097051 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
097052 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097053 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
097054 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097055 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097056 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097057 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097058 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
097059 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097060 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097061 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097062 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097063 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
097064 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097065 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097066 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097067 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097068 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097069 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097070 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097071 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
097072 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097073 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097074 -        Metatarsalgia left foot...PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
097075 -        Metatarsalgia right foot..PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
097076 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
097077 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
097078 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097079 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097080 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
097081 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
097082 -        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                                                                                                                                                                                                                                                                                                                           
097083 -        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                                                                                                                                                                                                                                                                                                                                                                                    
097084 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097085 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
097086 -        Callus big toe left foot...PRP 210705........   4         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
097087 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097088 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097089 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
097090 -        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                                                                                                                                                                                                                                                                                                                                           
097091 -        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                                                                                                                                                                                                                                                                                                                                           
097092 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097093 -        Callus little toe right foot..top of toe.....   6         40  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                              
097094 -        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                                                                                                                                                                                                                                                                                                                                                                                        
097095 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
097096 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
097097 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097098 -        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                                                                                                                                                                                                                                                                                                                                                              
097099 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
097100 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
097101 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097102 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097103 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
097104 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097105 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
097106 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
097107 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097108 -        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                                                                                                                                                                                                                                                                                                                                                                               
097109 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097110 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097111 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097112 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097113 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097114 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097115 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097116 -        Wobbly disoriented staggering dizzy..........   4         60  took 2 oxycodone and 0 Gabapentin mile 00, and 0 Tramadol mile 16 - no seizure symptoms today - very wobbly taking oxycodone and less effective pain relief                                                                                                                                                                                                                                                                                                                                                                                  
097117 -        Wasted - very fatigued.......................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097118 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097122 -  ..
097123 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097124 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097125 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097126 - both feet.  Shoes did not work very well - great rebound energy - but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097127 - too narrow, caused severe pain left foot #1 and #5, and right foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097128 - Had to cut hike short, could not go over the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097130 -  ..
097131 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097132 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097133 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097135 -  ..
097136 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097137 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097138 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097139 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097140 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097142 -  ..
097143 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097144 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097145 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097146 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097147 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097150 -  ..
097151 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097152 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097153 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097154 - and also left hip.  Took 2 oxycodone, because have not received refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097155 - for Tramadol, and because metatarsalgia pain in feet PL 2 starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097156 - hike, and right foot #1 PL 1, after falling on 241108 and next day on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097157 - 241109, shown in case study on 200101 0701. ref SDS 18 4W5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097158 - Similarly, left foot #1 and #5 both calluses PL 1, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097159 - Tang at VAMCSF on 250109 0830. ref SDS 68 T49H  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097160 - Lidocaine gel to left foot #1 and #5 for pain management.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097161 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097162 - management, and reduce inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097163 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097164 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097165 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097166 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097167 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097168 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097169 - above. ref SDS 0 954L  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097170 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097171 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097172 - bloating feeling, but still bloated starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097173 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097174 - diabetes, colitis and atrial fibrillation, and since 6th cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097175 - ablation on 240611, variable heart rate may occur from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097176 - autonomic nervous system (see analysis on 250114 1202, ref SDS 69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097177 - PQ5Y).  Took backpack to carry stuff.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097178 - left, onto Treat.  Starting hike feet swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097179 - needles - did feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097180 - due to peripheral neuropathy - about mile 1 feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097181 - of both feet PL 2 with metatarsalgia, including left foot #5, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097182 - flared up on 240919, ref SDS 36 XVTR  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097183 - hike with no dyspnea, indicating condition improving after reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097184 - hiking last few months.  Temperature started at 67, and reached 78.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097185 - East wind 09 mph and mostly 06 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097186 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097187 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097188 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097189 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097190 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097191 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097192 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097193 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097194 - sidewalk .5 miles.  Did not feel well - likely disoriented by taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097195 - oxycodone 5 mg starting hike.  Normally only take 1.  Taking 2 did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097196 - increase pain relief, but did disorientation - became wobbly.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097197 - Strength was good - aligns with taking magnesium and CoQ10.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097198 - 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097199 - sidewalk .5 miles - feet PL 2.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097200 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097201 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097202 - Continued West past Stop Light at Michigan Boulevard.  Feet PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097203 - Stopped at Union 76 Texaco Gas Station store mile 5, about time 1200.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097204 - Continued on Ygnacio Valley Road; turned left and hiked 0.25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097205 - East on Pine Hollow.  Turned around and hiked back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097206 - Road.  Turned left onto Campus Drive heading West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097207 - hiked 1 mile against wind 08 mph.  The road bends North.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097208 - Ygnacio Valley Road turned around and hiked uphill .25 mile 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097209 - Not fatigued on this part of hike, as occurred on Sunday, 250216, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097210 - above. ref SDS 0 QXWW  Reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097211 - University East Bay Concord Campus.  Hiked 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097212 - buildings.  Back at Visitor Parking decided not to hike usual loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097213 - through Faculty and Student parking lots.  Feet hurting.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097214 - Administration Building mile 08 time 1253 temp 74 and wind 03 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097215 - looks variable with minor artifact.  Kardia reported HR 102,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097216 - Unclassified - see below. ref SDS 0 VSUX  Bloating PL 2.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097217 - 3, feet PL 4, left foot #5 edge blister/callus PL 2 and #1 PL 3; right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097218 - foot #5 PL 3, burning sensation PL 5.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097219 - hamstring PL 0, lower back PL 0, left hip PL 0.  To avoid increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097220 - disorientation did not take another oxycodone 5 mg for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097221 - management.  Took another (2nd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097222 - swallowed whole after EGD Dilation on 250211 0830, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097223 - avoids capsule clogging LESV, as occurred last year on 240824, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097224 - case study. ref SDS 36 PPTU  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097225 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097226 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097227 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097228 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097229 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097230 - pill, per above. ref SDS 0 UYYW  Did not changed socks to reduce feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097231 - pain.  Exited college heading North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097232 - left onto Ygnacio Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097233 - 09, turned left onto Crystal Ranch Road.  Hiked South 1.0 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097234 - 5% grade with 05 mph wind.  Handled this better than expected for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097235 - first time taking this route in 5 months since 240923 - breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097236 - through nose without dyspnea nor stopping.  Feet PL 6 - very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097237 - pace.  At summit, continued on flat grade .75 mile.  Turned around at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097238 - Maplegate Court.  Hiked back 2 miles downhill.  Turned left continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097239 - West on Ygnacio Valley Road uphill 3% grade .5 miles against wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097240 - mph.  Crossed Cowell at stop light.  Continued on Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097241 - .25 miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097242 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097243 - traffic - difficult to maintain alignment due to feet PL 5.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097244 - left onto Treat hiking West .25 miles back to Cuneo, then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097245 - hike mile 15 time 1456 temp 78, wind 06.  Bloating PL 3, feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097246 - left foot #1 edge PL 4, #5 edge PL 3, right foot #1 fracture PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097247 - PL 6, burning sensation PL 5, shin splints PL 0, left knee PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097248 - (slightly swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097249 - right shoulder PL 0 intermittantly, lower back middle PL 0 - stress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097250 - carrying backpack, left elbow PL 0, when lifting.  EKG mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097251 - with some artifact, Kardia reported HR 108 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097252 - Fibrillation - see below. ref SDS 0 VSXP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097260 -  ..
097261 - Kardia recorded HR 049 at 0855 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097262 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097263 - hiking 23 miles temp 68 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097264 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097265 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097266 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097269 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097270 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250228-ecg-085521_mile_00_049_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097276 -  ..
097277 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097278 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097279 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097280 - ..
097281 -                                                                                                                                                                                                                                                                                                              x
097282 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097283 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097284 -       Date          250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 241213 241212 241211 241210 24120  
097285 -       Miles            15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0  
097286 -       HR AVG          115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no  
097287 -         MAX           139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report report report report report report report report repo  
097288 -         Min            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                                       
097289 -       El Climb Ft     611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                              
097290 -       Temp Max         78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                              
097291 -       Wind Max         13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                              
097292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097294 -              https://flow.polar.com/training/analysis/8063355190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097297 -               ..
097299 -   
097300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097304 -  ..
097305 - EKG at mile 08 time 1253 HR 102 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097306 - Unclassified... heart rate looks variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097307 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097310 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097311 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250228-ecg-125302_mile_08_102_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097315 -  ..
097316 - End hike EKG at mile 15, time 1456 HR 108 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097317 - Possible Atrial Fibrillation... looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097318 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097321 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097322 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250228-ecg-145650_mile_15_108_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097326 -  ..
097327 - Post hike HR profile beginning 1947, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097328 - hiking 15 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097329 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097330 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097331 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097334 -        ..
097335 -       Date      250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220  241219    
097336 -       Time       1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938    1914     
097337 -       Hours        12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5      13     
097338 -       HR AVG       62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74      70     
097339 -       HR MAX      134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     123     
097340 -       HR Min       40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40      44     
097341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097343 -              https://flow.polar.com/training/analysis/8063788630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097346 -               ..
097348 -   
097349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097352 -  ..
097353 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097354 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097355 - Dinner - hot dog cottage cheese onion tuna toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097357 -  ..
097358 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097389 -         ..
097390 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097391 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097392 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097393 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097394 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097395 -   60.  250301 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097396 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097397 -               0700....BP HR..................................................... 143  82  49  Kardia ECG reports HR status, see below. ref SDS 0 6WFP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097398 -               0705....BP HR..................................................... 151  89  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097399 -               0710....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097400 -               0710....80 441440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097401 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097402 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097403 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097404 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097405 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097406 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097407 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097408 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097409 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097410 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097411 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097412 -               1700... 40 120600 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                                                                                                                                                                                                                                                                                  
097413 -               1830............ 10 21140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097414 -               1830............ 10 21490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
097415 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097416 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097417 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097418 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097419 -               2200... 1000 2389000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097420 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097421 -               2330... 80 441520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097422 -               2340... 40 94800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097425 -  ..
097426 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097427 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097429 -  ..
097430 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097431 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097432 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097433 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097434 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097436 -  ..
097437 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097438 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097440 -  ..
097441 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097442 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097447 -  ..
097448 - Kardia recorded HR 052 at 0816 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097449 - uniform heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097450 - AFL after hiking 15 miles temp 79 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097451 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097452 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097453 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097456 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097457 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250301-ecg-081626_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097462 -  ..
097463 - Post hike HR profile beginning 2241, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097464 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097465 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097466 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097467 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097470 -        ..
097471 -       Date      250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221  241220    
097472 -       Time       2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945    1938     
097473 -       Hours         9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11       5     
097474 -       HR AVG       66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75      74     
097475 -       HR MAX      106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     124     
097476 -       HR Min       43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48      40     
097477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097479 -              https://flow.polar.com/training/analysis/8064580528                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097482 -               ..
097484 -   
097485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097488 -  ..
097489 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097490 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097491 - Dinner - potato steak (cut up) asparagus macaroni cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097493 -  ..
097494 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097527 -         ..
097528 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097529 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097530 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097531 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097532 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097533 -   61.  250302 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097534 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097535 -               0740....BP HR..................................................... 166  86  50  Kardia ECG reports HR status, see below. ref SDS 0 WRSG                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097536 -               0745....BP HR..................................................... 141  83  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097537 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097538 -               0750....80 441600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097539 -               1200....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097540 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097541 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097542 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097543 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097544 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097545 -               1200....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097546 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097547 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097548 -               1200... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
097549 -  ..
097550 -               1237....miles...........  24.0  83.0  396  1378 minutes  temp  58 wind 24  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097551 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097552 -               1618....mile 13 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097553 -               1618....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097554 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097555 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097556 -               1618... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
097557 -               1618... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097558 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097559 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
097560 -               1811....mile 19 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097561 -               1811....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097562 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097563 -               1811... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
097564 -               1811... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
097565 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097566 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
097567 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097568 -               1946... Hike ends mile 24... ref SDS 0 HR5C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097569 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097570 -               2000....weight.................................... 174  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097571 -               2005....BP HR..................................................... 104  68 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097572 -               2010....BP HR.....................................................  97  62  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097573 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097574 -               2015... 40 120640 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                                                                                                                                                                                                                                                                                  
097575 -             1 0000............ 10 21140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
097576 -             1 0000............ 10 21490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
097577 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097578 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097579 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097580 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097581 -               2200... 1000 2390000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097582 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097583 -               2330... 80 441680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097584 -               2340... 40 94840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097587 -  ..
097588 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097589 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097591 -  ..
097592 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097593 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097594 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097595 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097596 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097598 -  ..
097599 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097600 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097602 -  ..
097603 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097604 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097607 -  ..
097608 - Today, hiked 24 miles - nearly out of Tramadol, requested refill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097609 - 250226 0908. ref SDS 75 4N6O  Call to hospital on 250228 - Pharmacy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097610 - said order is being processed; however, online Pharmacy does not show                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097611 - Tramadol has shipped.  Took 2 Tramadol 50 mg before starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097612 - Was only mildly bloated related to variable heart rate and statins -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097613 - significant improvement.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097614 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097615 - Clayton Road, Then South 1 mile and turned West 1 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097616 - Valley Road.  Turned East on Pine Hollow 2.00 mile.  Hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097617 - Ygnacio Valley Road.  Turned West onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097618 - uphill 1 mile.  At Ygnacio Valley Road turned around and hiked uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097619 - 4% grade to Visitor Parking at College.  Hiked 2 laps through parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097620 - lots.  At mile 13, did EKG, and took 2 more Tramadol.  Took magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097621 - and CoQ10 for energy and dissipate inflammation to increase HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097622 - EPCs.  Had hydration and nutrition.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097623 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097624 - Hiked West on flat grade 2.0 miles uphill 4% grade.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097625 - continued downhill 2 miles.  Stopped at mile 19 for EKG, hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097626 - nutrition.  Feet hurting PL 3; did not take more Tramadol.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097627 - hike North on Oak Grove 1 mile to Treat.  Endorphins eased feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097628 - Turned onto Treat heading East 2 miles ending hike at mile 24.  Good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097629 - EKGs, less bloating.  No seizure-like episode with difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097630 - controlling speed as occurred coming up Treat on 250216, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097631 - study on 200101 0701. ref SDS 18 FO5H  Very big improvement right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097632 - foot #5 PL 0 entire hike compared to PL 6 on 250228.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097635 -         ..
097636 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097637 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097638 -        Stomach pain ischemic colitis bloating.......   1         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
097639 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097640 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097641 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097642 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097643 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097644 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097645 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097646 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097647 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
097648 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097649 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
097650 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097651 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
097652 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097653 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097654 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097655 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097656 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
097657 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097658 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097659 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097660 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097661 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
097662 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097663 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097664 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097665 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097666 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097667 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097668 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097669 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
097670 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097671 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097672 -        Metatarsalgia left foot...PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
097673 -        Metatarsalgia right foot..PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
097674 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
097675 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
097676 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097677 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097678 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
097679 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
097680 -        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                                                                                                                                                                                                                                                                                                                           
097681 -        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                                                                                                                                                                                                                                                                                                                                                                                    
097682 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097683 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
097684 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
097685 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097686 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097687 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
097688 -        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                                                                                                                                                                                                                                                                                                                                           
097689 -        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                                                                                                                                                                                                                                                                                                                                           
097690 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097691 -  **    Callus little toe right foot..top of toe.....   0         40  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
097692 -        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                                                                                                                                                                                                                                                                                                                                                                                        
097693 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
097694 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
097695 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097696 -        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                                                                                                                                                                                                                                                                                                                                                              
097697 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
097698 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
097699 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097700 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097701 -        Callus bottom right foot below little toe....   1        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
097702 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097703 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
097704 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
097705 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097706 -        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                                                                                                                                                                                                                                                                                                                                                                               
097707 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097708 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097709 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097710 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097711 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097712 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097713 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097714 -        Wobbly disoriented staggering dizzy..........   0         60  took 2 Tramadol and 0 Gabapentin mile 00, and 2 Tramadol mile 13 - no seizure symptoms today - not wobbly taking Tramadol and more effective pain relief                                                                                                                                                                                                                                                                                                                                                                                     
097715 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097716 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097720 -  ..
097721 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097722 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097723 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097724 - both feet.  Shoes worked better than on 250228 - - great rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097725 - energy - too narrow, caused pain left foot #1 and #5, but not right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097726 - foot #5.  Was able to extend hike over the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097728 -  ..
097729 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097730 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097731 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097733 -  ..
097734 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097735 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097736 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097737 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097738 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097740 -  ..
097741 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097742 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097743 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097744 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097745 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097748 -  ..
097749 - Concord 24 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097750 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097751 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097752 - and also left hip.  Took 2 Tramadol, using remaining pills until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097753 - refill from VA Pharmacy, and because metatarsalgia pain in feet PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097754 - starting hike, and right foot #1 PL 1, after falling on 241108 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097755 - next day on 241109, shown in case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097756 - 4W5K Similarly, left foot #1 and #5 both calluses PL 2, treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097757 - Doctor Tang at VAMCSF on 250109 0830. ref SDS 68 T49H  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097758 - Lidocaine gel to left foot #1 and #5 for pain management.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097759 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097760 - management, and reduce inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097761 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097762 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
097763 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097764 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097765 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097766 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097767 - above. ref SDS 0 BZ3G  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097768 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097769 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097770 - bloating feeling, but still bloated though less severely starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097771 - today, from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097772 - also symptomatic of diabetes, colitis and atrial fibrillation, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097773 - since 6th cardiac ablation on 240611, variable heart rate may occur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097774 - from dysfunctional autonomic nervous system (see analysis on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097775 - 1202, ref SDS 69 PQ5Y).  Took backpack to carry stuff.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097776 - .25 mile and turned left, onto Treat.  Starting hike feet swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097777 - like pins and needles - did feel electrical shocks in balls of feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097778 - this morning - due to peripheral neuropathy - about mile 1 feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097779 - calming down.  Bottom of both feet PL 2 with metatarsalgia, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097780 - left foot #5, which flared up on 240919, ref SDS 36 XVTR  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097781 - through nose entire hike with no dyspnea, indicating condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097782 - improving after reduced hiking last few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097783 - at 57, and reached 58.  East wind 25 mph and mostly 20 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097784 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097785 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097786 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097787 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097788 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097789 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097790 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097791 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097792 - on concrete sidewalk .5 miles.  Felt much better starting, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097793 - because took 2 Tramadol 50 mg instead of 2 oxycodone 5 mg starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097794 - hike 2 days ago on 250228, above. ref SDS 0 954L  Strength was good -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097795 - aligns with taking magnesium and CoQ10.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097796 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097797 - feet PL 2.  Continued hike crossing Park Highlands Road at Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097798 - and heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097799 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097800 - Stop Light at Michigan Boulevard.  Feet PL 2.  Did not stop at Union                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097801 - 76 Texaco Gas Station store mile 5, about time ____.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097802 - Ygnacio Valley Road; turned left and hiked 2.00 miles East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097803 - Hollow.  Turned around and hiked back to Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097804 - left onto Campus Drive heading West uphill 3% grade hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097805 - against wind 24 mph.  The road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097806 - Valley Road turned around and hiked uphill .25 mile 5% grade.  Not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097807 - fatigued on this part of hike, as occurred on Sunday, 250216, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097808 - above. ref SDS 0 QXWW  Reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097809 - University East Bay Concord Campus.  Hiked 2 loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097810 - Student parking lots.  Feet hurting.  Stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097811 - Building mile 13 time 1618 temp 57 and wind 24 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097812 - (actually "perfect") with no artifact.  Kardia reported HR 119,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097813 - Tachycardia - see below. ref SDS 0 WR4M  Bloating PL 2.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097814 - 2, left foot #5 edge blister/callus PL 4 and #1 PL 3; right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097815 - 0 (Hooray!!), burning sensation PL 2.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097816 - hamstring PL 0, lower back PL 0, left hip PL 0.  Took 2 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097817 - for pain management to complete hike.  Took another (2nd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097818 - complex 300 mg pill - swallowed whole after EGD Dilation on 250211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097819 - 0830, ref SDS 73 433O, avoids capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097820 - year on 240824, see case study. ref SDS 36 PPTU  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097821 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097822 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097823 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097824 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097825 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097826 - not take Nuun electrolyte pill, per above. ref SDS 0 VYRS  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097827 - change socks to reduce feet pain.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097828 - downhill on Campus Drive.  Turned left onto Ygnacio Road.  Hiked West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097829 - on flat grade .5 miles.  At mile 09, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097830 - heading West on Ygnacio Valley Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097831 - wind 21 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097832 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097833 - Continued West .5 mile to summit.  At mile 15 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097834 - barriar at break in traffic crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097835 - Road to use wider shoulder.  Hiked 2 miles downhill 3-4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097836 - break in traffic crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097837 - Crossed Oak Grove at traffic light.  Hiked 2 1-mile loops around block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097838 - at Safeway shopping complex.  Stopped at Mod Pizza mile 19, time 1811,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097839 - temp 54 and wind 16 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097840 - reported HR 121, Tachycardia - see below. ref SDS 0 5FAN  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097841 - 2.  Both feet PL 2, bruning sensation PL 3, right foot #1 fractured PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097842 - 0, left foot #5 edge blister/callus PL 3 and #1 PL 3.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097843 - meniscus PL 1, lower back PL 0, left hip PL 0.  Took 2 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097844 - and did not take Gabapentin 300 mg for pain.  Took another (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097845 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097846 - 250211 0830, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097847 - occurred last year on 240824, see case study. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097848 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097849 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097850 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097851 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097852 - temperature forecast below 80, reduced sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097853 - electrolytes, then did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097854 - ref SDS 0 VYRS  Hiked 1-mile loop around the block - turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097855 - path parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097856 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097857 - mile North in the dark on asphalt shoulder.  Crossed Treat at Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097858 - Light.  Hiked 1 mile East on flat grade concrete sidewalk.  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097859 - Miguel hiked .75 miles on Treat uphill 5% grade with wind 6 mph, temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097860 - 52.  Handled this well - no fatigue and no seizure symptoms as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097861 - occurred on 250216, per above. ref SDS 0 QXWW  Hiked last mile on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097862 - grade to Cuneo.  Turned left onto Cuneo and continued to Kaski and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097863 - back, then home.  Turning onto St Matthew street, a woman yelled in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097864 - the dark "Hey Rod!!!"  Continued and encountered Kim.  Made a joke,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097865 - saying would like to move in with her.  We talked for few minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097866 - about Gerry having deeded the house to his son, so looking for another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097867 - place.  Kim is working with a real estate agent to help her mother                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097868 - move.  She sent the agent's contact in an email.  Ended hike mile 24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097869 - time 1946 temp 52, wind 18.  Bloated PL 2, both feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097870 - 3 and right foot callus underneath skin and 1" below metatarsal #4 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097871 - 2, burning sensation PL 3, shin splints PL 0, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097872 - blister/callus PL 3 and #1 PL 4, right foot #1 injured by falls on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097873 - 241108 and 09 PL 1, Both ankles PL 1.  Left knee meniscus PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097874 - hamstring PL 0, left hip PL 0, right knee PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097875 - shoulder PL 0 intermittantly, lower back left side PL 0, EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097876 - with no artifact, Kardia reported HR 117 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097877 - ref SDS 0 HR5C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097885 -  ..
097886 - Kardia recorded HR 049 at 0818 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097887 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
097888 - hiking 15 miles temp 79 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097889 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
097890 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097891 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097894 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097895 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250302-ecg-081819_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097898 -  ..
097899 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
097900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097903 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250302-ecg-084100_mile_00_069_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097909 -  ..
097910 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
097911 - hike 24 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097912 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097913 - ..
097914 -                                                                                                                                                                                                                                                                                                              x
097915 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097916 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097917 -       Date          250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 241213 241212 24121  
097918 -       Miles            24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0  
097919 -       HR AVG          122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no  
097920 -         MAX           139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report report report report report report repo  
097921 -         Min            79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                         
097922 -       El Climb Ft     532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                                
097923 -       Temp Max         58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                                
097924 -       Wind Max         24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                                
097925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097927 -              https://flow.polar.com/training/analysis/8064672596                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097930 -               ..
097932 -   
097933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097937 -  ..
097938 - EKG at mile 13 time 1618 HR 119 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097939 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097940 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097943 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097944 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250302-ecg-161849_mile_13_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097948 -  ..
097949 - EKG at mile 19 time 1618 HR 121 temp 54, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097950 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097951 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
097952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097954 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097955 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250302-ecg-181108_mile_19_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097959 -  ..
097960 - End hike EKG at mile 24, time 1946 HR 117 temp 52 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
097961 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097962 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
097963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097965 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097966 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250302-ecg-194613_mile_24_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
097967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097970 -  ..
097971 - Post hike HR profile beginning 2324, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097972 - hiking 24 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
097973 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097974 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
097975 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
097976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097978 -        ..
097979 -       Date      250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222  241221    
097980 -       Time       2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957    1945     
097981 -       Hours        10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11      11     
097982 -       HR AVG       58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73      75     
097983 -       HR MAX      116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     112     
097984 -       HR Min       41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46      48     
097985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097987 -              https://flow.polar.com/training/analysis/8065074949                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
097988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097990 -               ..
097992 -   
097993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
097996 -  ..
097997 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
097998 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
097999 - Dinner - potato steak (cut up) broccoli cauliflower asparagus macaroni onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098001 -  ..
098002 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098035 -         ..
098036 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098037 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098038 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098039 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098040 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098041 -   62.  250303 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098042 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098043 -               0710....BP HR..................................................... 166  86  57  Kardia ECG reports HR status, see below. ref SDS 0 WT9R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098044 -               0715....BP HR..................................................... 155  90  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098045 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098046 -               0720....80 441760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098047 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098048 -               1020....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098049 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098050 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098051 -               1020... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098052 -               1020... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098053 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098054 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098055 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098056 -               1020....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098057 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
098058 -  ..
098059 -            *  1052....miles...........  21.0  21.0  349   349 minutes  temp  61 wind 12  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098060 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098061 -               1320....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098062 -               1320....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098063 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098064 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098065 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098066 -               1320... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
098067 -               1320... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098068 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098069 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
098070 -               1448....mile 13 stopped EKG and NPO - nothing eat or drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098071 -               0000....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098072 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098073 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098074 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
098075 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098076 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098077 -               1610....mile 17 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098078 -               0000....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098079 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098080 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098081 -               1610... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
098082 -               1610... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098083 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098084 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
098085 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098086 -               1730... Hike ends mile 21... ref SDS 0 W7QV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098087 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098088 -               1740....weight.................................... 175  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098089 -               1750....BP HR..................................................... 127  83  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098090 -               1757....BP HR..................................................... 122  82  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098091 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098092 -               1709... 40 120680 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                                                                                                                                                                                                                                                                                  
098093 -               1830............ 10 21150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098094 -               1830............ 10 21500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
098095 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098096 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098097 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098098 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098099 -               2200... 1000 2391000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098100 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098101 -               2330... 80 441840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098102 -               2340... 40 94880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098104 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098105 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098106 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098107 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098108 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098109 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098110 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098111 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098113 -  ..
098114 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098115 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098117 -  ..
098118 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098119 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098120 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098121 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098122 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098124 -  ..
098125 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098126 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098128 -  ..
098129 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098130 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098133 -  ..
098134 - Today, hiked 21 miles - nearly out of Tramadol, requested refill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098135 - 250226 0908. ref SDS 75 4N6O  Call to hospital on 250228 - Pharmacy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098136 - said order is being processed; however, online Pharmacy does not show                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098137 - Tramadol has shipped.  Took 2 Naproxen 250 mg before starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098138 - Was bloated related to variable heart rate and statins - possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098139 - improvement.  Did 5 mile semi-loop through South Concord streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098140 - Treat, Turtle Creek Road.  Continued on Ayers East to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098141 - Then South 1 mile and turned West 1 mile on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098142 - Turned East on Pine Hollow 0.50 mile.  Hiked back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098143 - Road.  Turned West onto Campus Drive heading West uphill 1 mile.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098144 - Ygnacio Valley Road turned around and hiked uphill 4% grade to Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098145 - Parking at College.  Hiked 2 laps around main buildings.  At mile 08,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098146 - did EKG, and took 2 more Naproxen.  Took magnesium and CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098147 - energy and dissipate inflammation to increase HDL and EPCs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098148 - hydration and nutrition.  Exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098149 - Campus Drive.  Hiked 8 mile loop through Crystal Ranch Road and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098150 - development - first time since 240923.  Back at college, hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098151 - Ygnacio Valley Road uphill 4% grade.  At summit turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098152 - hiked back .5 mile.  Took Cowell 1 mile to Treat then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098155 -         ..
098156 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098157 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098158 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
098159 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098160 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098161 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098162 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098163 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098164 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098165 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098166 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098167 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
098168 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098169 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
098170 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098171 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
098172 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098173 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098174 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098175 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098176 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
098177 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098178 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098179 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098180 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098181 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
098182 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098183 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098184 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098185 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098186 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098187 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098188 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098189 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
098190 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098191 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098192 -        Metatarsalgia left foot...PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
098193 -        Metatarsalgia right foot..PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
098194 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
098195 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
098196 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098197 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098198 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
098199 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
098200 -        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                                                                                                                                                                                                                                                                                                                           
098201 -        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                                                                                                                                                                                                                                                                                                                                                                                    
098202 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098203 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
098204 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
098205 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098206 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098207 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
098208 -        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                                                                                                                                                                                                                                                                                                                                           
098209 -        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                                                                                                                                                                                                                                                                                                                                           
098210 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098211 -  **    Callus little toe right foot..top of toe.....   0         40  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
098212 -        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                                                                                                                                                                                                                                                                                                                                                                                        
098213 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
098214 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
098215 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098216 -        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                                                                                                                                                                                                                                                                                                                                                              
098217 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
098218 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
098219 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098220 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098221 -        Callus bottom right foot below little toe....   1        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
098222 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098223 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
098224 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
098225 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098226 -        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                                                                                                                                                                                                                                                                                                                                                                               
098227 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098228 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098229 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098230 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098231 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098232 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098233 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098234 -        Wobbly disoriented staggering dizzy..........   0         60  took 2 Tramadol and 0 Gabapentin mile 00, and 2 Tramadol mile 13 - no seizure symptoms today - not wobbly taking Tramadol and more effective pain relief                                                                                                                                                                                                                                                                                                                                                                                     
098235 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098236 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098240 -  ..
098241 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098242 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098243 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098244 - both feet.  Shoes worked better than on 250228 - - great rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098245 - energy - too narrow, caused pain left foot #1 and #5, but not right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098246 - foot #5.  Was able to extend hike over the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098248 -  ..
098249 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098250 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098251 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098253 -  ..
098254 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098255 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098256 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098257 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098258 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098260 -  ..
098261 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098262 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098263 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098264 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098265 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098268 -  ..
098269 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098270 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098271 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098272 - and also left hip.  Took 2 Naproxen, because do not have enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098273 - Tramadol to take 2 Tramadol twice during hike, and cannot mix Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098274 - and Tramadol. using remaining pills until refill from VA Pharmacy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098275 - because metatarsalgia pain in feet PL 2 starting hike, and right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098276 - #1 PL 1, after falling on 241108 and next day on 241109, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098277 - study on 200101 0701. ref SDS 18 4W5K  Similarly, left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098278 - both calluses PL 1, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098279 - ref SDS 68 T49H  Tried applying Lidocaine gel again to left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098280 - and #5 for pain management.  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098281 - energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098282 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098283 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098284 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098285 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098286 - Had small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098287 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098288 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 JS5E  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098289 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098290 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098291 - ref SDS 18 136K  No breakfast reduces bloating feeling, but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098292 - bloated though less severely starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098293 - colitis caused by taking statins and other drugs (e.g., Naproxen, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098294 - have to chance taking Naproxen, because out of Tramadol, and VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098295 - Pharmacy delayed shipping Tramadol requested letter on 250226 0908.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098296 - ref SDS 75 4N6O), also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098297 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098298 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098299 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098300 - stuff.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098301 - hike feet swelled and like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098302 - shocks in balls of feet this morning - due to peripheral neuropathy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098303 - about mile 1 feet calming down.  Bottom of both feet PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098304 - metatarsalgia, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098305 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098306 - indicating condition improving after reduced hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098307 - Temperature started at 57, and reached 58.  East wind 25 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098308 - mostly 20 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098309 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098310 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098311 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098312 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098313 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098314 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098315 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098316 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098317 - Felt much better starting, likely because took 2 Tramadol 50 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098318 - instead of 2 oxycodone 5 mg starting hike 2 days ago on 250228, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098319 - ref SDS 0 954L  Strength was good - aligns with taking magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098320 - CoQ10.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098321 - using concrete sidewalk .5 miles - feet PL 2.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098322 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098323 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098324 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098325 - Feet PL 2.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098326 - about time ____.  Continued on Ygnacio Valley Road; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098327 - hiked 0.75 mile East on Pine Hollow.  Before Rolling Woods Way, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098328 - around and hiked back to Ygnacio Valley Road.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098329 - Drive heading West uphill 3% grade hiked 1 mile against wind 18 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098330 - Crossed paths with Kathy heading East.  She is doing well sticking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098331 - with hiking regimen in 5 mile range.  Kathy mentioned seeing me hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098332 - while she is driving on Treat and Oak Grove, and in Clayton on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098333 - Hollow and Ygnacio Valley Road - she said "everywhere?" Continued West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098334 - on Campus Drive.  The road bends North.  On reaching Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098335 - Road turned around and hiked uphill .25 mile 5% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098336 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098337 - Campus.  Hiked loop around main buildings.  Stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098338 - Building mile 08 time 1320 temp 60 and wind 15 mph; EKG looks varoable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098339 - with no artifact.  Kardia reported HR 105, Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098340 - ref SDS 0 W4YT  Bloating PL 3.  Both feet PL 3, left foot #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098341 - blister/callus PL 2 and #1 PL 2; right foot #5 PL 0 (Hooray -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098342 - again!!!), burning sensation PL 2.  Left knee meniscus PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098343 - hamstring PL 0, lower back PL 0, left hip PL 0.  Took 2 Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098344 - pain management to complete hike.  Took another (2nd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098345 - complex 300 mg pill - swallowed whole after EGD Dilation on 250211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098346 - 0830, ref SDS 73 433O, avoids capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098347 - year on 240824, see case study. ref SDS 36 PPTU  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098348 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098349 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098350 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098351 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098352 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098353 - not take Nuun electrolyte pill, per above. ref SDS 0 WQPV  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098354 - change socks to reduce feet pain.  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098355 - buildings.  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098356 - Turned left onto Ygnacio Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098357 - mile 10, turned left onto Crystal Ranch Road doing 8-mile loop, first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098358 - time since 240923. 240101 0712. ref SDS 36 5S7J  Hiked South 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098359 - uphill 5% grade with 12 mph wind.  Handled this well breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098360 - nose without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098361 - miles.  Encountered Palomo and her husband hiking North.  Visited for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098362 - few minutes - they asked why have not hiked this route for nearly a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098363 - year ago hiked Crystal Ranch loop on 240424, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098364 - 240101 0712, ref SDS 36 SPUP, and prior to 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098365 - 240611 0930. ref SDS 53 MC6F  Discussed reduced hiking due to side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098366 - effects from ablation.  Palomo mentioned seeing me hiking around town                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098367 - on less rigorous routes; like Kathy early today, per above, Palomo is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098368 - pleased have resumed in Crystal Ranch Development.  Continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098369 - .25 miles 5% grade.  Hiked past Rolling Woods Way uphill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098370 - Ranch Road .5 miles 6% grade against wind 10 mph.  Road ends at top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098371 - hill.  Stopped mile 13 time 1448, temp 61, wind 17 mph; EKG variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098372 - with no artifact, Kardia reported HR 114 (HR - no wait today at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098373 - different locations to get cellphone connection... low for level of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098374 - effort and temperature at this station...) Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098375 - Fibrillation - see below. ref SDS 0 WCPN  bloating PL 3, Feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098376 - left foot #5 edge blister/callus PL 2 and #1 PL 2; right foot #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098377 - (Hooray - again!!!), burning sensation PL 1.  Left knee meniscus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098378 - Took 0 Naproxen; nothing to eat or drink (NPO), per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098379 - WQPV Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098380 - bottom of hill, turned right onto Rolling Woods Way hiking East .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098381 - miles uphill 6% grade against 12 mph wind.  At summit continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098382 - downhill .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098383 - turned left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098384 - against wind 14 mph.  At mile 16, reached California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098385 - East Bay Concord Campus.  Hiked loop around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098386 - Visitor Parking stopped 2nd time at Administration Building mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098387 - time 1610, temp 60 and wind 13 mph; EKG variable with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098388 - Kardia reported HR 105 Unclassified - see below. ref SDS 0 LZ5D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098389 - Bloating PL 3.  Both feet PL 3, left foot #5 edge blister/callus PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098390 - and #1 PL 3; right foot #5 PL 0 (Hooray - again!!!), burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098391 - PL 2.  Left knee meniscus PL 2, left hamstring PL 0, lower back PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098392 - left hip PL 0.  Despite pain did not take 1 Naproxen for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098393 - management to complete hike.  Seems like endorphins may be suppressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098394 - pain to some degree.  Took another (3rd) Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098395 - - swallowed whole after EGD Dilation on 250211 0830, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098396 - avoids capsule clogging LESV, as occurred last year on 240824, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098397 - case study. ref SDS 36 PPTU  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098398 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098399 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098400 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098401 - to complete hike.  Since temperature forecast below 80, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098402 - sweating that ejects electrolytes, then did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098403 - pill, per above. ref SDS 0 WQPV  Exited college North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098404 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098405 - flat grade .5 miles.  At mile 18, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098406 - uphill 3% grade .5 miles against wind 12 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098407 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098408 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098409 - end of concrete barriar mile 19, hiked back .5 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098410 - onto Cowell heading North .25 miles downhill 5% grade.  Continued flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098411 - grade .25 miles, then .5 miles with narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098412 - afternoon commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098413 - miles back to Cuneo and home.  Ended hike mile 21 time 1730 temp 58,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098414 - wind 09, bloated PL 2, feet PL 3, burning sensation PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098415 - PL 2, #5 PL 2, left knee PL 2. neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098416 - intermittantly, lower back left side PL 6, EKG looks variable, with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098417 - artifact, Kardia reported HR 106 Unclassified - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098418 - W7QV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098425 -  ..
098426 - Kardia recorded HR 055 at 0913 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098427 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098428 - after hiking 24 miles temp 58 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098429 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098430 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098431 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098434 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098435 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250303-ecg-091334_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098440 -  ..
098441 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098442 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098443 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098444 - ..
098445 -                                                                                                                                                                                                                                                                                                              x
098446 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098447 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098448 -       Date          250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 241213 24121  
098449 -       Miles            21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0  
098450 -       HR AVG          115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no  
098451 -         MAX           136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report report report report report repo  
098452 -         Min            60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                                  
098453 -       El Climb Ft     641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                         
098454 -       Temp Max         61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                         
098455 -       Wind Max         12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                         
098456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098458 -              https://flow.polar.com/training/analysis/8065309674                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098461 -               ..
098463 -   
098464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098468 -  ..
098469 - EKG at mile 08 time 1320 HR 105 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098470 - Unclassified... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098471 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098474 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098475 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250303-ecg-132019_mile_08_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098479 -  ..
098480 - EKG at mile 13 time 1448 HR 114 temp 61, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098481 - Atrial Fibrillation... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098482 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098485 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098486 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250303-ecg-144859_mile_13_114_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098490 -  ..
098491 - EKG at mile 17 time 1610 HR 105 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098492 - Unclassified... heart rate looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098493 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098496 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098497 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250303-ecg-161042_mile_17_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098501 -  ..
098502 - End hike EKG at mile 21, time 1730 HR 106 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098503 - Unclassified... looks variable with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098504 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098507 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098508 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250303-ecg-173015_mile_21_106_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098512 -  ..
098513 - Post hike HR profile beginning 2311, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098514 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098515 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098516 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098517 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098520 -        ..
098521 -       Date      250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223  241222    
098522 -       Time       2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924    1957     
098523 -       Hours        10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13      11     
098524 -       HR AVG       58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69      73     
098525 -       HR MAX      141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     112     
098526 -       HR Min       41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47      46     
098527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098529 -              https://flow.polar.com/training/analysis/8065754075                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098532 -               ..
098534 -   
098535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098538 -  ..
098539 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098540 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098541 - Dinner - potato steak (cut up) broccoli cauliflower asparagus macaroni onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098543 -  ..
098544 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098574 -         ..
098575 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098576 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098577 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098578 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098579 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098580 -   63.  250304 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098581 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098582 -               0730....BP HR..................................................... 157  93  51  Kardia ECG reports HR status, see below. ref SDS 0 X1PW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098583 -               0735....BP HR..................................................... 157  87  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098584 -               0740....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098585 -               0740....80 441920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098586 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098587 -               1020....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098588 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098589 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098590 -               1020... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098591 -               1020... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098592 -               1020....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098593 -               1020....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098594 -               1020....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098595 -               1020....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098596 -               1020... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
098597 -  ..
098598 -               1128....miles...........  20.0  41.0  327   676 minutes  temp  61 wind 08  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098599 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098600 -               1350....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098601 -               1350....Naproxen 250 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098602 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098603 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098604 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098605 -               1350... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
098606 -               1350... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098607 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098608 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
098609 -               1618....mile 16 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098610 -               1618....Naproxen 250 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098611 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098612 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098613 -               1618... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
098614 -               1618... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
098615 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098616 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
098617 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098618 -               1741... Hike ends mile 20... ref SDS 0 XPXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098619 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098620 -               1800....weight.................................... 175  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098621 -               1810....BP HR..................................................... 115  73 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098622 -               1815....BP HR..................................................... 117  78  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098623 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098624 -               1830... 40 120720 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                                                                                                                                                                                                                                                                                  
098625 -             1 0000............ 10 21150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
098626 -             1 0000............ 10 21500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
098627 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098628 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098629 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098630 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098631 -               2200... 1000 2392000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098632 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098633 -               2330... 80 442000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098634 -               2340... 40 94920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098637 -  ..
098638 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098639 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098641 -  ..
098642 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098643 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098644 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098645 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098646 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098648 -  ..
098649 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098650 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098652 -  ..
098653 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098654 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098657 -  ..
098658 - Today, hiked 20 miles - took 2 Naproxen 250 mg before starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098659 - Feeling bloated related to variable heart rate and statins.  Did 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098660 - mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098661 - Road.  Continued on Ayers East to Clayton Road, Then South 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098662 - turned West 1 mile on Ygnacio Valley Road.  Turned East on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098663 - 0.25 mile.  Hiked back to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098664 - Campus Drive heading West uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098665 - College.  Hiked 1 lap through parking lots.  At mile 08, did EKG, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098666 - took 1 Naproxen.  Took magnesium and CoQ10 for energy and dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098667 - inflammation to increase HDL and EPCs.  Had hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098668 - Exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098669 - onto Ygnacio Valley Road.  Hiked West on flat grade 2.0 miles uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098670 - 4% grade.  At summit continued downhill 2 miles.  Stopped at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098671 - for EKG, hydration and nutrition.  Feet hurting PL 3; took 1 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098672 - Continued hike North on Oak Grove 1 mile to Treat.  Endorphins eased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098673 - feet pain.  Turned onto Treat heading East 2 miles and turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098674 - Cuneo; ending hike at mile 20.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098677 -         ..
098678 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098679 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098680 -        Stomach pain ischemic colitis bloating.......   3         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
098681 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098682 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098683 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098684 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098685 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098686 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098687 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098688 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098689 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
098690 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098691 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
098692 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098693 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
098694 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098695 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098696 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098697 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098698 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
098699 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098700 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098701 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098702 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098703 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
098704 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098705 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098706 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098707 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098708 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098709 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098710 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098711 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
098712 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098713 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098714 -        Metatarsalgia left foot...PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
098715 -        Metatarsalgia right foot..PRP 210705.........   3         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
098716 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
098717 -  new   Right foot #1 fractured fall on stairs.......   1        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
098718 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098719 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098720 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
098721 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
098722 -        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                                                                                                                                                                                                                                                                                                                           
098723 -        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                                                                                                                                                                                                                                                                                                                                                                                    
098724 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098725 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
098726 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
098727 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098728 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098729 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
098730 -        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                                                                                                                                                                                                                                                                                                                                           
098731 -        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                                                                                                                                                                                                                                                                                                                                           
098732 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098733 -  **    Callus little toe right foot..top of toe.....   0         40  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
098734 -        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                                                                                                                                                                                                                                                                                                                                                                                        
098735 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
098736 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
098737 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098738 -        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                                                                                                                                                                                                                                                                                                                                                              
098739 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
098740 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
098741 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098742 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098743 -        Callus bottom right foot below little toe....   1        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
098744 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098745 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
098746 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
098747 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098748 -        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                                                                                                                                                                                                                                                                                                                                                                               
098749 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098750 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098751 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098752 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098753 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098754 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098755 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098756 -        Wobbly disoriented staggering dizzy..........   0         60  took 2 Tramadol and 0 Gabapentin mile 00, and 2 Tramadol mile 13 - no seizure symptoms today - not wobbly taking Tramadol and more effective pain relief                                                                                                                                                                                                                                                                                                                                                                                     
098757 -        Wasted - very fatigued.......................   0         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098758 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098762 -  ..
098763 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098764 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098765 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098766 - both feet.  Shoes worked better than on 250228 - - great rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098767 - energy - too narrow, caused pain left foot #1 and #5, but not right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098768 - foot #5.  Was able to extend hike over the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098770 -  ..
098771 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098772 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098773 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098775 -  ..
098776 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098777 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098778 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098779 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098780 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098782 -  ..
098783 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098784 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098785 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098786 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098787 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098790 -  ..
098791 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098792 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098793 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098794 - and also left hip.  Took 2 Naproxen, because do not have enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098795 - Tramadol to take 2 Tramadol twice during hike, and cannot mix Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098796 - and Tramadol. using remaining pills until refill from VA Pharmacy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098797 - (received just before leaving on hike, see, 250304 1123, ref SDS 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098798 - BF6F), after Naproxen had been taken), and because metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098799 - in feet PL 2 starting hike, and right foot #1 PL 1, after falling on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098800 - 241108 and next day on 241109, shown in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098801 - ref SDS 18 4W5K  Similarly, left foot #1 and #5 both calluses PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098802 - treated by Doctor Tang at VAMCSF on 250109 0830. ref SDS 68 T49H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098803 - Tried applying Lidocaine gel again to left foot #1 and #5 for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098804 - management.  Took Magnesium Complex 300 mg pill for energy, absorb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098805 - lactic acid for pain management, and resolve inflammation to enable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098806 - HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098807 - vessels - see research on 200101 0701, ref SDS 18 QP6L - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098808 - pill whole after EGD Dilation on 250211, ref SDS 73 433O, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098809 - capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098810 - small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098811 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098812 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 625F  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098813 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098814 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098815 - ref SDS 18 136K  No breakfast reduces bloating feeling, but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
098816 - bloated though less severely starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098817 - colitis caused by taking statins and other drugs (e.g., Naproxen, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098818 - have to chance taking Naproxen, because out of Tramadol, and VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098819 - Pharmacy delayed shipping Tramadol requested in letter on 250226 0908.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098820 - ref SDS 75 4N6O), also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098821 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098822 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098823 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098824 - stuff.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098825 - hike feet swelled and like pins and needles - Some electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098826 - in balls of feet this morning - due to peripheral neuropathy - about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098827 - mile 1 feet calming down.  Bottom of both feet PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098828 - metatarsalgia, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098829 - ref SDS 36 XVTR  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098830 - indicating condition improving after reduced hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098831 - Temperature started at 57, and reached 61.  East wind 08 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098832 - mostly 03 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098833 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098834 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098835 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098836 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098837 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098838 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098839 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098840 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098841 - Felt much better starting, likely because took 2 Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098842 - instead of 2 oxycodone 5 mg starting hike on 250228, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098843 - ref SDS 0 954L  Strength was good - aligns with taking magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098844 - CoQ10.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098845 - using concrete sidewalk .5 miles - feet PL 2.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098846 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098847 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098848 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098849 - Feet PL 2.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098850 - about time ____.  Continued on Ygnacio Valley Road; turned left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098851 - hiked 0.25 mile East on Pine Hollow.  Encountered Kathy coming the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098852 - other way.  Turned around and hiked together for about 3 miles.  Kathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098853 - mentioned she was driving North on Crystal Ranch Road yesterday, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098854 - saw me hiking South down the dip.  We turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098855 - heading West uphill 3% grade hiked 1 mile against wind 08 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098856 - Continued West on Campus Drive.  The road bends North.  Took the turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098857 - onto Campus Road going uphill .25 mile 5% grade.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098858 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098859 - loop through Faculty and Student parking lots.  At North end Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098860 - parking, Kathy continued East on Campus Drive heading home.  She is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098861 - visiting in Sparks for the next few days.  Flying out tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098862 - Continued hiking through parking lots and around main buildings.  Back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098863 - at Visitor Parking, stopped at Administration Building mile 08 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098864 - 1350 temp 61 and wind 05 mph; EKG looks variable with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098865 - Kardia reported HR 107, Unclassified - see below. ref SDS 0 XPUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098866 - Bloating PL 3.  Both feet PL 3, left foot #5 edge blister/callus PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098867 - and #1 PL 2; right foot #5 PL 0 (Hooray - again!!!), burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098868 - PL 2.  Left knee meniscus PL 1, left hamstring PL 0, lower back PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098869 - left hip PL 0.  Took 1 Naproxen for pain management to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098870 - Took another (2nd) Magnesium complex 300 mg pill - swallowed whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098871 - after EGD Dilation on 250211 0830, ref SDS 73 433O, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098872 - clogging LESV, as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098873 - ref SDS 36 PPTU  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098874 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098875 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098876 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098877 - complete hike.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098878 - that ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098879 - above. ref SDS 0 WVTS  Did not change socks to reduce feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098880 - Hiked another loop around main buildings.  Exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098881 - North downhill on Campus Drive.  Turned left onto Ygnacio Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098882 - West on flat grade .5 miles.  At mile 09, continued past Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098883 - Road heading West on Ygnacio Valley Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098884 - against wind 21 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098885 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098886 - camber.  Continued West .5 mile to summit.  At mile 10 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098887 - traffic barriar at break in traffic crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098888 - Valley Road to use wider shoulder.  Hiked 2 miles downhill 3-4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098889 - At break in traffic crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098890 - Crossed Oak Grove at traffic light.  Hiked 4 1-mile loops around block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098891 - at Safeway shopping complex.  Stopped at Mod Pizza mile 16, time 1618,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098892 - temp 61 and wind 08 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098893 - reported HR 165, Unclassified - see below. ref SDS 0 XPVQ  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098894 - 2.  Both feet PL 3, bruning sensation PL 3, right foot #1 fractured PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098895 - 0, left foot #5 edge blister/callus PL 2 and #1 PL 3.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098896 - meniscus PL 1, lower back PL 0, left hip PL 0.  Took 1 Naproxen and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098897 - did not take Gabapentin 300 mg for pain.  Took another (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098898 - complex 300 mg pill - swallowed whole after EGD Dilation on 250211                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098899 - 0830, ref SDS 73 433O, avoids capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098900 - year on 240824, see case study. ref SDS 36 PPTU  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098901 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098902 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098903 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098904 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098905 - forecast below 80, reduced sweating that ejects electrolytes, then did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098906 - not take Nuun electrolyte pill, per above. ref SDS 0 WVTS  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098907 - 1-mile loop around the block - turned right onto path parallel to Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098908 - Monte hiking North .25 miles, turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098909 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098910 - shoulder.  Crossed Treat at Stop Light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098911 - grade concrete sidewalk.  At San Miguel hiked .75 miles on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098912 - uphill 5% grade with wind 4 mph, temp 60.  Handled this well - no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098913 - fatigue and no seizure symptoms as occurred on 250216, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
098914 - ref SDS 0 QXWW  Hiked last mile on flat grade to Cuneo.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098915 - onto Cuneo and then home.  Ended hike mile 20 time 1741 temp 60, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098916 - 04.  Bloated PL 3, both feet metatarsalgia PL 3 and right foot callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098917 - underneath skin and 1" below metatarsal #4 PL 2, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098918 - 2, shin splints PL 0, left foot #5 edge blister/callus PL 2 and #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098919 - 3, right foot #1 injured by falls on 241108 and 09 PL 1, Both ankles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098920 - PL 1.  Left knee meniscus PL 1, left hamstring PL 0, left hip PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098921 - right knee PL 0, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098922 - back left side PL 0, EKG uniform with no artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098923 - 118 Tachycardia - see below. ref SDS 0 XPXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098931 -  ..
098932 - Kardia recorded HR 051 at 0957 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
098933 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
098934 - AFL after hiking 21 miles temp 61 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098935 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098936 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098937 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098940 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098941 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250304-ecg-095733_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098944 -  ..
098945 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
098946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098948 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098949 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250304-ecg-100353_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098955 -  ..
098956 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
098957 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
098958 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098959 - ..
098960 -                                                                                                                                                                                                                                                                                                              x
098961 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098962 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
098963 -       Date          250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 241216 241215 241214 24121  
098964 -       Miles            20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0      0      0      0  
098965 -       HR AVG          115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no     no     no     no  
098966 -         MAX           175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report report report report repo  
098967 -         Min            74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                                           
098968 -       El Climb Ft     532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                                                  
098969 -       Temp Max         61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                                                  
098970 -       Wind Max         08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                                                  
098971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098973 -              https://flow.polar.com/training/analysis/8065982890                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
098974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098976 -               ..
098978 -   
098979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098983 -  ..
098984 - EKG at mile 08 time 1350 HR 105 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098985 - Unclassified... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
098986 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
098987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098989 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
098990 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250304-ecg-135013_mile_08_107_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
098991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098994 -  ..
098995 - EKG at mile 16 time 1618 HR 165 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098996 - Unclassified... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
098997 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
098998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
098999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099000 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099001 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250304-ecg-161828_mile_16_165_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099004 -  ..
099005 - End hike EKG at mile 20, time 1741 HR 118 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099006 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099007 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099010 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099011 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250304-ecg-174122_mile_20_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099015 -  ..
099016 - Post hike HR profile beginning 2030, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099017 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099018 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099019 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099020 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099023 -        ..
099024 -       Date      250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224  241223    
099025 -       Time       2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932    1924     
099026 -       Hours        13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12      13     
099027 -       HR AVG       66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65      69     
099028 -       HR MAX      132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     122     
099029 -       HR Min       43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35      47     
099030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099032 -              https://flow.polar.com/training/analysis/8066402451                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099035 -               ..
099037 -   
099038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099041 -  ..
099042 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099043 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099044 - Dinner - eggs asparagus ham onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099046 -  ..
099047 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099076 -         ..
099077 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099078 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099079 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099080 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099081 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099082 -   64.  250305 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099083 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099084 -               0700....BP HR..................................................... 149  81  49  Kardia ECG reports HR status, see below. ref SDS 0 X1PW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099085 -               0705....BP HR..................................................... 153  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099086 -               0710....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099087 -               0710....80 441920 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099088 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099089 -               0000....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099090 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099091 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099092 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099093 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099094 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099095 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099096 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099097 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099098 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099099 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099100 -               1830... 40 120720 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                                                                                                                                                                                                                                                                                  
099101 -               1830............ 10 21150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099102 -               1830............ 10 21500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099103 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099104 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099105 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099106 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099107 -               2200... 1000 2392000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099108 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099109 -               2330... 80 442000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099110 -               2340... 40 94920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099113 -  ..
099114 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099115 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099117 -  ..
099118 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099119 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099120 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099121 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099122 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099124 -  ..
099125 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099126 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099128 -  ..
099129 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099130 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099134 -  ..
099135 - Kardia recorded HR 057 at 0930 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099136 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099137 - AFL after hiking 20 miles temp 61 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099138 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099139 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099140 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099143 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099144 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250305-ecg-093005_mile_00_057_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099148 -  ..
099149 - Post hike HR profile beginning 1932, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099150 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099151 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099152 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099153 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099156 -        ..
099157 -       Date      250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225  241224    
099158 -       Time       1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042    1932     
099159 -       Hours         7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12      12     
099160 -       HR AVG       66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71      65     
099161 -       HR MAX      125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     115     
099162 -       HR Min       44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45      35     
099163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099165 -              https://flow.polar.com/training/analysis/8066819769                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099168 -               ..
099170 -   
099171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099174 -  ..
099175 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099176 - Lunch - sandwich tuna avocado onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099177 - Dinner - potato broccoli hot dog onion (ate half)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099179 -  ..
099180 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099209 -         ..
099210 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099211 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099212 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099213 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099214 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099215 -   65.  250306 0310............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099216 -               0315....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099217 -               0320....BP HR..................................................... 163  76  50  Kardia ECG reports HR status, see below. ref SDS 0 C4JN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099218 -               0325....BP HR..................................................... 171  95  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099219 -               0330....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099220 -               0330....80 442080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099221 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099222 -               0000....Naproxen 250 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099223 -               0000....Oxycodone 5 mg took 2 pills - experiment check side effects - felt disoriented and feet pain only partially resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099224 -               0000... Gabapentin 300MG  1 pill to relieve peripheral neuropathy in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099225 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099226 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099227 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099228 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099229 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099230 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099231 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099232 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099233 -               1830... 40 120760 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                                                                                                                                                                                                                                                                                  
099234 -             1 0000............ 10 21150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099235 -             1 0000............ 10 21500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099236 -               2045....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099237 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099238 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099239 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099240 -               2200... 1000 2393000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099241 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099242 -               2330... 80 442160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099243 -               2340... 40 94960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099246 -  ..
099247 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099248 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099250 -  ..
099251 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099252 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099253 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099254 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099255 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099257 -  ..
099258 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099259 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099261 -  ..
099262 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099263 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099267 -  ..
099268 - Kardia recorded HR 075 at 0320 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099269 - lengths with p-waves and minor artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099270 - miles temp 60 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099271 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099272 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099273 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099276 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099277 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250306-ecg-032005_mile_00_075_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099281 -  ..
099282 - Post hike HR profile beginning 1925, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099283 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099284 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099285 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099286 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099289 -        ..
099290 -       Date      250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226  241225    
099291 -       Time       1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930    2042     
099292 -       Hours        12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12      12     
099293 -       HR AVG       62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71      71     
099294 -       HR MAX      114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     139     
099295 -       HR Min       42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42      45     
099296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099298 -              https://flow.polar.com/training/analysis/8067652668                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099301 -               ..
099303 -   
099304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099307 -  ..
099308 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099309 - Lunch - sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099310 - Dinner - potato broccoli ham onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099312 -  ..
099313 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099341 -         ..
099342 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099343 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099344 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099345 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099346 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099347 -   66.  250307 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099348 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099349 -               0720....BP HR..................................................... 180 100  54  Kardia ECG reports HR status, see below. ref SDS 0 Y5PQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099350 -               0725....BP HR..................................................... 172  88  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099351 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099352 -               0730....80 442080 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099353 -               0000....Tramadol 50 mg took 2 pills - pending refill VA Pharmacy said order filled today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099354 -               0940... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099355 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099356 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099357 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099358 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099359 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099360 -               0940... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL
099361 -  ..
099362 -           *   1007....miles...........  34.0  75.0  552  1228 minutes  temp  66 wind 12  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099363 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099364 -               1224....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099365 -               1224....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099366 -               1224... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
099367 -               1224... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099368 -               1346....mile 12 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099369 -               1346....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099370 -               1346... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
099371 -               1346... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099372 -               1503....mile 16 stopped EKG and NPO - nothing to eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099373 -               0000....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099374 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
099375 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099376 -               1634....mile 21 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099377 -               1634....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099378 -               1634... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
099379 -               1634... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099380 -               1809....mile 26 stopped EKG and NPO - nothing to eat nor drink - except took spoon of Chia Seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099381 -               1809....Tramadol 50 mg took 1 pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099382 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
099383 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099384 -               0000....Electrolytes pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099385 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916, ref SDS 21 OS49, and NSAID Naproxen - Simethicone not needed today                                                                                                                                                                                                                                                                                                                                                                                               
099386 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099387 -               2027... Hike ends mile 20... ref SDS 0 YQVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099388 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099389 -               2050....weight.................................... 174  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099390 -               2055....BP HR..................................................... 113  74  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099391 -               2100....BP HR..................................................... 113  78  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099392 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099393 -               2100... 40 120760 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                                                                                                                                                                                                                                                                                  
099394 -               2130............ 10 21150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099395 -               2130............ 10 21500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099396 -               2215....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099397 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099398 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099399 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099400 -               2300... 1000 2393000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099401 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099402 -               2330... 80 442160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099403 -               2340... 40 94960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099405 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099406 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099407 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099408 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099409 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099410 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099411 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099412 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099415 -  ..
099416 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099417 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099419 -  ..
099420 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099421 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099422 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099423 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099424 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099426 -  ..
099427 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099428 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099430 -  ..
099431 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099432 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099435 -  ..
099436 - Today, hiked 34 miles - longest hike to date.  Feeling bloated related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099437 - to variable heart rate possibly due to dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099438 - system (ANS), testing with Zia Holter HR continous test began 250306.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099439 - Longer HR monitoring tests ability to cure dysfunctional ANS. and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099440 - statins.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099441 - Turtle Creek Road.  Continued on Ayers East to Clayton Road, Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099442 - South 1 mile and turned West 1 mile on Ygnacio Valley Road.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099443 - East 2.50 miles to end of Pine Hollow.  Took 2 Tramadol and 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099444 - Magnesium.  Hiked back to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099445 - Campus Drive heading West uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099446 - College.  At mile 08, did EKG, and took another magnesium and CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099447 - for energy and dissipate inflammation to increase HDL and EPCs.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099448 - hydration and nutrition.  Exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099449 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099450 - 0.5 miles and turned left hiking downhill 1 mile uphill South, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099451 - mile on flat grade.  Continued uphill 7% grade to end Crystall Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099452 - road.  Took EKG and NPO.  Hiked downhill and turned right onto Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099453 - Woods Way.  Hiked 1.5 miles uphill then downhill to Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099454 - Continued North and then West on Campus 1.5 miles back to the college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099455 - Did another EKG.  Continued West on Ygnacio Valley Road 4 miles to Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099456 - Grove, then took Oak Grove to Treat.  Hiked 2 miles East on Treat and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099457 - turned onto Cuneo.  Hiked 4 miles through residential streets.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099458 - hurting PL 3.  Tramadol worked well to manage pain.  Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099459 - controls inflammation and reduces lactic acid to reduce pain.  One of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099460 - best hikes ever.  Bloating constant challenge throughout hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099463 -         ..
099464 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099465 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099466 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
099467 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099468 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099469 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099470 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099471 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099472 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099473 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099474 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099475 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
099476 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099477 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
099478 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099479 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
099480 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099481 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099482 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099483 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099484 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
099485 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099486 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099487 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099488 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099489 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
099490 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099491 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099492 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099493 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099494 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099495 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099496 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099497 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
099498 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099499 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099500 -        Metatarsalgia left foot...PRP 210705.........   2         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
099501 -        Metatarsalgia right foot..PRP 210705.........   2         50  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
099502 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
099503 -  new   Right foot #1 fractured fall on stairs.......   1         40  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
099504 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099505 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099506 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
099507 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
099508 -        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                                                                                                                                                                                                                                                                                                                           
099509 -        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                                                                                                                                                                                                                                                                                                                                                                                    
099510 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099511 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
099512 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
099513 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099514 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099515 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
099516 -        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                                                                                                                                                                                                                                                                                                                                           
099517 -        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                                                                                                                                                                                                                                                                                                                                           
099518 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099519 -  **    Callus little toe right foot..top of toe.....   0         40  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
099520 -        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                                                                                                                                                                                                                                                                                                                                                                                        
099521 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
099522 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
099523 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099524 -        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                                                                                                                                                                                                                                                                                                                                                              
099525 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
099526 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
099527 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099528 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099529 -        Callus bottom right foot below little toe....   1        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
099530 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099531 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
099532 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
099533 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099534 -        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                                                                                                                                                                                                                                                                                                                                                                               
099535 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099536 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099537 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099538 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099539 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099540 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099541 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099542 -        Wobbly disoriented staggering dizzy..........   4         20  took 2 Tramadol and 0 Gabapentin mile 00, and 2 Tramadol mile 13 - no seizure symptoms today - not wobbly taking Tramadol and more effective pain relief                                                                                                                                                                                                                                                                                                                                                                                     
099543 -        Wasted - very fatigued.......................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099544 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099548 -  ..
099549 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099550 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099551 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099552 - both feet.  Shoes worked better than on 250228 - - great rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099553 - energy - too narrow, caused pain left foot #1 and #5, but not right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099554 - foot #5.  Was able to extend hike over the summit.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099556 -  ..
099557 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099558 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099559 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099561 -  ..
099562 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099563 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099564 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099565 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099566 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099568 -  ..
099569 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099570 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099571 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099572 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099573 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099576 -  ..
099577 - Concord 34 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099578 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099579 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099580 - and also left hip.  Did not take 2 Tramadol to start hike, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099581 - applied Lidocaine to balls of both feet, and left foot #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099582 - Took Magnesium Complex 300 mg pill for energy, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099583 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099584 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099585 - on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099586 - Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099587 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099588 - and margarine, and chia seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099589 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099590 - per above. ref SDS 0 625F  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099591 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099592 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099593 - reduces bloating feeling, but still bloated starting hike today, from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099594 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099595 - symptomatic of diabetes, and atrial fibrillation, and since 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099596 - cardiac ablation on 240611, variable heart rate may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099597 - dysfunctional autonomic nervous system (see analysis on 250114 1202,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099598 - ref SDS 69 PQ5Y).  Took backpack to carry stuff.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099599 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099600 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099601 - entire hike without dyspnea.  Temp started at 54, and reached 66.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099602 - West wind 12 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099603 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099604 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099605 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099606 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099607 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099608 - feeling bloated turned right onto Clayton Road hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099609 - on asphalt pavement in parking lots of shopping complex.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099610 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099611 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099612 - using concrete sidewalk .5 miles - feet PL 2.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099613 - Park Highlands Road at Stop Light and heading West .25 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099614 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099615 - wider shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099616 - Did not stop at Union 76 Texaco Gas Station store mile 5. time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099617 - Continued on Ygnacio Valley Road; turned left hiked 2.50 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099618 - Pine Hollow.  At end of Pine Hollow stopped mile 08 time 1224 temp 63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099619 - and wind 11 mph; EKG variable with no artifact, Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099620 - Possible Atrial Fabrication - see below. ref SDS 0 YQET  Bloated PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099621 - Both feet PL 1, burning sensation PL 1, left foot #1 PL 2, #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099622 - Took 2 Tramadol, took Magnesium Complex 300 mg pill for energy, absorb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099623 - lactic acid for pain management, and resolve inflammation to enable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099624 - HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099625 - vessels - see research on 200101 0701, ref SDS 18 QP6L - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099626 - pill whole after EGD Dilation on 250211, ref SDS 73 433O, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099627 - capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099628 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099629 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099630 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099631 - not take Nuun electrolyte pill, took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099632 - and energy to complete hike. per above. ref SDS 0 XWWQ  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099633 - and hiked back to YV.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099634 - mile uphill 3% - 4% grade with wind 06 mph.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099635 - at California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099636 - main campus buildings.  Stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099637 - half-pullups, 30 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099638 - Back at Visitor Parking stopped at Administration Building mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099639 - time 1346 temp 65 and wind 12 mph; EKG uniform with some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099640 - Kardia reported HR 132 Tachycardia - see below. ref SDS 0 EQC7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099641 - Bloated PL 3, Both feet PL 1.  Left foot #1 PL 1, #5 PL 3.  Left hip                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099642 - PL 2.  Took Tramadol for pain.  Took 3rd Magnesium to control pain by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099643 - absorbing lactic acid in muscles, resolves inflammation which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099644 - enables HDL to rise in the liver, increases energy for hiking.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099645 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099646 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099647 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099648 - take Nuun electrolyte pill, took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099649 - energy to complete hike. per above. ref SDS 0 XWWQ  Exited college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099650 - hiking North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099651 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 13, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099652 - left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099653 - 12 mph wind.  Handled this well breathing through nose without dyspnea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099654 - nor stopping.  At summit continued flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099655 - downhill .25 miles 5% grade.  At Rolling Woods Way continued uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099656 - Crystal Ranch Road .5 miles 6% grade against wind 03 mph.  Road ends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099657 - at top of hill.  Did not hiked back down hill about .25 mile and then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099658 - back to top.  Stopped mile 16 time 1503, temp 66, wind 10 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099659 - uniform with mild artifact, Kardia reported HR 135 (...  HR - no wait                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099660 - to get cellphone connection...) Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099661 - 165F  Bloated PL 3, feet PL 2, left foot #1 PL 1, #5 PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099662 - sensation #2, nothing to eat nor drink (NPO), per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099663 - XWWQ  Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099664 - bottom of hill, Turned right onto Rolling Woods Way hiking East .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099665 - miles uphill 6% grade with 12 mph wind.  At summit continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099666 - .66 miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099667 - left onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099668 - against wind 08 mph.  At mile 19, reached Visitor Parking again at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099669 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099670 - around campus buildings, and then loop through parking lots.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099671 - Visitor Parking stopped at Administration Building mile 21, time 1634                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099672 - temp 66 and wind 06 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099673 - HR 126 Tachycardia - see below. ref SDS 0 QB6M  Bloated PL 2, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099674 - feet PL 2, burning sensation PL 2, left foot #1 PL 2, #5 PL 3.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099675 - Tramadol for pain management.  Took Magnesium Complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099676 - for energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099677 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099678 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099679 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099680 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099681 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099682 - nutrition - peanut butter, margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099683 - avocado for HDL, did not take Nuun electrolyte pill, took more CoQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099684 - per above. ref SDS 0 XWWQ  Exited college on Campus Drive North,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099685 - downhill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099686 - grade .5 miles.  Continued past Crystal Ranch Road uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099687 - miles against wind 04 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099688 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099689 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099690 - barriar mile 23, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099691 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099692 - Hiked 4 1-mile loops around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099693 - Stopped at Mod Pizza mile 26, time 1809, temp 61 and wind 08 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099694 - mostly variable with some artifact, Kardia reported HR 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099695 - Unclassified - see below. ref SDS 0 GX8Z  Bloated PL 3.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099696 - 3, burning sensation PL 2, left foot #1 PL 3, #5 PL 3.  Nothing to eat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099697 - or drink - NPO, per above - except 1 spoon of Chia Seeds to take 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099698 - Tramadol. ref SDS 0 XWWQ  Continued hiking 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099699 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099700 - miles, turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099701 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099702 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099703 - sidewalk.  At San Miguel continued .75 miles on Treat uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099704 - temp 70.  Handled this well.  At summit, mile 30, hiked another mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099705 - to Cuneo and 3 miles through residential streets - Kaski, Hitchcock,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099706 - Court Lane, etc., then home.  Ended hike mile 34 time 2027 temp 54,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099707 - wind 03.  Bloated PL 2, feet PL 3, burning sensation PL 2, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099708 - #1 PL 2, #5 PL 2, wobbly PL 4.  EKG looks uniform, with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099709 - artifact, Kardia reported HR 109 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099710 - YQVU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099720 -  ..
099721 - Kardia recorded HR 052 at 0801 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099722 - lengths with p-waves and minor artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099723 - miles temp 60 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099724 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099725 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099726 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099729 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099730 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250307-ecg-080154_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099733 -  ..
099734 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099737 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099738 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-080749_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099744 -  ..
099745 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099746 - hike 34 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099747 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099748 - ..
099749 -                                                                                                                                                                                                                                                                                                              x
099750 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099751 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099752 -       Date          250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 241217 24121  
099753 -       Miles            34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0      0  
099754 -       HR AVG          125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no     no  
099755 -         MAX           152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report report repo  
099756 -         Min            72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                                      
099757 -       El Climb Ft     641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                             
099758 -       Temp Max         66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                             
099759 -       Wind Max         12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                             
099760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099762 -              https://flow.polar.com/training/analysis/8067922169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099765 -               ..
099767 -   
099768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099772 -  ..
099773 - EKG at mile 08 time 1224 HR 122 temp 63, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099774 - Atrial Fibrillation... heart rate looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099775 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099778 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099779 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-122426_mile_08_122_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099783 -  ..
099784 - EKG at mile 12 time 1346 HR 132 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099785 - Tachycardia... heart rate looks uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099786 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099789 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099790 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-134606_mile_12_132_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099794 -  ..
099795 - EKG at mile 16 time 1346 HR 132 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099796 - Tachycardia... heart rate looks uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099797 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099800 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099801 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-150301_mile_16_135_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099805 -  ..
099806 - EKG at mile 21 time 1634 HR 126 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099807 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099808 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099811 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099812 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-163458_mile_21_126_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099816 -  ..
099817 - EKG at mile 26 time 1809 HR 119 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099818 - Unclassified... heart rate looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099819 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
099820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099822 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-180905_mile_26_119_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099826 -  ..
099827 - End hike EKG at mile 34, time 2027 HR 109 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099828 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099829 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099832 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099833 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250307-ecg-202725_mile_34_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099837 -  ..
099838 - Post hike HR profile beginning 2149, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099839 - hiking 34 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099840 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099841 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099842 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099845 -        ..
099846 -       Date      250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227  241226    
099847 -       Time       2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028    1930     
099848 -       Hours         9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12      12     
099849 -       HR AVG       67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71      71     
099850 -       HR MAX      127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     118     
099851 -       HR Min       42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46      42     
099852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099854 -              https://flow.polar.com/training/analysis/8068369920                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099857 -               ..
099859 -   
099860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099863 -  ..
099864 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099865 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099866 - Dinner - tuna broccli onion cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099868 -  ..
099869 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099897 -         ..
099898 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099899 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099900 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099901 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099902 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099903 -   67.  250308 0615............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099904 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099905 -               0630....BP HR..................................................... 160  84  52  Kardia ECG reports HR status, see below. ref SDS 0 6SRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099906 -               0635....BP HR..................................................... 149  90  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099907 -               0640....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099908 -               0640....80 442240 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099909 -               0940....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099910 -               0940... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099911 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099912 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099913 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099914 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099915 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099916 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
099917 -  ..
099918 -               1008....miles...........  20.0  95.0  334  1562 minutes  temp  68 wind 12  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099919 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099920 -               1250....mile 09 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099921 -               0000....Tramadol 50 mg took 2 pills - did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099922 -               1250... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
099923 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
099924 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099925 -               1606... Hike ends mile 20... ref SDS 0 YTSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
099926 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099927 -               1625....weight.................................... 174  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099928 -               1630....BP HR..................................................... 117  80  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099929 -               1635....BP HR..................................................... 116  78  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099930 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099931 -               1700... 40 120800 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                                                                                                                                                                                                                                                                                  
099932 -             1 0000............ 10 21150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
099933 -             1 0000............ 10 21500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
099934 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099935 -               2145... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099936 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099937 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099938 -               2300... 1000 2394000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099939 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099940 -               2330... 80 442320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099941 -               2340... 40 95000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099943 -  ..
099944 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099945 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
099947 -  ..
099948 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099949 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099950 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099951 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099952 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099954 -  ..
099955 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099956 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099958 -  ..
099959 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099960 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099963 -  ..
099964 - Today, hiked 20 miles - feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099965 - heart rate possibly due to dysfunctional autonomic nervous system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099966 - (ANS), testing with Zia Holter HR continous test began 250306 - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099967 - meeting with Doctor Pellegrini in Cardiology on 250306 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
099968 - ref SDS 77 S55I  Feet PL 2 before starting hike.  Took 2 Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099969 - applied Lidocaine to feet.  Did 5 mile semi-loop through South Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099970 - streets - Treat, Turtle Creek Road.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099971 - Clayton Road, Then South 1 mile and turned West 1 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099972 - Valley Road.  Turned East 1.25 miles.  Hiked back to Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099973 - Road.  Turned West onto Campus Drive heading West uphill 1 mile 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099974 - grade to Visitor Parking at College.  At mile 09, did EKG.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099975 - take another Tramadol, because still wobbly.  Took another magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
099976 - to dissipate lactate acid, and prevent inflammation so that HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099977 - increases.  Did not take CoQ10 for energy Had hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099978 - Hiked 3 more loops through parking lots.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099979 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099980 - Hiked West 2 miles to summit Ygnacio Valley Road.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
099981 - hiking back and turned North on Cowell.  Continued to Treat then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
099982 - Magnesium controls inflammation and reduces lactic acid to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099983 - fatigue.  Feet hurting PL 5.  Tramadol did not work well to manage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
099984 - pain.  Bloating constant challenge throughout hike.  One of worst                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099985 - hikes ever.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
099988 -         ..
099989 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
099990 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099991 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
099992 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
099993 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099994 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
099995 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
099996 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
099997 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
099998 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
099999 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100000 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
100001 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100002 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
100003 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100004 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
100005 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100006 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100007 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100008 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100009 -        Knee left meniscus...PRP 231121..............   1         40  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
100010 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100011 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100012 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100013 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100014 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
100015 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100016 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100017 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100018 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100019 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100020 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100021 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100022 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
100023 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100024 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100025 -        Metatarsalgia left foot...PRP 210705.........   5         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
100026 -        Metatarsalgia right foot..PRP 210705.........   5         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
100027 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
100028 -  new   Right foot #1 fractured fall on stairs.......   2         40  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - need 2 months to heal - adrenalin and endorphins helped today                                                                                                                                                                                                                                                                                                                                                  
100029 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100030 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100031 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
100032 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
100033 -        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                                                                                                                                                                                                                                                                                                                           
100034 -        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                                                                                                                                                                                                                                                                                                                                                                                    
100035 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100036 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
100037 -        Callus big toe left foot...PRP 210705........   5         60  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
100038 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100039 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100040 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
100041 -        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                                                                                                                                                                                                                                                                                                                                           
100042 -        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                                                                                                                                                                                                                                                                                                                                           
100043 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100044 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
100045 -        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                                                                                                                                                                                                                                                                                                                                                                                        
100046 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
100047 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
100048 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100049 -        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                                                                                                                                                                                                                                                                                                                                                              
100050 -  new   Callus little toe #5 left foot...PRP 210705..   5         60  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
100051 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
100052 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100053 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100054 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
100055 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100056 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
100057 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
100058 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100059 -        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                                                                                                                                                                                                                                                                                                                                                                               
100060 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100061 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100062 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100063 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100064 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100065 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100066 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100067 -        Wobbly disoriented staggering dizzy..........   4         60  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100068 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100069 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100073 -  ..
100074 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100075 - 6 size 10 wide.  First eyelets not laced, and first laces very loose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100076 - Did not use new Pediplasti Interdigital Spacer to protect #4-#5 on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100077 - both feet.  Shoes worked better than on 250228 - - great rebound                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100078 - energy - too narrow, caused pain left foot #1 and #5, but not right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100079 - foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100081 -  ..
100082 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100083 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100084 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100086 -  ..
100087 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100088 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100089 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100090 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100091 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100093 -  ..
100094 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100095 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100096 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100097 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100098 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100101 -  ..
100102 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100103 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100104 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100105 - and also left hip.  Took 2 Tramadol to start hike, and applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100106 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100107 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100108 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100109 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100110 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100111 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100112 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100113 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100114 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100115 - above. ref SDS 0 625F  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100116 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100117 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100118 - bloating feeling, but still bloated starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100119 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100120 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100121 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100122 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100123 - backpack to carry stuff.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100124 - Treat.  Feet starting hike feeling like pins and needles - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100125 - neuropathy taking statins.  Despite taking Tramadol 2 pills, PL 6 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100126 - foot #1 and #5 entire 5 hour hike - very difficult today Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100127 - through nose entire hike without dyspnea.  Temp started at 56, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100128 - reached 68.  West wind 12 mph and mostly 06 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100129 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100130 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100131 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100132 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100133 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100134 - mile 3, feeling bloated and left foot #1 and #5 PL 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100135 - onto Clayton Road hiking South .5 miles on asphalt pavement in parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100136 - lots of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100137 - continued on concrete sidewalk .5 miles.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100138 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100139 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100140 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100141 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100142 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100143 - store mile 5. time ____, Continued on Ygnacio Valley Road; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100144 - hiked 1.00 miles East on Pine Hollow.  Turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100145 - YV.  Turned left onto Campus Drive hiking West 1 mile uphill 3% - 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100146 - grade with wind 06 mph.  Reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100147 - University East Bay Concord Campus.  Hiked around main campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100148 - buildings.  Stopped at training station to do 20 half-pullups, 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100149 - half-pushups and 00 situps using training equipment.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100150 - Parking stopped at Administration Building mile 09 time 1250 temp 65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100151 - and wind 05 mph; EKG mostly uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100152 - reported HR 105 Tachycardia - see below. ref SDS 0 YSWX  Bloated PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100153 - Both feet PL 2.  Left foot #1 PL 3, #5 PL 4.  Left hip PL 0.  Was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100154 - wobbly from taking 2 Tramadol before starting hike.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100155 - another Tramadol for pain.  Took 2nd Magnesium to control pain by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100156 - absorbing lactic acid in muscles, resolves inflammation which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100157 - enables HDL to rise in the liver, increases energy for hiking.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100158 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100159 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100160 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100161 - take Nuun electrolyte pill, getting low on Ubiquinol CoQ10, so did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100162 - take 0.6 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100163 - ref SDS 0 XYVW  Hiked 3 1.5-mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100164 - parking lots.  At mile 15, exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100165 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100166 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100167 - grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100168 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100169 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100170 - concrete barriar mile 17, turned around and hiked East back to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100171 - Turned left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100172 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100173 - shoulder against oncoming commute traffic.  Challenging part of hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100174 - navigating against traffic while wobbly from pain meds, and while PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100175 - 7, because pain meds not working.  Turned left onto Treat hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100176 - .25 miles back to Cuneo,   Continued .25 mile and turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100177 - Kaski.  Hiked nearly .25 mile to Cowell.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100178 - home.  Ended hike mile 20 time 1606 temp 68, wind 06.  Bloating PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100179 - feet PL 6, left foot #1 edge PL 4, #5 edge PL 6, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100180 - 4, shin splints PL 0, left knee PL 1 (slightly swollen), right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100181 - 0, left shoulder PL 0, EKG mostly uniform with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100182 - reported HR 103 Tachycardia - see below. ref SDS 0 YTSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100193 -  ..
100194 - Kardia recorded HR 064 at 0627 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100195 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100196 - AFL after hiking 34 miles temp 60 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100197 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100198 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100199 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100202 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100203 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250308-ecg-062753_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100206 -  ..
100207 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100210 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100211 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250308-ecg-070047_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100217 -  ..
100218 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100219 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100220 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100221 - ..
100222 -                                                                                                                                                                                                                                                                                                              x
100223 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100224 -                                          x      x             z             yy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100225 -       Date          250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 241224 241223 241222 241221 241220 241219 241218 24121  
100226 -       Miles            20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0      0      0      0      0      0      0      0  
100227 -       HR AVG          112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no     no     no     no     no     no     no     no  
100228 -         MAX           132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report report report report report report report report repo  
100229 -         Min            78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                                                                               
100230 -       El Climb Ft     532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                                                                      
100231 -       Temp Max         68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                                                                      
100232 -       Wind Max         12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                                                                      
100233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100235 -              https://flow.polar.com/training/analysis/8068530139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100238 -               ..
100240 -   
100241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100245 -  ..
100246 - EKG at mile 09 time 1250 HR 105 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100247 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100248 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100251 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100252 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250308-ecg-125034_mile_09_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100256 -  ..
100257 - End hike EKG at mile 20, time 1606 HR 103 temp 68 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100258 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100259 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100262 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100263 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250308-ecg-160613_mile_20_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100267 -  ..
100268 - Post hike HR profile beginning 1932, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100269 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100270 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100271 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100272 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100275 -        ..
100276 -       Date      250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228  241227    
100277 -       Time       1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935    2028     
100278 -       Hours        13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14      12     
100279 -       HR AVG       60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69      71     
100280 -       HR MAX      124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     110     
100281 -       HR Min       40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46      46     
100282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100284 -              https://flow.polar.com/training/analysis/8069091694                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100287 -               ..
100289 -   
100290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100293 -  ..
100294 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100295 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100296 - Dinner - hamburger broccli onion cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100298 -  ..
100299 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100328 -         ..
100329 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100330 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100331 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100332 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100333 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100334 -   68.  250309 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100335 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100336 -               0710....BP HR..................................................... 153  92  53  Kardia ECG reports HR status, see below. ref SDS 0 7KYB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100337 -               0715....BP HR..................................................... 147  90  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100338 -               0720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100339 -               0720....80 442400 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100340 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100341 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100342 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100343 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100344 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100345 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100346 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100347 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100348 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100349 -               1700... 40 120840 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                                                                                                                                                                                                                                                                                  
100350 -               1830............ 10 21160  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100351 -               1830............ 10 21510  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100352 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100353 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100354 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100355 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100356 -               2200... 1000 2395000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100357 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100358 -               2330... 80 442480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100359 -               2340... 40 95040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100361 -  ..
100362 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100363 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100365 -  ..
100366 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100367 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100368 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100369 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100370 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100372 -  ..
100373 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100374 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100376 -  ..
100377 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100378 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100382 -  ..
100383 - Kardia recorded HR 053 at 0946 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100384 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100385 - AFL after hiking 20 miles temp 68 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100386 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100387 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100388 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100391 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100392 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250309-ecg-094619_mile_00_053_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100396 -  ..
100397 - Post hike HR profile beginning 2207, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100398 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100399 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100400 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100401 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100404 -        ..
100405 -       Date      250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229  241228    
100406 -       Time       2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057    1935     
100407 -       Hours         5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11      14     
100408 -       HR AVG       74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65      69     
100409 -       HR MAX      110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     114     
100410 -       HR Min       49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42      46     
100411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100413 -              https://flow.polar.com/training/analysis/8069470812                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100416 -               ..
100418 -   
100419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100422 -  ..
100423 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100424 - Lunch - sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100425 - Dinner - hamburger broccli onion cottage cheese toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100427 -  ..
100428 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100456 -         ..
100457 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100458 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100459 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100460 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100461 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100462 -   69.  250310 0330............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100463 -               0330....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100464 -               0340....BP HR..................................................... 157  93  59  Kardia ECG reports HR status, see below. ref SDS 0 P3QV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100465 -               0345....BP HR..................................................... 151  89  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100466 -               0350....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100467 -               0350....80 442560 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100468 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100469 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100470 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100471 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100472 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100473 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100474 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100475 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100476 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100477 -               1700... 40 120880 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                                                                                                                                                                                                                                                                                  
100478 -             1 0000............ 10 21160  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100479 -             1 0000............ 10 21510  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100480 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100481 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100482 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100483 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100484 -               2200... 1000 2396000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100485 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100486 -               2330... 80 442640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100487 -               2340... 40 95080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100489 -  ..
100490 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100491 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100493 -  ..
100494 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100495 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100496 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100497 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100498 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100500 -  ..
100501 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100502 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100504 -  ..
100505 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100506 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100510 -  ..
100511 - Kardia recorded HR 081 at 0353 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100512 - lengths with p-waves and minor artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100513 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100514 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100515 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100516 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100519 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100520 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250310-ecg-035330_mile_00_081_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100523 -  ..
100524 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100526 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100527 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250310-ecg-035903_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100530 -  ..
100531 - Post hike HR profile beginning 2135, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100532 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100533 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100534 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100535 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100538 -        ..
100539 -       Date      250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230  241229    
100540 -       Time       2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030    2057     
100541 -       Hours        10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11      11     
100542 -       HR AVG       66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70      65     
100543 -       HR MAX      106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     108     
100544 -       HR Min       44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45      42     
100545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100547 -              https://flow.polar.com/training/analysis/8070413492                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100550 -               ..
100552 -   
100553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100556 -  ..
100557 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
100558 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100559 - Dinner - eggs hamburger broccli onion cookie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100561 -  ..
100562 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100591 -         ..
100592 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100593 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100594 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100595 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100596 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100597 -   70.  250311 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100598 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100599 -               0730....BP HR..................................................... 147  84  48  Kardia ECG reports HR status, see below. ref SDS 0 P3DQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100600 -               0735....BP HR..................................................... 163  94  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100601 -               0740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100602 -               0740....80 442720 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100603 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100604 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100605 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100606 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100607 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100608 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100609 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100610 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100611 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100612 -               1700... 40 120920 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                                                                                                                                                                                                                                                                                  
100613 -               1830............ 10 21170  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100614 -               1830............ 10 21520  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100615 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100616 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100617 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100618 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100619 -               2200... 1000 2397000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100620 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100621 -               2330... 80 442800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100622 -               2340... 40 95120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100624 -  ..
100625 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100626 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100628 -  ..
100629 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100630 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100631 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100632 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100633 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100635 -  ..
100636 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100637 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100639 -  ..
100640 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100641 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100645 -  ..
100646 - Kardia recorded HR 072 at 1000 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100647 - lengths with p-waves and minor artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100648 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100649 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100650 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100651 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100654 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100655 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250311-ecg-100022_mile_00_072_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100658 -  ..
100659 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100661 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100662 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250311-ecg-101145_mile_00_058_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100665 -  ..
100666 - Post hike HR profile beginning 1945, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100667 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100668 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100669 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100670 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100673 -        ..
100674 -       Date      250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231  241230    
100675 -       Time       1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058    2030     
100676 -       Hours        13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10      11     
100677 -       HR AVG       71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62      70     
100678 -       HR MAX      117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     119     
100679 -       HR Min       42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43      45     
100680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100682 -              https://flow.polar.com/training/analysis/8071003705                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100685 -               ..
100687 -   
100688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100691 -  ..
100692 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100693 - Lunch - grilled cheese sandwich                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100694 - Dinner - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100696 -  ..
100697 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100725 -         ..
100726 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100727 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100728 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100729 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100730 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100731 -   71.  250312 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100732 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100733 -               0720....BP HR..................................................... 136  91  54  Kardia ECG reports HR status, see below. ref SDS 0 PSHU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100734 -               0725....BP HR..................................................... 137  87  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100735 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100736 -               0730....80 442880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100737 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100738 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100739 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100740 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100741 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100742 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100743 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100744 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100745 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100746 -               1700... 40 120960 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                                                                                                                                                                                                                                                                                  
100747 -             1 0000............ 10 21170  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100748 -             1 0000............ 10 21520  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100749 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100750 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100751 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100752 -               2140... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100753 -               2200... 1000 2398000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100754 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100755 -               2330... 80 442960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100756 -               2340... 40 95160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100758 -  ..
100759 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100760 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100762 -  ..
100763 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100764 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100765 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100766 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100767 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100769 -  ..
100770 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100771 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100773 -  ..
100774 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100775 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100779 -  ..
100780 - Kardia recorded HR 055 at 0933 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100781 - lengths with p-waves and minor artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100782 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100783 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100784 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100785 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100788 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100789 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250312-ecg-093323_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100792 -  ..
100793 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100795 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100796 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250312-ecg-104727_mile_00_080_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100800 -  ..
100801 - Post hike HR profile beginning 1926, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100802 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100803 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100804 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100805 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100808 -        ..
100809 -       Date      250310  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101  241231    
100810 -       Time       1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258    2058     
100811 -       Hours        12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8      10     
100812 -       HR AVG       64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65      62     
100813 -       HR MAX      111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     111     
100814 -       HR Min       44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43      43     
100815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100817 -              https://flow.polar.com/training/analysis/8071654997                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100820 -  ..
100821 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100823 -               ..
100825 -   
100826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100829 -  ..
100830 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100831 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100832 - Dinner - macaroni cheese hamburger asparagus broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100834 -  ..
100835 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100864 -         ..
100865 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100866 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100867 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100868 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100869 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100870 -   72.  250313 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100871 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100872 -               0740....BP HR..................................................... 160  90  51  Kardia ECG reports HR status, see below. ref SDS 0 7A4L                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100873 -               0745....BP HR..................................................... 166  95  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100874 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100875 -               0750....80 443040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100876 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100877 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
100878 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100879 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100880 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100881 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100882 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
100883 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100884 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100885 -               1700... 40 121000 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                                                                                                                                                                                                                                                                                  
100886 -               1830............ 10 21180  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
100887 -               1830............ 10 21530  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
100888 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100889 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100890 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100891 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100892 -               2200... 1000 2399000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100893 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100894 -               2330... 80 443120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100895 -               2340... 40 95200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100898 -  ..
100899 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100900 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100902 -  ..
100903 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100904 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100905 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100906 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100907 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100909 -  ..
100910 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100911 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100913 -  ..
100914 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100915 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
100916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100920 -  ..
100921 - Kardia recorded HR 053 at 0913 Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100922 - lengths with p-waves and minor artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100923 - miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
100924 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100925 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100926 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100929 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100930 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250313-ecg-091331_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100933 -  ..
100934 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
100935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100936 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100937 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250313-ecg-092628_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
100938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100940 -  ..
100941 - Post hike HR profile beginning 2205, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
100942 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100943 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100944 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
100945 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
100946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100948 -        ..
100949 -       Date      250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102  250101    
100950 -       Time       2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925    2258     
100951 -       Hours        10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14       8     
100952 -       HR AVG       66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71      65     
100953 -       HR MAX      116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     127     
100954 -       HR Min       45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44      43     
100955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100957 -              https://flow.polar.com/training/analysis/8072298726                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
100958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100960 -               ..
100962 -   
100963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100966 -  ..
100967 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
100968 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
100969 - Dinner - macaroni cheese hamburger asparagus broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
100971 -  ..
100972 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
100973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
100999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101001 -         ..
101002 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101003 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101004 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101005 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101006 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101007 -   73.  250314 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101008 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101009 -               0740....BP HR..................................................... 158  93  54  Kardia ECG reports HR status, see below. ref SDS 0 GV8N                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101010 -               0745....BP HR..................................................... 146  88  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101011 -               0750....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101012 -               0750....80 443200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101013 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101014 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101015 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101016 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101017 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101018 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101019 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101020 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101021 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101022 -               1700... 40 121040 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                                                                                                                                                                                                                                                                                  
101023 -             1 0000............ 10 21180  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101024 -             1 0000............ 10 21530  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101025 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101026 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101027 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101028 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101029 -               2200... 1000 2400000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101030 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101031 -               2330... 80 443280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101032 -               2340... 40 95240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101034 -  ..
101035 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101036 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101038 -  ..
101039 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101040 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101041 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101042 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101043 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101045 -  ..
101046 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101047 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101049 -  ..
101050 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101051 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101056 -  ..
101057 - Kardia recorded HR 052 at 1003 Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101058 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101059 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101060 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101061 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101062 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101065 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101066 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250314-ecg-100311_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101069 -  ..
101070 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101072 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101073 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250314-ecg-120957_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101077 -  ..
101078 - Post hike HR profile beginning 0051, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101079 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101080 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101081 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101082 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101085 -        ..
101086 -       Date      250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103  250102    
101087 -       Time       0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100    1925     
101088 -       Hours         8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12      14     
101089 -       HR AVG       62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67      71     
101090 -       HR MAX      117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     130     
101091 -       HR Min       40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45      44     
101092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101094 -              https://flow.polar.com/training/analysis/8072939472                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101097 -               ..
101099 -   
101100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101103 -  ..
101104 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101105 - Lunch - sandwich tuna onion onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101106 - Dinner - potato hot dog broccoli onion - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101108 -  ..
101109 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101137 -         ..
101138 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101139 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101140 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101141 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101142 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101143 -   74.  250315 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101144 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101145 -               0710....BP HR..................................................... 155  84  51  Kardia ECG reports HR status, see below. ref SDS 0 6WYS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101146 -               0715....BP HR..................................................... 158  81  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101147 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101148 -               0720....80 443360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101149 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101150 -               1030... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101151 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101152 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101153 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101154 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101155 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101156 -               1030... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
101157 -  ..
101158 -               1051....miles...........  27.0  27.0  429   429 minutes  temp  60 wind 12  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101159 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101160 -               1218....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101161 -               1218....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101162 -               1218... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
101163 -               1218... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101164 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101165 -               1427....mile 14 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101166 -               1427....Tramadol 50 mg took 2 pills -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101167 -               1427... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
101168 -               1427... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101169 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101170 -               1646....mile 22 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101171 -               1646....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101172 -               1646... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
101173 -               1646... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101174 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101175 -               1845... Hike ends mile 27... ref SDS 0 QWVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101176 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101177 -               1850....weight.................................... 175  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101178 -               1855....BP HR..................................................... 124  81 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101179 -               1900....BP HR..................................................... 125  79  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101180 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101181 -               1910... 40 121080 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                                                                                                                                                                                                                                                                                  
101182 -               2000............ 10 21190  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101183 -               2000............ 10 21540  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101184 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101185 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101186 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101187 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101188 -               2200... 1000 2401000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101189 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101190 -               2330... 80 443440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101191 -               2340... 40 95280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101193 -  ..
101194 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101195 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101197 -  ..
101198 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101199 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101200 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101201 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101202 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101204 -  ..
101205 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101206 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101208 -  ..
101209 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101210 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101213 -  ..
101214 - Today, hiked 27 miles - feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101215 - heart rate possibly due to dysfunctional autonomic nervous system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101216 - (ANS), testing with Zia Holter HR continous test began 250306 - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101217 - meeting with Doctor Pellegrini in Cardiology on 250306 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101218 - ref SDS 77 S55I  Feet PL 0 before starting hike.  Took 0 (none)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101219 - Tramadol and applied Lidocaine to feet.  Did 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101220 - South Concord streets - Treat, Turtle Creek Road.  Continued on Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101221 - East to Clayton Road, Then South 1 mile and turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101222 - Ygnacio Valley Road.  Turned East 2.50 miles.  Hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101223 - Valley Road.  Turned West onto Campus Drive heading West uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101224 - 4% grade to Visitor Parking at College.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101225 - buildings - stopped to do weight training at station.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101226 - through parking lots.  At mile 14, did EKG.  Took another 2 Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101227 - and another magnesium. to dissipate lactate acid, and prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101228 - inflammation so that HDL increases.  Did not take CoQ10 for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101229 - Had hydration and nutrition.  Exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101230 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101231 - miles to summit Ygnacio Valley Road.  Continued 2 miles West downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101232 - grade 3%.  Did 2 1-mile loops around block and stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101233 - for EKG, hydration and nutrition, more Magnesium, no Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101234 - Continued hiking around the block, then North on Oak Grove and East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101235 - Treat back to Cuneo.  Did 2 miles through residential streets.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101236 - hike mile 27.  Tramadol worked well controlling pain; Magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101237 - CoQ10 (with only initial amount) provided effective energy.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101238 - constant challenge throughout hike - better by end of hike.  Today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101239 - was better hike than last one on 250308.  Neck worse at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101240 - Better able to work 4 hours writing the record, ended on 250316 0110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101243 -         ..
101244 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101245 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101246 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
101247 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101248 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101249 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101250 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101251 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101252 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101253 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101254 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101255 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
101256 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101257 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
101258 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101259 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
101260 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101261 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101262 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101263 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101264 -        Knee left meniscus...PRP 231121..............   4         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
101265 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101266 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101267 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101268 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101269 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
101270 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101271 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101272 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101273 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101274 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101275 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101276 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101277 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
101278 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101279 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101280 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
101281 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
101282 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
101283 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
101284 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101285 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101286 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
101287 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
101288 -        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                                                                                                                                                                                                                                                                                                                           
101289 -        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                                                                                                                                                                                                                                                                                                                                                                                    
101290 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101291 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
101292 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
101293 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101294 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101295 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
101296 -        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                                                                                                                                                                                                                                                                                                                                           
101297 -        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                                                                                                                                                                                                                                                                                                                                           
101298 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101299 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
101300 -        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                                                                                                                                                                                                                                                                                                                                                                                        
101301 -        Callus ring toe #4 top right foot............   2         30  did not use neoprene protective sleeve took 2 Tramadol mile 08 and again at mile 14 and again mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                        
101302 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
101303 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101304 -        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                                                                                                                                                                                                                                                                                                                                                              
101305 -  new   Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
101306 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
101307 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101308 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101309 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
101310 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101311 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
101312 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
101313 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101314 -        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                                                                                                                                                                                                                                                                                                                                                                               
101315 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101316 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101317 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101318 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101319 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101320 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101321 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101322 -        Wobbly disoriented staggering dizzy..........   4         60  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101323 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101324 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101328 -  ..
101329 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101330 - 8 size 10 extra-wide.  First eyelets not laced, and first laces very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101331 - loose.  Did not use new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101332 - #4-#5 on both feet.  Shoes have great rebound energy - still too                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101333 - narrow, despite "extra-wide". Caused pain left foot #1 and #5, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101334 - right foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101336 -  ..
101337 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101338 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101339 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101341 -  ..
101342 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101343 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101344 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101345 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101346 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101348 -  ..
101349 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101350 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101351 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101352 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101353 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101356 -  ..
101357 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101358 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101359 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101360 - and also left hip.  Did not took Tramadol to start hike.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101361 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101362 - Magnesium Complex 300 mg pill for energy; also, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101363 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101364 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101365 - on 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101366 - EGD Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101367 - as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101368 - and margarine, and chia seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101369 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101370 - per above. ref SDS 0 DU5M  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101371 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101372 - energy - see case study on 200101 0701. ref SDS 18 136K  Nearly out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101373 - CoQ10 so ordered 2 more bottles from Amazon, reported on 250315 2005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101374 - ref SDS 79 NT9K  No breakfast reduces bloating feeling, but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101375 - bloated starting hike today, from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101376 - statins and other drugs, also symptomatic of diabetes, and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101377 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101378 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101379 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101380 - stuff.  Hiked Cuneo .25 mile and turned left, onto Treat.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101381 - starting hike feeling like pins and needles - peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101382 - taking statins.  After not taking Tramadol PL 4 left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101383 - most of 7 hour hike - very difficult today.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101384 - entire hike without dyspnea.  Temp started at 56, and reached 60.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101385 - West wind 12 mph and mostly 04 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101386 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101387 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101388 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101389 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101390 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101391 - feeling bloated and left foot #1 and #5 PL 4, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101392 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101393 - of shopping complex.  Traffice light at Alberto Way Red, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101394 - traffic.  Normally would cross against Red light; today, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101395 - against red traffic light.  Halfway across, noticed Police Car in left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101396 - turn lane, waiting for light.  Could have turned around and returned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101397 - to the sidewalk to await red light to turn Green, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101398 - instructions by Police Officer for prior similar circumstance a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101399 - years ago.  Continued to other side of the street, and on sidewalk.  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101400 - minute or so later, the police car drove past after making a U turn.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101401 - The office just wavied and smiled, after letting a small violation go                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101402 - without making a legal notice to pay a fine.  Nice day...  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101403 - hiking on concrete sidewalk .5 miles.  At mile 4, turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101404 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101405 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101406 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101407 - Valley Road hiking on wider shoulder.  Hiked West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101408 - Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station store                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101409 - mile 5. time ____, Continued on Ygnacio Valley Road; turned left hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101410 - 2.50 miles East to end of Pine Hollow.  Stopped mile 08 time 1303 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101411 - 58 and wind 04 mph; EKG mostly uniform with artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101412 - HR 117 Tachycardia - see below. ref SDS 0 QWRY  Bloated PL 4, Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101413 - feet PL 2, burning sensation PL 2, left foot #1 PL 2, #5 PL 3.  Right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101414 - foot top #4 PL 2.  Took 2 Tramadol, took Magnesium Complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101415 - for energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101416 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101417 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101418 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101419 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101420 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101421 - swallowing nutrition - peanut butter, margarine, Mayonaise and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101422 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101423 - for HDL, did not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 0.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101424 - ml (after ordering refill from Amazon on 250315 2005. ref SDS 79 NT9K)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101425 - for HDL and energy to complete hike. per above. ref SDS 0 PUPW  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101426 - around and hiked back to YV.  Turned left onto Campus Drive hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101427 - West 1 mile uphill 3% - 4% grade with wind 06 mph.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101428 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101429 - around main campus buildings.  Stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101430 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101431 - Back at Visitor Parking stopped at Administration Building mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101432 - time 1500 temp 61 and wind 04 mph; EKG uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101433 - Kardia reported HR 125 Tachycardia - see below. ref SDS 0 QSWU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101434 - Bloated PL 4 (declined mile 11, now back up at mile 14).  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101435 - 3.  Left foot #1 PL 3, #5 PL 2.  Burning sensation PL 1.  Left hip PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101436 - 0.  Took 2 Tramadol again.  Took Magnesium to control pain by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101437 - absorbing lactic acid in muscles, resolves inflammation which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101438 - enables HDL to rise in the liver, increases energy for hiking.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101439 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101440 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101441 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101442 - take Nuun electrolyte pill, ordered refill Ubiquinol CoQ10, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101443 - 0.5 ml for HDL and energy to complete hike. per above. ref SDS 0 PUPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101444 - Stopped again at training station - did another set 20 half-pullups,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101445 - 40 half-pushups and 00 situps using training equipment.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101446 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101447 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101448 - past Crystal Ranch Road uphill 3% grade .5 miles against wind 12 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101449 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101450 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101451 - uphill 3% grade to summit.  At end of concrete barriar mile 18, at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101452 - break in traffic crossed back to South side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101453 - Continued 2 miles downhill 3% grade; crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101454 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101455 - 1-mile loops around block at Safeway shopping complex.  Stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101456 - Pizza mile 22, time 1649, temp 62 and wind 08 mph; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101457 - with no artifact, Kardia reported HR 151 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101458 - ref SDS 0 VX6J  Bloated PL 4 - worse.  Both feet PL 4, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101459 - sensation PL 3, left foot #1 PL 5, #5 PL 3.  Took 2 Tramadol again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101460 - Took Magnesium to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101461 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101462 - increases energy for hiking.  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101463 - using Mod Pizza courtesy cup of ice for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101464 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101465 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101466 - take Nuun electrolyte pill, with pending refill took Ubiquinol CoQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101467 - 0.5 ml for HDL and energy to complete hike. per above. ref SDS 0 PUPW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101468 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101469 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101470 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101471 - mile North on asphalt shoulder.  At mile 24, turned right and crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101472 - Treat at break in afternoon commute traffic.  Hiked 1 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101473 - flat grade concrete sidewalk.  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101474 - Treat uphill 5% grade temp 61.  Handled this well, after taking CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101475 - at mile 23.  At summit, mile 25, hiked another mile to Cuneo and 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101476 - miles through residential streets - Kaski, Hitchcock, etc., then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101477 - Ended hike mile 27 time 1845 temp 60, wind 08.  Bloated PL 3, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101478 - 3, burning sensation PL 2, left foot #1 PL 4, #5 PL 3, left knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101479 - wobbly PL 1 - surprising after taking 8 Tramadol.  EKG looks variable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101480 - with minor artifact, Kardia reported HR 110 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101481 - ref SDS 0 QWVR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101493 -  ..
101494 - Kardia recorded HR 078 at 0900 Unclassified Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101495 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101496 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101497 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101498 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101499 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101502 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101503 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250315-ecg-090000_mile_00_078_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101508 -  ..
101509 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101510 - hike 27 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101511 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101512 - ..
101513 -                                                                                                                                                                                                                                                                                                              x
101514 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101515 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101516 -       Date          250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 241227 241226 241225 24122  
101517 -       Miles            27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0      0      0      0  
101518 -       HR AVG          128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no     no     no     no  
101519 -         MAX           160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   report report report repo  
101520 -         Min            53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71                              
101521 -       El Climb Ft     532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                                     
101522 -       Temp Max         60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                                     
101523 -       Wind Max         12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                                     
101524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101526 -              https://flow.polar.com/training/analysis/8073132849                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101529 -               ..
101531 -   
101532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101536 -  ..
101537 - EKG at mile 08 time 1303 HR 123 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101538 - Tachycardia... heart rate uniform with some artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101539 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101542 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101543 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250315-ecg-130348_mile_08_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101547 -  ..
101548 - EKG at mile 14 time 1500 HR 131 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101549 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101550 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101553 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101554 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250315-ecg-150001_mile_14_131_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101558 -  ..
101559 - EKG at mile 20 time 1649 HR 121 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101560 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101561 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101564 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101565 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250315-ecg-164953_mile_20_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101569 -  ..
101570 - End hike EKG at mile 27, time 1845 HR 117 temp 57 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101571 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101572 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101575 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101576 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250315-ecg-184502_mile_27_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101581 -  ..
101582 - Post hike HR profile beginning 1948, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101583 - hiking 27 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101584 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101585 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101586 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101589 -        ..
101590 -       Date      250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104  250103    
101591 -       Time       1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103    2100     
101592 -       Hours        14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10      12     
101593 -       HR AVG       67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69      67     
101594 -       HR MAX      138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     131     
101595 -       HR Min       34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48      45     
101596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101598 -              https://flow.polar.com/training/analysis/8073631956                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101601 -               ..
101603 -   
101604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101607 -  ..
101608 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101609 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101610 - Dinner - potato hot dog broccoli onion - ate half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101612 -  ..
101613 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101642 -         ..
101643 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101644 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101645 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101646 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101647 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101648 -   75.  250316 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101649 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101650 -               0740....BP HR..................................................... 152  87  54  Kardia ECG reports HR status, see below. ref SDS 0 QP3T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101651 -               0745....BP HR..................................................... 155  82  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101652 -               0750....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101653 -               0750....80 443520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101654 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101655 -               1030... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101656 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101657 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101658 -               1030....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101659 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101660 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101661 -               1030... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101662 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101663 -               1910... 40 121120 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                                                                                                                                                                                                                                                                                  
101664 -             1 0000............ 10 21190  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101665 -             1 0000............ 10 21540  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101666 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101667 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101668 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101669 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101670 -               2200... 1000 2402000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101671 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101672 -               2330... 80 443600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101673 -               2340... 40 95320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101675 -  ..
101676 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101677 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101679 -  ..
101680 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101681 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101682 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101683 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101684 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101686 -  ..
101687 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101688 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101690 -  ..
101691 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101692 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101697 -  ..
101698 - Kardia recorded HR 057 at 0945 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101699 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101700 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101701 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101702 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101703 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101706 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101707 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250316-ecg-094520_mile_00_057_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101709 -  ..
101710 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101713 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250316-ecg-100229_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101716 -  ..
101717 - Post hike HR profile beginning 2021, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101718 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101719 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101720 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101721 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101724 -        ..
101725 -       Date      250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105  250104    
101726 -       Time       2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103    2103     
101727 -       Hours        13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10      10     
101728 -       HR AVG       64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69      69     
101729 -       HR MAX      121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     116     
101730 -       HR Min       38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48      48     
101731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101733 -              https://flow.polar.com/training/analysis/8074206668                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101736 -               ..
101738 -   
101739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101742 -  ..
101743 - Breakfast - cheeros milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
101744 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101745 - Dinner - macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101747 -  ..
101748 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101777 -         ..
101778 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101779 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101780 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101781 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101782 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101783 -   76.  250317 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101784 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101785 -               0700....BP HR..................................................... 143  93  48  Kardia ECG reports HR status, see below. ref SDS 0 6QC3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101786 -               0705....BP HR..................................................... 154  80  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101787 -               0710....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101788 -               0710....80 443680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101789 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101790 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101791 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101792 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101793 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101794 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101795 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101796 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101797 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101798 -               1700... 40 121160 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                                                                                                                                                                                                                                                                                  
101799 -               1830............ 10 21200  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101800 -               1830............ 10 21550  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101801 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101802 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101803 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101804 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101805 -               2200... 1000 2403000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101806 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101807 -               2330... 80 443760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101808 -               2340... 40 95360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101811 -  ..
101812 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101813 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101815 -  ..
101816 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101817 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101818 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101819 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101820 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101822 -  ..
101823 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101824 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101826 -  ..
101827 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101828 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101832 -  ..
101833 - Kardia recorded HR 071 at 1008 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101834 - mostly variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101835 - no AFL after hiking 00 miles temp __ yesterday, and stopping Apixaban                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101836 - on 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101837 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101838 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101841 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101842 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250317-ecg-100839_mile_00_071_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101844 -  ..
101845 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101848 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250317-ecg-110833_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101851 -  ..
101852 - Post hike HR profile beginning 1933, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101853 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101854 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101855 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101856 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101859 -        ..
101860 -       Date      250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106  250105    
101861 -       Time       1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004    2103     
101862 -       Hours        12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12      10     
101863 -       HR AVG       74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64      69     
101864 -       HR MAX      124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     116     
101865 -       HR Min       46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46      48     
101866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101868 -              https://flow.polar.com/training/analysis/8074809324                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101871 -               ..
101873 -   
101874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101877 -  ..
101878 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101879 - Lunch - sandwich tuna onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101880 - Dinner - rice hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101882 -  ..
101883 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101913 -         ..
101914 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101915 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101916 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101917 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101918 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101919 -   77.  250318 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101920 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101921 -               0730....BP HR..................................................... 175  83  53  Kardia ECG reports HR status, see below. ref SDS 0 QVD2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101922 -               0735....BP HR..................................................... 168  99  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101923 -               0740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101924 -               0740....80 443840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101925 -   took...     0940....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101926 -               0940... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101927 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101928 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101929 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101930 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101931 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
101932 -               0940... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
101933 -  ..
101934 -           *   1007....miles...........  27.0  27.0  463   463 minutes  temp  62 wind 12  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
101935 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101936 -               1303....mile 08 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101937 -               1303....Tramadol 50 mg took 2 pills - did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101938 -               1303... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
101939 -               0003... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101940 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101941 -               1500....mile 14 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101942 -               1500....Tramadol 50 mg took 2 pills - did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101943 -               1500... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
101944 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101945 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101946 -               1649....mile 20 stopped EKG and NO chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101947 -               0000....Tramadol 50 mg took 2 pills - did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101948 -               1649... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
101949 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
101950 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101951 -               1839... Hike ends mile 27... ref SDS 0 PXUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101952 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101953 -               1910....weight.................................... 175  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101954 -               1920....BP HR..................................................... 113  79  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101955 -               1925....BP HR..................................................... 123  77  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101956 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101957 -               1700... 40 121200 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                                                                                                                                                                                                                                                                                  
101958 -             1 0000............ 10 21200  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
101959 -             1 0000............ 10 21550  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
101960 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101961 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101962 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101963 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
101964 -               2200... 1000 2404000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101965 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
101966 -               2330... 80 443800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101967 -               2340... 40 95920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101969 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
101970 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101971 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101972 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101973 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
101974 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101975 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
101976 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
101977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101979 -  ..
101980 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101981 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
101983 -  ..
101984 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101985 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101986 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101987 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
101988 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
101990 -  ..
101991 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
101992 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101994 -  ..
101995 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
101996 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
101997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
101999 -  ..
102000 - Today, hiked 27 miles - feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102001 - heart rate possibly due to dysfunctional autonomic nervous system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102002 - (ANS), testing with Zia Holter HR continous test began 250306 - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102003 - meeting with Doctor Pellegrini in Cardiology on 250306 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102004 - ref SDS 77 S55I  Feet PL 0 before starting hike.  Took 0 (none)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102005 - Tramadol and applied Lidocaine to feet.  Did 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102006 - South Concord streets - Treat, Turtle Creek Road.  Continued on Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102007 - East to Clayton Road, Then South 1 mile and turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102008 - Ygnacio Valley Road.  Turned East 2.50 miles.  Hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102009 - Valley Road.  Turned West onto Campus Drive heading West uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102010 - 4% grade to Visitor Parking at College.  Hiked loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102011 - buildings - stopped to do weight training at station.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102012 - through parking lots.  At mile 14, did EKG.  Took another 2 Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102013 - and another magnesium. to dissipate lactate acid, and prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102014 - inflammation so that HDL increases.  Did not take CoQ10 for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102015 - Had hydration and nutrition.  Exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102016 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102017 - miles to summit Ygnacio Valley Road.  Continued 2 miles West downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102018 - grade 3%.  Did 2 1-mile loops around block and stopped at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102019 - for EKG, hydration and nutrition, more Magnesium, no Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102020 - Continued hiking around the block, then North on Oak Grove and East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102021 - Treat back to Cuneo.  Did 2 miles through residential streets.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102022 - hike mile 27.  Tramadol worked well controlling pain; Magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102023 - CoQ10 (with only initial amount) provided effective energy.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102024 - constant challenge throughout hike - better by end of hike.  Today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102025 - was better hike than last one on 250308.  Neck worse at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102026 - Better able to work 4 hours writing the record, ended on 250316 0110.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102029 -         ..
102030 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102031 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102032 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
102033 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102034 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102035 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102036 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102037 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102038 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102039 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102040 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102041 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
102042 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102043 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
102044 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102045 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
102046 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102047 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102048 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102049 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102050 -        Knee left meniscus...PRP 231121..............   4         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
102051 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102052 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102053 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102054 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102055 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
102056 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102057 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102058 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102059 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102060 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102061 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102062 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102063 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
102064 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102065 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102066 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
102067 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
102068 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
102069 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
102070 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102071 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102072 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
102073 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
102074 -        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                                                                                                                                                                                                                                                                                                                           
102075 -        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                                                                                                                                                                                                                                                                                                                                                                                    
102076 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102077 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
102078 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
102079 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102080 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102081 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
102082 -        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                                                                                                                                                                                                                                                                                                                                           
102083 -        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                                                                                                                                                                                                                                                                                                                                           
102084 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102085 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
102086 -        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                                                                                                                                                                                                                                                                                                                                                                                        
102087 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
102088 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
102089 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102090 -        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                                                                                                                                                                                                                                                                                                                                                              
102091 -  new   Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
102092 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
102093 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102094 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102095 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
102096 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102097 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
102098 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
102099 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102100 -        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                                                                                                                                                                                                                                                                                                                                                                               
102101 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102102 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102103 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102104 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102105 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102106 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102107 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102108 -        Wobbly disoriented staggering dizzy..........   4         60  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102109 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102110 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102114 -  ..
102115 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Hoka Bondi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102116 - 8 size 10 extra-wide.  First eyelets not laced, and first laces very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102117 - loose.  Did not use new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102118 - #4-#5 on both feet.  Shoes have great rebound energy - still too                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102119 - narrow, despite "extra-wide". Caused pain left foot #1 and #5, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102120 - right foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102122 -  ..
102123 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102124 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102125 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102127 -  ..
102128 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102129 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102130 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102131 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102132 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102134 -  ..
102135 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102136 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102137 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102138 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102139 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102142 -  ..
102143 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102144 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102145 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102146 - and also left hip.  Took 2 Tramadol to start hike.  Applied Lidocaine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102147 - to bottom of both forefeet, and left foot #1 and #5.  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102148 - Complex 300 mg pill for energy; also, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102149 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102150 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102151 - 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102152 - EGD dilated LESV on 250211, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102153 - LESV, as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102154 - butter and margarine, and chia seeds for electrolytes and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102155 - had some avocado for HDL.  Just before starting hike took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102156 - CoQ10 per above. ref SDS 0 MO5L  CoQ10 is an enzyme produced in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102157 - body that supports an electron transport chain (ETC) giving human                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102158 - cells energy - see case study on 200101 0701. ref SDS 18 136K  Nearly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102159 - out of CoQ10 so ordered 2 more bottles from Amazon, reported on 250315                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102160 - 2005. ref SDS 79 NT9K  No breakfast reduces bloating feeling, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102161 - still bloated starting hike today, from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102162 - taking statins and other drugs, also symptomatic of diabetes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102163 - atrial fibrillation, and since 6th cardiac ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102164 - variable heart rate may occur from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102165 - system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102166 - to carry stuff.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102167 - Feet starting hike feeling like pins and needles - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102168 - neuropathy taking statins.  After not taking Tramadol PL 4 left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102169 - #1 and #5 most of 7 hour hike - very difficult today.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102170 - through nose entire hike without dyspnea.  Temp started at 50, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102171 - reached 62.  West wind 12 mph and mostly 04 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102172 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102173 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102174 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102175 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102176 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102177 - mile 3, feeling less bloated and left foot #1 and #5 PL 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102178 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102179 - parking lots of shopping complex.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102180 - light and continued on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102181 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102182 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102183 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102184 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102185 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102186 - Station store mile 5. time ____, Continued on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102187 - turned left hiked 2.50 miles East on Pine Hollow.  About mile 9,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102188 - turned right onto Tifflin Drive headed South .25 miles - turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102189 - hiked back and turned right onto Pine Hollow, and in order to add .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102190 - miles.  Hiked to end of Pine Hollow.  Stopped mile 08 time 1218 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102191 - 59 and wind 05 mph; EKG uniform with artifact, Kardia reported HR 123                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102192 - Tachycardia - see below. ref SDS 0 PXTS  Bloated PL 2 - less severe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102193 - Both feet PL 2, burning sensation PL 1, left foot #1 PL 2, #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102194 - Took 2 Tramadol, took Magnesium Complex 300 mg pill for energy, absorb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102195 - lactic acid for pain management, and resolve inflammation to enable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102196 - HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102197 - vessels - see research on 200101 0701, ref SDS 18 QP6L - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102198 - pill whole after EGD Dilation on 250211, ref SDS 73 433O, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102199 - capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102200 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102201 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102202 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102203 - not take Nuun electrolyte pill.  Getting low so did not take Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102204 - CoQ10 0.5 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102205 - ref SDS 0 PUPW  Turned around and hiked back to YV.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102206 - Campus Drive hiking West 1 mile uphill 3% - 4% grade with wind 12 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102207 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102208 - Concord Campus.  Hiked around main campus buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102209 - training station to do 20 half-pullups, 30 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102210 - using training equipment.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102211 - Administration Building mile 14 time 1427 temp 59 and wind 10 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102212 - mostly uniform with minor artifact, Kardia reported HR 131 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102213 - - see below. ref SDS 0 M64I  Bloated PL 3, Both feet PL 3.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102214 - #1 PL 3, #5 PL 2.  Burning sensation PL 2.  Left hip PL 0.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102215 - Tramadol again.  Took Magnesium to control pain by absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102216 - acid in muscles, resolves inflammation which then enables HDL to rise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102217 - in the liver, increases energy for hiking.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102218 - from home for hydration, swallowing meds and nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102219 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102220 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102221 - pill, getting low on Ubiquinol CoQ10, so did not take 0.5 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102222 - and energy to complete hike. per above. ref SDS 0 PUPW  Hiked 1.5-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102223 - loop through Faculty and Student parking lots.  Stopped again at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102224 - training station - did another set 20 half-pullups, 30 half-pushups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102225 - and 00 situps using training equipment.  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102226 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102227 - Hiked West on flat grade .5 miles.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102228 - uphill 3% grade .5 miles against wind 12 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102229 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102230 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102231 - end of concrete barriar mile 16, at break in traffic crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102232 - South side Ygnacio Valley Road.  Continued 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102233 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102234 - traffic light.  Hiked 2 1-mile loops around block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102235 - complex.  Stopped at Mod Pizza mile 20, time 1646, temp 60 and wind 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102236 - mph; EKG uniform with no artifact, Kardia reported HR 121 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102237 - - see below. ref SDS 0 XO6L  Bloated PL 2 - little better.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102238 - PL 2, burning sensation PL 2, left foot #1 PL 3, #5 PL 3.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102239 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102240 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102241 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102242 - take Nuun electrolyte pill, getting low on Ubiquinol CoQ10, so did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102243 - take 0.5 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102244 - ref SDS 0 PUPW  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102245 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102246 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102247 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102248 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102249 - San Miguel continued .75 miles on Treat uphill 5% grade temp 59.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102250 - Handled this well, despite not taking CoQ10 at mile 20.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102251 - mile 24, hiked another mile to Cuneo and 2 miles through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102252 - streets - Kaski, Hitchcock, Court Lane, etc., then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102253 - mile 27 time 1839 temp 60, wind 12.  Bloated PL 3, feet PL 5, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102254 - sensation PL 3, left foot #1 PL 3, #5 PL 3, left knee PL 4, wobbly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102255 - 4.  EKG looks mostly uniform, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102256 - 117 Tachycardia - see below. ref SDS 0 PXUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102268 -  ..
102269 - Kardia recorded HR 051 at 0744 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102270 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102271 - hiking 00 miles temp __ yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102272 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102273 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102274 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102277 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102278 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250318-ecg-074405_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102283 -  ..
102284 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102285 - hike 27 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102286 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102287 - ..
102288 -                                                                                                                                                                                                                                                                                                              x
102289 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102290 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102291 -       Date          250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 241230 241229 241228 24122  
102292 -       Miles            27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0      0     12      0  
102293 -       HR AVG          128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no     no    131     no  
102294 -         MAX           160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report report report  151   repo  
102295 -         Min            53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                                 71         
102296 -       El Climb Ft     532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                                454                
102297 -       Temp Max         60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                                 65                
102298 -       Wind Max         12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                                  9                
102299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102301 -              https://flow.polar.com/training/analysis/8075180698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102304 -               ..
102306 -   
102307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102311 -  ..
102312 - EKG at mile 08 time 1218 HR 117 temp 58, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102313 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102314 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102317 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102318 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250318-ecg-121804_mile_08_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102322 -  ..
102323 - EKG at mile 14 time 1427 HR 125 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102324 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102325 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102329 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250318-ecg-142721_mile_14_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102333 -  ..
102334 - EKG at mile 22 time 1646 HR 115 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102335 - Tachycardia... heart rate uniform with mild artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102336 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102339 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102340 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250318-ecg-164657_mile_22_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102344 -  ..
102345 - End hike EKG at mile 27, time 1839 HR 110 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102346 - Tachycardia... looks variable with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102347 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102350 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102351 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250318-ecg-183902_mile_27_110_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102356 -  ..
102357 - Post hike HR profile beginning 2027, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102358 - hiking 27 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102359 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102360 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102361 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102364 -        ..
102365 -       Date      250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107  250106    
102366 -       Time       2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259    2004     
102367 -       Hours        11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9      12     
102368 -       HR AVG       66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69      64     
102369 -       HR MAX      126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     120     
102370 -       HR Min       39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44      46     
102371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102373 -              https://flow.polar.com/training/analysis/8075487036                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102376 -               ..
102378 -   
102379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102382 -  ..
102383 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102384 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102385 - Dinner - rice hot dog broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102387 -  ..
102388 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102416 -         ..
102417 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102418 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102419 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102420 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102421 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102422 -   78.  250319 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102423 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102424 -               0710....BP HR..................................................... 148  81  51  Kardia ECG reports HR status, see below. ref SDS 0 4XRF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102425 -               0715....BP HR..................................................... 149  91  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102426 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102427 -               0720....80 443880 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102428 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102429 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102430 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102431 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102432 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102433 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102434 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102435 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102436 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102437 -               1700... 40 121260 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                                                                                                                                                                                                                                                                                  
102438 -               1830............ 10 21210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102439 -               1830............ 10 21560  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
102440 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102441 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102442 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102443 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102444 -               2200... 1000 2405000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102445 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102446 -               2330... 80 443960 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102447 -               2340... 40 95960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102449 -  ..
102450 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102451 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102453 -  ..
102454 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102455 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102456 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102457 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102458 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102460 -  ..
102461 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102462 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102464 -  ..
102465 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102466 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102470 -  ..
102471 - Kardia recorded HR 048 at 0703 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102472 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102473 - 27 miles temp 62 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102474 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102475 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102476 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102479 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102480 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250319-ecg-070308_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102483 -  ..
102484 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102486 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102487 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250319-ecg-070719_mile_00_048_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102491 -  ..
102492 - Post hike HR profile beginning 1946, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102493 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102494 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102495 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102496 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102499 -        ..
102500 -       Date      250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108  250107    
102501 -       Time       1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019    2259     
102502 -       Hours        11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5       9     
102503 -       HR AVG       66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67      69     
102504 -       HR MAX      115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     121     
102505 -       HR Min       42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44      44     
102506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102508 -              https://flow.polar.com/training/analysis/8076146355                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102511 -               ..
102513 -   
102514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102517 -  ..
102518 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102519 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102520 - Dinner - rice macaroni cheese hot dog broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102522 -  ..
102523 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102552 -         ..
102553 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102554 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102555 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102556 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102557 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102558 -   79.  250320 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102559 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102560 -               0710....BP HR..................................................... 152  91  51  Kardia ECG reports HR status, see below. ref SDS 0 4XRF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102561 -               0715....BP HR..................................................... 148  89  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102562 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102563 -               0720....80 444040 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102564 -               0000....Tramadol 50 mg took 2 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102565 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102566 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102567 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102568 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102569 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102570 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102571 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102572 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102573 -               1700... 40 121300 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                                                                                                                                                                                                                                                                                  
102574 -             1 0000............ 10 21210  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102575 -             1 0000............ 10 21560  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
102576 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102577 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102578 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102579 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102580 -               2200... 1000 2406000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102581 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102582 -               2330... 80 444120 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102583 -               2340... 40 96000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102585 -  ..
102586 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102587 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102589 -  ..
102590 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102591 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102592 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102593 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102594 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102596 -  ..
102597 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102598 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102600 -  ..
102601 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102602 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102607 -  ..
102608 - Kardia recorded HR 073 at 0717 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102609 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102610 - likely no AFL after hiking 00 miles temp __ yesterday, and stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102611 - Apixaban on 240710 after 6th ablation on 240611 0930. ref SDS 53 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102612 - and diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102613 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102616 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102617 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250320-ecg-071742_mile_00_073_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102620 -  ..
102621 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102623 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102624 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250320-ecg-075247_mile_00_064_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102628 -  ..
102629 - Post hike HR profile beginning 1940, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102630 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102631 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102632 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102633 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102636 -        ..
102637 -       Date      250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109  250108    
102638 -       Time       1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352    2019     
102639 -       Hours        11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8       5     
102640 -       HR AVG       72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56      67     
102641 -       HR MAX      123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     122     
102642 -       HR Min       47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42      44     
102643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102645 -              https://flow.polar.com/training/analysis/8076823929                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102648 -               ..
102650 -   
102651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102653 -  ..
102654 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102655 - Lunch - sandwich tuna avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102656 - Dinner - hamburger rice cauliflower broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102658 -  ..
102659 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102689 -         ..
102690 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102691 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102692 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102693 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102694 -        Firday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102695 -   80.  250321 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102696 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102697 -               0720....BP HR..................................................... 156  85  60  Kardia ECG reports HR status, see below. ref SDS 0 RTWV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102698 -               0725....BP HR..................................................... 155  91  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102699 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102700 -               0730....80 444200 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102701 -               1050....Tramadol 50 mg took 1 pills - left foot #1 and #5 PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102702 -               1050... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102703 -               1050... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102704 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102705 -               1050....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102706 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102707 -               1050....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102708 -               1050... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
102709 -  ..
102710 -           *   1122....miles...........  30.0  57.0  499   962 minutes  temp  65 wind 13  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102711 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102712 -               1331....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102713 -               1331....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102714 -               1331... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
102715 -               1331... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102716 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102717 -               1526....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102718 -               1526....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102719 -               1526... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
102720 -               1526... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102721 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102722 -               1649....mile 19 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102723 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102724 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
102725 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102726 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102727 -               1727....mile 21 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102728 -               1727....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102729 -               1727... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
102730 -               1727... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
102731 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102732 -               2022... Hike ends mile 30... ref SDS 0 R3HY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102733 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102734 -               2035....weight.................................... 174  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102735 -               2040....BP HR..................................................... 124  79 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102736 -               2045....BP HR..................................................... 115  75  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102737 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102738 -               2050... 40 121340 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                                                                                                                                                                                                                                                                                  
102739 -               2130............ 10 21220  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
102740 -               2130............ 10 21570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
102741 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102742 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102743 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102744 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102745 -               2200... 1000 2407000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102746 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102747 -               2330... 80 444280 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102748 -               2340... 40 96040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102750 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102751 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102752 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102753 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102754 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102755 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102756 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102757 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102760 -  ..
102761 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102762 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102764 -  ..
102765 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102766 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102767 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102768 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102769 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102771 -  ..
102772 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102773 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102775 -  ..
102776 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102777 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102780 -  ..
102781 - Today, hiked 30 miles - very good hike, despite feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102782 - starting.  Took 1 (one) Tramadol and applied Lidocaine to feet.  Did 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102783 - mile semi-loop through South Concord streets - Treat, Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102784 - Road.  Continued on Ayers East to Clayton Road, Then South 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102785 - turned West 1 mile on Ygnacio Valley Road.  Hiked East 2.50 miles to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102786 - end of Pine Hollow mile 8, took another Tramadol and Magnesium.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102787 - back to Ygnacio Valley Road.  Turned West onto Campus Drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102788 - uphill 1 mile 4% grade to Visitor Parking at College.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102789 - around main buildings - did weight training at station.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102790 - through parking lots.  At mile 14, did EKG.  Took 2 Tramadol, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102791 - another magnesium. to dissipate lactate acid, and prevent inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102792 - so HDL increases.  Took CoQ10 for energy.  Had softdrink and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102793 - nutrition.  Exited college North downhill on Campus Drive.  Did 9-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102794 - loop through hills of Crystal Ranch development.  Halfway through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102795 - about mile 20 stopped for nutrition and hydration - took 2-Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102796 - and 1 Magnesium.  Have not hiked this steep route for 6 months - since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102797 - 240922.  Turned left onto Pine Hollow for 1 mile.  A driver stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102798 - his car holding up traffic to ask about lengths of hikes.  He related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102799 - that he hiked 20 miles for the 1st time last weekend.  Encouraged him                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102800 - to keep it up.  With cars honking the driver gave a fist tap and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102801 - continued.  Hiked back up Campus Drive to the College again.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102802 - another lap around main buildings and left the campus hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102803 - the summit on Ygnacio Valley Road, then back to Cowell.  Took Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102804 - back to Cuneo, then 2 miles through residential streets, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102805 - steep grades and $2M homes, and finally back to the house.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102806 - mile 30.  Tramadol worked well controlling pain; Magnesium and CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102807 - provided good energy.  Bloating constant challenge throughout hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102808 - better by end of hike.  Today was better than last 30-mile hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102809 - 250307.  Neck worse at end of hike.  Better able to work 4 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102810 - writing the record,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102813 -         ..
102814 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102815 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102816 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
102817 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102818 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102819 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102820 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102821 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102822 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102823 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102824 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102825 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
102826 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102827 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
102828 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102829 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
102830 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102831 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102832 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102833 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102834 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
102835 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102836 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102837 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102838 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102839 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
102840 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102841 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102842 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102843 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102844 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102845 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102846 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102847 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
102848 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102849 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102850 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
102851 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
102852 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
102853 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
102854 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102855 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102856 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
102857 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
102858 -        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                                                                                                                                                                                                                                                                                                                           
102859 -        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                                                                                                                                                                                                                                                                                                                                                                                    
102860 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102861 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
102862 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
102863 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102864 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102865 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
102866 -        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                                                                                                                                                                                                                                                                                                                                           
102867 -        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                                                                                                                                                                                                                                                                                                                                           
102868 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102869 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
102870 -        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                                                                                                                                                                                                                                                                                                                                                                                        
102871 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
102872 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
102873 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102874 -        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                                                                                                                                                                                                                                                                                                                                                              
102875 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
102876 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
102877 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102878 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102879 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
102880 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102881 -        Burning sensation both feet..................   2         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
102882 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
102883 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102884 -        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                                                                                                                                                                                                                                                                                                                                                                               
102885 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102886 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102887 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102888 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102889 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102890 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102891 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102892 -        Wobbly disoriented staggering dizzy..........   2         10  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102893 -        Wasted - very fatigued.......................   1         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102894 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102898 -  ..
102899 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102900 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102901 - laces very loose.  Did not use new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102902 - protect #4-#5 on both feet.  Shoes have good rebound energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102903 - "extra-wide" seemed to reduce pain on lateral edges of left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102904 - and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102906 -  ..
102907 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102908 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
102909 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102911 -  ..
102912 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
102913 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102914 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102915 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102916 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
102918 -  ..
102919 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102920 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102921 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102922 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102923 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102926 -  ..
102927 - Concord 30 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102928 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102929 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102930 - and also left hip.  Took 1 Tramadol to start hike.  Applied Lidocaine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102931 - to bottom of both forefeet, and left foot #1 and #5.  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102932 - Complex 300 mg pill for energy; also, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102933 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102934 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102935 - 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
102936 - EGD dilated LESV on 250211, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102937 - LESV, as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102938 - butter and margarine, and chia seeds for electrolytes and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102939 - had some avocado for HDL.  Just before starting hike took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102940 - CoQ10 per above. ref SDS 0 MO5L  CoQ10 is an enzyme produced in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102941 - body that supports an electron transport chain (ETC) giving human                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102942 - cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102943 - Received refill CoQ10 so ordered 2 more bottles from Amazon, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102944 - on 250320 1428. ref SDS 80 9X5J  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102945 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102946 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102947 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102948 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102949 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
102950 - backpack to carry stuff.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102951 - Treat.  Feet starting hike feeling like pins and needles - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102952 - neuropathy taking statins.  After taking Tramadol and switching to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102953 - Brooks Ghost size extra-wide, left foot #1 and #5 PL 2 most of 8 hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102954 - hike - much better today.  Breathed through nose entire hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102955 - dyspnea.  Temp started at 59, and reached 65.  West wind 13 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102956 - mostly 04 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102957 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102958 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102959 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102960 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102961 - .75 miles on asphalt road shoulder.  At mile 3, feeling more bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102962 - and left foot #1 and #5 still PL 2, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102963 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102964 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
102965 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102966 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102967 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102968 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102969 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
102970 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102971 - time ____, Continued on Ygnacio Valley Road; turned left hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102972 - miles East on Pine Hollow.  About mile 8, turned right onto Tifflin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102973 - Drive headed South .25 miles - turned around hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102974 - right onto Pine Hollow, and in order to add .5 miles.  Hiked to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102975 - Pine Hollow.  Stopped mile 08 time 1331 temp 63 and wind 10 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102976 - mostly uniform with some artifact, Kardia reported HR 118 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102977 - - see below. ref SDS 0 RU7V  Bloated PL 2 - less severe.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102978 - 2, burning sensation PL 2, left foot #1 PL 2, #5 PL 1 - less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102979 - aligns with wearing Brooks Ghost extra-wide shoes.  Took 1 Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
102980 - took Magnesium Complex 300 mg pill for energy, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102981 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102982 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102983 - on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102984 - Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102985 - occurred on 240824. ref SDS 36 PPTU  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102986 - for hydration, swallowing meds and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
102987 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102988 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102989 - pill.  After receiving refill, took Ubiquinol CoQ10 0.5 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
102990 - energy to complete hike. per above. ref SDS 0 RQSY  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102991 - hiked back to YV.  Turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
102992 - uphill 3% - 4% grade with wind 12 mph.  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102993 - California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102994 - main campus buildings, and then 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
102995 - Student parking lots.  Stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
102996 - half-pullups, 30 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
102997 - Back at Visitor Parking stopped at Administration Building mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
102998 - time 1526 temp 64 and wind 11 mph; EKG mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
102999 - artifact, Kardia reported HR 131 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103000 - GUS2  Bloated PL 3.  Both feet PL 3.  Left foot #1 PL 3, #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103001 - Burning sensation PL 2.  Left hip PL 0.  Took 2 Tramadol again.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103002 - Magnesium to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103003 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103004 - increases energy for hiking.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103005 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103006 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103007 - and avocado for HDL, did not take Nuun electrolyte pill, getting low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103008 - on Ubiquinol CoQ10, so did not take 0.5 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103009 - complete hike. per above. ref SDS 0 RQSY  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103010 - main buildings.  Stopped again at training station - did another set                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103011 - 20 half-pullups, 30 half-pushups and 00 situps using training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103012 - equipment.  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103013 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103014 - miles.  Turned left onto Crystal Ranch Road.  Hiked South 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103015 - uphill 5% grade with 08 mph wind.  Handled this well breathing through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103016 - nose without dyspnea nor stopping.  At summit continued flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103017 - miles.  Continued downhill .25 miles 5% grade.  At Rolling Woods Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103018 - continued uphill on Crystal Ranch Road .5 miles 6% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103019 - 12 mph.  Road ends at top of hill.  Did not hiked back down hill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103020 - .25 mile and then back to top.  Stopped mile 19 time 1649, temp 64,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103021 - wind 12 mph; EKG uniform with no artifact, Kardia reported HR 129 (...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103022 - HR - only 2 minute wait to get cellphone connection...) Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103023 - see below. ref SDS 0 S59X  Bloated PL 2, feet PL 2, left foot #1 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103024 - #5 PL 1, burning sensation PL 2, no pain meds, nothing to eat nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103025 - drink (NPO), per above. ref SDS 0 RQSY  Continued North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103026 - Crystal Ranch Road 6% grade .5 miles.  At bottom of hill, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103027 - uphill .25 mile; at flat grade continued North .75 mile to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103028 - residential area beyond Hiddencrest street.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103029 - back - South again.  Did not feel well - low energy.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103030 - bottom of dip used metal utility box for workstation - mile 21 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103031 - 1727, temp 64, wind 13 mph; EKG uniform with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103032 - reported HR 122 Tachycardia - see below. ref SDS 0 M58G  Bloated PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103033 - - less severe.  Both feet PL 2, burning sensation PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103034 - PL 2, #5 PL 1 - less pain aligns with wearing Brooks Ghost extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103035 - shoes.  Took 1 Tramadol, took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103036 - energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103037 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103038 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103039 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103040 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103041 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103042 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103043 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103044 - not take Nuun electrolyte pill.  After receiving refill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103045 - Ubiquinol CoQ10 0.5 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103046 - ref SDS 0 RQSY  Continued South downhill on Crystal Ranch Road flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103047 - grade .25 miles.  At bottom of hill, turned right onto Rolling Woods                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103048 - Way hiking East .5 miles uphill 6% grade against 12 mph wind.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103049 - summit continued downhill .66 miles.  Turned left onto Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103050 - Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103051 - uphill 3% - 4% grade against wind 08 mph.  At mile 23, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103052 - Parking again at California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103053 - Hiked loop around campus buildings, Exited college on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103054 - North, downhill.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103055 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103056 - grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103057 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103058 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103059 - concrete barriar mile 25, hiked back and turned left onto Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103060 - Continued North 1 mile and turned left onto Treat, then .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103061 - turned right onto Cuneo.  Hiked 2 miles through residential streets -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103062 - Kaski, and Browning Court, uphill 8% grade.  Handled this well, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103063 - home.  Ended hike mile 30 time 2022 temp 56, wind 04.  Bloated PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103064 - feet PL 2, burning sensation PL 3, left foot #1 PL 3, #5 PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103065 - knee PL 2, wobbly PL 1.  EKG looks entirely uniform, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103066 - Kardia reported HR 110 Tachycardia - see below. ref SDS 0 R3HY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103078 -  ..
103079 - Kardia recorded HR 072 at 0752 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103080 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103081 - likely no AFL after hiking 00 miles temp __ yesterday, and stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103082 - Apixaban on 240710 after 6th ablation on 240611 0930. ref SDS 53 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103083 - and diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103084 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103087 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103088 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250321-ecg-075257_mile_00_072_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103094 -  ..
103095 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103096 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103097 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103098 - ..
103099 -                                                                                                                                                                                                                                                                                                              x
103100 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103101 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103102 -       Date          250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 241231 24123  
103103 -       Miles            30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0      0  
103104 -       HR AVG          126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no     no  
103105 -         MAX           152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report report repo  
103106 -         Min            54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                       
103107 -       El Climb Ft     680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                              
103108 -       Temp Max         65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                              
103109 -       Wind Max         13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                              
103110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103112 -              https://flow.polar.com/training/analysis/8077125024                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103115 -               ..
103117 -   
103118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103122 -  ..
103123 - EKG at mile 08 time 1331 HR 118 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103124 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103125 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103128 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103129 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250321-ecg-133120_mile_08_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103133 -  ..
103134 - EKG at mile 14 time 1526 HR 131 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103135 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103136 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103139 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103140 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250321-ecg-152646_mile_14_131_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103144 -  ..
103145 - EKG at mile 19 time 1649 HR 129 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103146 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103147 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103150 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103151 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250321-ecg-164953_mile_19_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103156 -  ..
103157 - EKG at mile 21 time 1727 HR 122 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103158 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103159 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103162 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103163 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250321-ecg-172725_mile_21_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103167 -  ..
103168 - End hike EKG at mile 30, time 2022 HR 110 temp 56 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103169 - Tachycardia... looks uniform with no artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103170 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103173 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103174 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250321-ecg-202237_mile_30_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103178 -  ..
103179 - Post hike HR profile beginning 2300, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103180 - hiking 30 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103181 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103182 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103183 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103186 -        ..
103187 -       Date      250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110  250109    
103188 -       Time       2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000    2352     
103189 -       Hours         8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11       8     
103190 -       HR AVG       64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71      56     
103191 -       HR MAX      120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     130     
103192 -       HR Min       45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44      42     
103193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103195 -              https://flow.polar.com/training/analysis/8077454903                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103198 -               ..
103200 -   
103201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103204 -  ..
103205 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103206 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103207 - Dinner - eggs hamburger rice cauliflower broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103209 -  ..
103210 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103243 -         ..
103244 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103245 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103246 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103247 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103248 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103249 -   81.  250322 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103250 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103251 -               0720....BP HR..................................................... 161  88  53  Kardia ECG reports HR status, see below. ref SDS 0 T6MA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103252 -               0725....BP HR..................................................... 163  83  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103253 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103254 -               0730....80 444360 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103255 -               1040....Tramadol 50 mg took 1 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103256 -               1040... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103257 -               1040... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103258 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103259 -               1040....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103260 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103261 -               1040....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103262 -               1040... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
103263 -  ..
103264 -           *   1119....miles...........  21.0  78.0  369  1331 minutes  temp  65 wind 13  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103265 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103266 -               1422....mile 11 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103267 -               1422....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103268 -               1422... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
103269 -               1422... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103270 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103271 -               1526....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103272 -               1526....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103273 -               1526... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
103274 -               1526... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103275 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103276 -               1635....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103277 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103278 -               1635... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
103279 -               1635... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103280 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103281 -               2022... Hike ends mile 30... ref SDS 0 R3HY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103282 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103283 -               1825....weight.................................... 174  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103284 -               1830....BP HR..................................................... 128  81 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103285 -               1840....BP HR..................................................... 121  78  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103286 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103287 -               1850... 40 121380 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                                                                                                                                                                                                                                                                                  
103288 -             1 0000............ 10 21220  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103289 -             1 0000............ 10 21570  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
103290 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103291 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103292 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103293 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103294 -               2200... 1000 2408000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103295 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103296 -               2330... 80 444440 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103297 -               2340... 40 96080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103299 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103300 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103301 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103302 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103303 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103304 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103305 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103306 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103309 -  ..
103310 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103311 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103313 -  ..
103314 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103315 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103316 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103317 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103318 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103320 -  ..
103321 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103322 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103324 -  ..
103325 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103326 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103329 -  ..
103330 - Today, hiked 22 miles - good hike, but fatigued from hiking 30 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103331 - yesterday, and feeling bloated starting, possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103332 - heart rate causing dysfunctional autonomic nervous system (ANS),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103333 - testing with Zia Holter HR completed on 250320 after beginning on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103334 - 250306 - see meeting with Doctor Pellegrini in Cardiology on 250306                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103335 - 0900. ref SDS 77 S55I  Feet PL 0 before starting hike, after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103336 - days resting feet.  Took 1 (one) Tramadol and applied Lidocaine to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103337 - feet.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103338 - Turtle Creek Road.  Continued on Ayers East to Clayton Road, Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103339 - South 1 mile and turned West 1 mile on Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103340 - East 1.00 mile on Pine Hollow.  Hiked back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103341 - Turned West onto Campus Drive heading uphill 1 mile 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103342 - Visitor Parking at College.  Hiked loop through parking lots.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103343 - 11, did EKG.  Took 2 Tramadol, and another magnesium. to dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103344 - lactate acid, and prevent inflammation so that HDL increases.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103345 - CoQ10 for energy.  Hiked another loop through parking lots.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103346 - college heading North downhill on Campus Drive.  Turned left hiking 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103347 - miles over summit Ygnacio Valley Road.  Did another EKG, had more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103348 - hydration and nutrition, then hiked 4 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103351 -         ..
103352 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103353 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103354 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
103355 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103356 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103357 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103358 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103359 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103360 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103361 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103362 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103363 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
103364 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103365 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
103366 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103367 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
103368 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103369 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103370 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103371 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103372 -        Knee left meniscus...PRP 231121..............   1         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
103373 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103374 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103375 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103376 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103377 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
103378 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103379 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103380 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103381 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103382 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103383 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103384 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103385 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
103386 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103387 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103388 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
103389 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
103390 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
103391 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
103392 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103393 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103394 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
103395 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
103396 -        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                                                                                                                                                                                                                                                                                                                           
103397 -        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                                                                                                                                                                                                                                                                                                                                                                                    
103398 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103399 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
103400 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
103401 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103402 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103403 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
103404 -        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                                                                                                                                                                                                                                                                                                                                           
103405 -        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                                                                                                                                                                                                                                                                                                                                           
103406 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103407 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
103408 -        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                                                                                                                                                                                                                                                                                                                                                                                        
103409 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
103410 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
103411 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103412 -        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                                                                                                                                                                                                                                                                                                                                                              
103413 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
103414 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
103415 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103416 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103417 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
103418 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103419 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
103420 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
103421 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103422 -        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                                                                                                                                                                                                                                                                                                                                                                               
103423 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103424 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103425 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103426 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103427 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103428 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103429 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103430 -        Wobbly disoriented staggering dizzy..........   4         40  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103431 -        Wasted - very fatigued.......................   3         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103432 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103436 -  ..
103437 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103438 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103439 - laces very loose.  Did not use new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103440 - protect #4-#5 on both feet.  Shoes have good rebound energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103441 - "extra-wide" seemed to reduce pain on lateral edges of left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103442 - and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103444 -  ..
103445 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103446 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103447 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103449 -  ..
103450 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103451 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103452 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103453 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103454 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103456 -  ..
103457 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103458 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103459 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103460 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103461 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103464 -  ..
103465 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103466 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103467 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103468 - and also left hip.  Took 1 Tramadol to start hike.  Applied Lidocaine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103469 - to bottom of both forefeet, and left foot #1 and #5.  Took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103470 - Complex 300 mg pill for energy; also, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103471 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103472 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103473 - 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103474 - EGD dilated LESV on 250211, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103475 - LESV, as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103476 - butter and margarine, and chia seeds for electrolytes and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103477 - had some avocado for HDL.  Just before starting hike took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103478 - CoQ10 per above. ref SDS 0 LS4K  CoQ10 is an enzyme produced in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103479 - body that supports an electron transport chain (ETC) giving human                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103480 - cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103481 - Received refill CoQ10 so ordered 2 more bottles from Amazon, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103482 - on 250320 1428. ref SDS 80 9X5J  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103483 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103484 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103485 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103486 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103487 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103488 - backpack to carry stuff.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103489 - Treat.  Feet starting hike feeling like pins and needles - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103490 - neuropathy taking statins.  After taking Tramadol and switching to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103491 - Brooks Ghost size extra-wide, left foot #1 and #5 PL 3 most of 6 hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103492 - hike - worse than yesterday.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103493 - without dyspnea.  Temp started at 57, and reached 65.  West wind 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103494 - mph and mostly 06 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103495 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103496 - mostly flat grade, some places 2% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103497 - not hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103498 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103499 - .75 miles on asphalt road shoulder.  At mile 3, feeling more bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103500 - and left foot #1 and #5 still PL 2, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103501 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103502 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103503 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103504 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103505 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103506 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103507 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103508 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103509 - time ____, Continued on Ygnacio Valley Road; turned left hiked 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103510 - miles East on Pine Hollow.  About mile 6, past Rolling Woods Way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103511 - turned around hiked back and turned left onto Campus Drive hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103512 - 1 mile uphill 3% - 4% grade with wind 12 mph.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103513 - at California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103514 - main campus buildings, and then 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103515 - Student parking lots.  Stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103516 - half-pullups, 30 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103517 - Back at Visitor Parking stopped at Administration Building mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103518 - time 1422 temp 62 and wind 10 mph; EKG mostly uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103519 - artifact, Kardia reported HR 104 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103520 - RWVU Bloated PL 2.  Both feet PL 2.  Left foot #1 PL 3, #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103521 - Burning sensation PL 3.  Left hip PL 0.  Took 2 Tramadol.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103522 - Magnesium to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103523 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103524 - increases energy for hiking.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103525 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103526 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103527 - and avocado for HDL, did not take Nuun electrolyte pill, Took 0.5 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103528 - Ubiquinol liquid CoQ10 for energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103529 - ref SDS 0 RSSU  Hiked another loop through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103530 - lots, and around main buildings.  Exited college hiking North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103531 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103532 - flat grade .5 miles.  Continued past Crystal Ranch Road. uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103533 - grade .5 miles against wind 09 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103534 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103535 - severe camber.  Hiked .5 miles uphill 3% grade to summit.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103536 - concrete barriar mile 14, at break in traffic crossed back to South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103537 - side Ygnacio Valley Road.  Feet PL 4, including left foot #1 and #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103538 - worse than yesterday.  Feeling weaker after doing 30 miles yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103539 - Continued 2 miles downhill 3% grade; crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103540 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103541 - 1-mile loop around block at Safeway shopping complex.  Stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103542 - Pizza mile 17, time 1635, temp 64 and wind 12 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103543 - mild artifact, Kardia reported HR 108 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103544 - ref SDS 0 R7WV  Bloated PL 3 - little worse.  Both feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103545 - sensation PL 2, left foot #1 PL 5, #5 PL 2.  Did not take Tramadol for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103546 - pain management.  Took another Magnesium pill for energy; also, absorb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103547 - lactic acid for pain management, and resolve inflammation to enable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103548 - HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103549 - vessels.  Sips softdrink carried from home for hydration, swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103550 - meds and nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103551 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103552 - not take Nuun electrolyte pill.  Took liquid Ubiquinol CoQ10, 0.5 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103553 - for HDL and energy to complete hike. per above. ref SDS 0 RSSU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103554 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103555 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103556 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103557 - mile North on asphalt shoulder.  Increasingly wobbly - fatigue after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103558 - hiking 30 miles yesterday.  Crossed Treat at street light.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103559 - mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103560 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103561 - taking CoQ10 at mile 17.  At summit, mile 21, hiked another mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103562 - Cuneo and 0 miles through residential streets - Kaski, Hitchcock,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103563 - Court Lane, etc., then home.  Ended hike mile 22 time 1845 temp 57,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103564 - wind 10.  Bloated PL 3, feet PL 3, burning sensation PL 4, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103565 - #1 PL 4, #5 PL 2, left knee PL 2, wobbly PL 3.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103566 - uniform, with minor artifact, Kardia reported HR 099 Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103567 - Rhythm - see below. ref SDS 0 RXQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103582 -  ..
103583 - Kardia recorded HR 049 at 0727 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103584 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103585 - 00 miles temp __ yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103586 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103587 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103588 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103591 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103592 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250322-ecg-072721_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103595 -  ..
103596 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103598 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103599 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250322-ecg-080409_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103604 -  ..
103605 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103606 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103607 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103608 - ..
103609 -                                                                                                                                                                                                                                                                                                              x
103610 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103611 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103612 -       Date          250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 250102 250101 24123  
103613 -       Miles            22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13      0      0  
103614 -       HR AVG          110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130     no     no  
103615 -         MAX           125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151   report repo  
103616 -         Min            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87                
103617 -       El Climb Ft     436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454                       
103618 -       Temp Max         65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65                       
103619 -       Wind Max         13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9                       
103620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103622 -              https://flow.polar.com/training/analysis/8077735796                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103625 -               ..
103627 -   
103628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103632 -  ..
103633 - EKG at mile 11 time 1422 HR 104 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103634 - Tachycardia... heart rate mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103635 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103638 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103639 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250322-ecg-142248_mile_11_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103643 -  ..
103644 - EKG at mile 17 time 1635 HR 108 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103645 - Tachycardia... heart rate uniform with mild artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103646 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103649 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103650 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250322-ecg-163508_mile_17_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103653 -  ..
103654 - End hike EKG at mile 22, time 1800 HR 099 temp 64 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103655 - Normal Sinus Rhythm... looks uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103656 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103659 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103660 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250322-ecg-180025_mile_22_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103664 -  ..
103665 - Post hike HR profile beginning 2035, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103666 - hiking 22 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103667 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103668 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103669 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103672 -        ..
103673 -       Date      250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111  250110    
103674 -       Time       2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344    2000     
103675 -       Hours        15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8      11     
103676 -       HR AVG       59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71      71     
103677 -       HR MAX      111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     116     
103678 -       HR Min       40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47      44     
103679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103681 -              https://flow.polar.com/training/analysis/8078326573                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103684 -               ..
103686 -   
103687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103690 -  ..
103691 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103692 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103693 - Dinner - eggs hamburger potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103695 -  ..
103696 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103729 -         ..
103730 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103731 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103732 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103733 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103734 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103735 -   82.  250323 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103736 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103737 -               0710....BP HR..................................................... 161  88  53  Kardia ECG reports HR status, see below. ref SDS 0 SQEP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103738 -               0715....BP HR..................................................... 133  69  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103739 -               0720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103740 -               0720....80 444520 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103741 -               0000....Tramadol 50 mg took 1 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103742 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103743 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103744 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103745 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103746 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103747 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103748 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103749 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103750 -               1700... 40 121420 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                                                                                                                                                                                                                                                                                  
103751 -               1830............ 10 21230  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103752 -               1830............ 10 21580  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
103753 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103754 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103755 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103756 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103757 -               2200... 1000 2409000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103758 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103759 -               2330... 80 444600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103760 -               2340... 40 96120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103762 -  ..
103763 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103764 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103766 -  ..
103767 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103768 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103769 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103770 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103771 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103773 -  ..
103774 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103775 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103777 -  ..
103778 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103779 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103783 -  ..
103784 - Kardia recorded HR 052 at 1122 Unclassified, looks mostly variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103785 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103786 - 22 miles temp 65 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103787 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103788 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103789 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103792 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103793 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250323-ecg-112216_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103796 -  ..
103797 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103799 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103800 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250323-ecg-123504_mile_00_068_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103804 -  ..
103805 - Post hike HR profile beginning 2004, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103806 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103807 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103808 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103809 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103812 -        ..
103813 -       Date      250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112  250111    
103814 -       Time       2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936    2344     
103815 -       Hours        10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12       8     
103816 -       HR AVG       65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66      71     
103817 -       HR MAX      122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     144     
103818 -       HR Min       41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39      47     
103819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103821 -              https://flow.polar.com/training/analysis/8078783888                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103824 -               ..
103826 -   
103827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103830 -  ..
103831 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103832 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103833 - Dinner - eggs hamburger broccoli cauliflower potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103835 -  ..
103836 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103868 -         ..
103869 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103870 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103871 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103872 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103873 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103874 -   83.  250324 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103875 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103876 -               0730....BP HR..................................................... 146  86  59  Kardia ECG reports HR status, see below. ref SDS 0 SVRU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103877 -               0735....BP HR..................................................... 133  69  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103878 -               0740....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103879 -               0740....80 444680 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103880 -               0000....Tramadol 50 mg took 1 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103881 -               0920... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103882 -               0920... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103883 -               0920....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103884 -               0920....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103885 -               0920....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103886 -               0920....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103887 -               0920... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
103888 -  ..
103889 -               1058....miles...........  21.0  21.0  349   349 minutes  temp  80 wind 10  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103890 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103891 -               1313....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103892 -               1313....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103893 -               1313... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
103894 -               1313... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103895 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103896 -               1526....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103897 -               1526....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103898 -               1526... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
103899 -               1526... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103900 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103901 -               1609....mile 17 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103902 -               1609....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103903 -               1609... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
103904 -               1609... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
103905 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103906 -               1732... Hike ends mile 21... ref SDS 0 4VB6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
103907 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103908 -               1740....weight.................................... 171  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103909 -               1750....BP HR..................................................... 115  72 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103910 -               1755....BP HR..................................................... 119  81 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
103911 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103912 -               1800... 40 121460 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                                                                                                                                                                                                                                                                                  
103913 -             1 0000............ 10 21230  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
103914 -             1 0000............ 10 21580  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
103915 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103916 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103917 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103918 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
103919 -               2200... 1000 2410000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103920 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103921 -               2330... 80 444760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103922 -               2340... 40 96160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103925 -  ..
103926 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103927 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
103929 -  ..
103930 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103931 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103932 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103933 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103934 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103936 -  ..
103937 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103938 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103940 -  ..
103941 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103942 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103945 -  ..
103946 - Today, hiked 21 miles - good hike, but still fatigued from hiking 30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103947 - miles 3-days ago on 250321, per above. ref SDS 0 W64H and feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103948 - bloated starting, possibly related to variable heart rate causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103949 - dysfunctional autonomic nervous system (ANS), testing with Zia Holter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103950 - HR completed on 250320 after beginning on 250306 - see meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103951 - Doctor Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103952 - PL 0 before starting hike, after taking 2 days resting feet.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103953 - (one) Tramadol and applied Lidocaine to feet.  Did 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103954 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103955 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103956 - mile on Ygnacio Valley Road.  Hiked East 1.00 mile on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103957 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103958 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103959 - loop through parking lots.  At mile 11, did EKG.  Took 2 Tramadol, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103960 - another magnesium. to dissipate lactate acid, and prevent inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103961 - so that HDL increases.  Took CoQ10 for energy.  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
103962 - through parking lots.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103963 - Drive.  Turned left hiking 4 miles over summit Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103964 - Did another EKG, had more hydration and nutrition, then hiked 4 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103965 - home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
103966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
103968 -         ..
103969 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
103970 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103971 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
103972 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103973 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103974 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103975 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
103976 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
103977 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103978 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
103979 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103980 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
103981 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103982 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
103983 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103984 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
103985 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103986 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103987 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103988 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103989 -        Knee left meniscus...PRP 231121..............   3         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
103990 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103991 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
103992 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
103993 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103994 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
103995 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
103996 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103997 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
103998 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
103999 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104000 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104001 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104002 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
104003 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104004 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104005 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
104006 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
104007 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
104008 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
104009 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104010 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104011 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
104012 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
104013 -        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                                                                                                                                                                                                                                                                                                                           
104014 -        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                                                                                                                                                                                                                                                                                                                                                                                    
104015 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104016 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
104017 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
104018 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104019 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104020 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
104021 -        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                                                                                                                                                                                                                                                                                                                                           
104022 -        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                                                                                                                                                                                                                                                                                                                                           
104023 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104024 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
104025 -        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                                                                                                                                                                                                                                                                                                                                                                                        
104026 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
104027 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
104028 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104029 -        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                                                                                                                                                                                                                                                                                                                                                              
104030 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
104031 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
104032 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104033 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104034 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
104035 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104036 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
104037 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
104038 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104039 -        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                                                                                                                                                                                                                                                                                                                                                                               
104040 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104041 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104042 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104043 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104044 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104045 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104046 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104047 -        Wobbly disoriented staggering dizzy..........   4         40  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104048 -        Wasted - very fatigued.......................   3         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104049 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104053 -  ..
104054 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104055 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104056 - laces very loose.  Did not use new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104057 - protect #4-#5 on both feet.  Shoes have good rebound energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104058 - "extra-wide" seemed to reduce pain on lateral edges of left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104059 - and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104061 -  ..
104062 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104063 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104064 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104066 -  ..
104067 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104068 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104069 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104070 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104071 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104073 -  ..
104074 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104075 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104076 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104077 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104078 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104081 -  ..
104082 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104083 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104084 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104085 - and also left hip.  Did not take 1 Tramadol to start hike.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104086 - Lidocaine to bottom of both forefeet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104087 - Magnesium Complex 300 mg pill for energy; also, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104088 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104089 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104090 - on 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104091 - EGD dilated LESV on 250211, ref SDS 73 433O, avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104092 - LESV, as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104093 - butter and margarine, and chia seeds for electrolytes and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104094 - had some avocado for HDL.  Just before starting hike took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104095 - CoQ10 per above. ref SDS 0 8M5L  CoQ10 is an enzyme produced in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104096 - body that supports an electron transport chain (ETC) giving human                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104097 - cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104098 - Received refill CoQ10 so ordered 2 more bottles from Amazon, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104099 - on 250320 1428. ref SDS 80 9X5J  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104100 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104101 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104102 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104103 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104104 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104105 - backpack to carry stuff.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104106 - Treat.  Feet starting hike feeling only slightly like pins and needles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104107 - - peripheral neuropathy taking statins.  Wearing Brooks Ghost size                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104108 - 10.5 extra-wide, left foot #1 and #5 PL 3 most of 5 hour hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104109 - Breathed through nose entire hike without dyspnea.  Temp started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104110 - 68, and reached 80.  West wind 10 mph and mostly 06 mph.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104111 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104112 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 2%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104113 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104114 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104115 - Turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104116 - Gerry called at 1144, saying he and Pam want me to stay in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104117 - Condominium after all, rather than vacate by end of April so their son                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104118 - and his girl friend can move in, reported in another record on 250324                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104119 - 1144. ref SDS 81 ZG9J  At mile 3, feeling more bloated and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104120 - #1 and #5 PL 3, turned right onto Clayton Road hiking South .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104121 - on asphalt pavement in parking lots of shopping complex.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104122 - Alberto Way at traffic light and continued on concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104123 - miles.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104124 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104125 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104126 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104127 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104128 - not stop at Union 76 Texaco Gas Station store mile 5. time ____,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104129 - Continued on Ygnacio Valley Road; turned left hiked 0.25 miles East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104130 - Pine Hollow.  Intended to go 2.5 miles, but not feeling well.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104131 - around hiked back and turned left onto Campus Drive hiking West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104132 - uphill 3% - 4% grade with wind 09 mph.  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104133 - California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104134 - main campus buildings, and then 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104135 - Student parking lots.  Stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104136 - half-pullups, 30 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104137 - Back at Visitor Parking stopped at Administration Building mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104138 - time 1313 temp 74 and wind 06 mph; EKG mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104139 - artifact, Kardia reported HR 123 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104140 - SVWU  Bloated PL 3.  Both feet PL 2.  Left foot #1 PL 3, #5 PL 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104141 - Burning sensation PL 2.  Left hip PL 0.  Took 2 Tramadol.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104142 - Magnesium to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104143 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104144 - increases energy for hiking.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104145 - hydration, swallowing meds and nutrition - peanut butter, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104146 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104147 - for energy, and avocado for HDL, did not take Nuun electrolyte pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104148 - (probably should have).  Took 0.5 ml Ubiquinol liquid CoQ10 for energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104149 - to complete hike. per above. ref SDS 0 SSPV  Hiked 2 more loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104150 - through Faculty and Student parking lots, and around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104151 - At mile 12, exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104152 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104153 - miles.  Continued past Crystal Ranch Road. uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104154 - against wind 06 mph.  Crossed Cowell at stop light.  Could not catch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104155 - break in traffic, so did not cross to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104156 - to avoid severe camber - handled this okay.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104157 - grade to summit.  At end of concrete barriar mile 14, continued 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104158 - miles downhill 3% grade; crossed to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104159 - Crossed Oak Grove at traffic light.  Hiked 1-mile loop around block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104160 - Safeway shopping complex.  Stopped at Mod Pizza mile 17, time 1609,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104161 - temp 80 and wind 07 mph; EKG uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104162 - HR 135 Tachycardia - see below. ref SDS 0 S2XD  Bloated PL 2 - little                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104163 - better.  Both feet PL 3, burning sensation PL 3, left foot #1 PL 3, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104164 - PL 3.  Took 1 Tramadol for pain management.  Took another Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104165 - pill for energy; also, absorb lactic acid for pain management, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104166 - resolve inflammation to enable HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104167 - regress plaque in blood vessels.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104168 - hydration, swallowing meds and nutrition - peanut butter, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104169 - Mayonnaise and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104170 - energy, and avocado for HDL, did not take Nuun electrolyte pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104171 - (probably should have due to temp 80).  Took liquid Ubiquinol CoQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104172 - 0.5 ml for HDL and energy to complete hike. per above.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104173 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104174 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104175 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104176 - on asphalt shoulder.  Not noticably wobbly - fatigue hiking temp 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104177 - first time this year.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104178 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104179 - miles on Treat uphill 5% grade temp 59.  Handled this okay - slowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104180 - down, but did not stop - after taking CoQ10 at mile 17.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104181 - mile 20, hiked another mile to Cuneo and 0 miles through residential                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104182 - streets - Kaski, Hitchcock, Court Lane, etc., then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104183 - mile 21 time 1732 temp 80, wind 06.  Bloated PL 3, feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104184 - sensation PL 4, left foot #1 PL 3, #5 PL 3, left knee PL 2, wobbly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104185 - 1.  EKG looks mostly variable, with no artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104186 - 124 Possible Atrial Fibrillation - see below. ref SDS 0 4VB6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104201 -  ..
104202 - Kardia recorded HR 068 at 0826 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104203 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104204 - likely no AFL after hiking 00 miles temp __ yesterday, and stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104205 - Apixaban on 240710 after 6th ablation on 240611 0930. ref SDS 53 0001,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104206 - and diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104207 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104210 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104211 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250324-ecg-082633_mile_00_068_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104216 -  ..
104217 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104218 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104219 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104220 - ..
104221 -                                                                                                                                                                                                                                                                                                              x
104222 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104223 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104224 -       Date          250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 240103 25010  
104225 -       Miles            21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0     13  
104226 -       HR AVG          131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no    130  
104227 -         MAX           152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report report  151  
104228 -         Min            60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                                 87  
104229 -       El Climb Ft     540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454         
104230 -       Temp Max         80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65         
104231 -       Wind Max         10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9         
104232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104234 -              https://flow.polar.com/training/analysis/8079111000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104237 -               ..
104239 -   
104240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104244 -  ..
104245 - EKG at mile 08 time 1313 HR 123 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104246 - Tachycardia... heart rate mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104247 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104250 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104251 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250324-ecg-131327_mile_08_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104255 -  ..
104256 - EKG at mile 17 time 1609 HR 135 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104257 - Tachycardia... heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104258 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104261 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104262 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250324-ecg-160959_mile_17_135_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104265 -  ..
104266 - End hike EKG at mile 21, time 1732 HR 124 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104267 - Possible Atrial Fibrillation... looks variable with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104268 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104271 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104272 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250324-ecg-173200_mile_21_124_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104276 -  ..
104277 - Post hike HR profile beginning 2119, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104278 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104279 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104280 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104281 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104284 -        ..
104285 -       Date      250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113  250112    
104286 -       Time       2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938    1936     
104287 -       Hours         5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12      12     
104288 -       HR AVG       74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68      66     
104289 -       HR MAX      117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     127     
104290 -       HR Min       59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45      39     
104291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104293 -              https://flow.polar.com/training/analysis/8079249294                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104296 -  ..
104297 - Looks raggedy like AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104299 -               ..
104301 -   
104302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104305 -  ..
104306 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104307 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104308 - Dinner - eggs hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104310 -  ..
104311 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104342 -         ..
104343 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104344 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104345 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104346 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104347 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104348 -   84.  250325 0110............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104349 -               0220....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104350 -               0230....BP HR..................................................... 139  83  65  Kardia ECG reports HR status, see below. ref SDS 0 SWVQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104351 -               0235....BP HR..................................................... 146  82  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104352 -               0240....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104353 -               0300....80 444840 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104354 -               0420....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104355 -               0420... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104356 -               0420... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104357 -               0420....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104358 -               0420....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104359 -               0420....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104360 -               0420....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104361 -               0420... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
104362 -  ..
104363 -               0431....miles...........  12.0  12.0  203   203 minutes  temp  56 wind 04  rain 00% moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104364 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104365 -               0602....mile 06 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104366 -               0602....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104367 -               0602... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
104368 -               0602... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104369 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104370 -               1732... Hike ends mile 12... ref SDS 0 4VB6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104371 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104372 -               1740....weight.................................... 171  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104373 -               1750....BP HR..................................................... 112  71 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104374 -               1755....BP HR..................................................... 107  68 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104375 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104376 -               1800... 40 121500 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                                                                                                                                                                                                                                                                                  
104377 -               1830............ 10 21240  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104378 -               1830............ 10 21590  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
104379 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104380 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104381 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104382 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104383 -               2200... 1000 2411000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104384 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104385 -               2330... 80 444920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104386 -               2340... 40 96200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104389 -  ..
104390 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104391 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104393 -  ..
104394 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104395 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104396 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104397 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104398 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104400 -  ..
104401 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104402 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104404 -  ..
104405 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104406 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104409 -  ..
104410 - Today, hiked 12 miles in San Francisco Golden Gate Park - took Tramdol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104411 - for calluses and metatarsalgia feet pain; took Magnesium and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104412 - nutrition with CoQ10 -- begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104413 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104414 - Continued hike South 1 mile on Great Highway.  Turn East onto JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104415 - through Golden Gate Park past Buffalo compound, and Sprekles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104416 - Past De Young museum, and before Conservatory at mile 6, stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104417 - nutrition and hydration, took pain meds, and magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104418 - Hike back to hospital.  Left foot #1 and #5, and left knee okay with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104419 - pain meds.  Hiked well, including last 2 miles without stopping to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104420 - rest going uphill 5% grade on Great Highway from Ocean Beach to Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104421 - House then on Point Lobos to 42nd and the hospital, all without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104422 - breathing through mouth indicating improved conditioning, and effect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104423 - taking magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104427 -         ..
104428 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104429 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104430 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
104431 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104432 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104433 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104434 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104435 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104436 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104437 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104438 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104439 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
104440 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104441 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
104442 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104443 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
104444 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104445 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104446 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104447 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104448 -        Knee left meniscus...PRP 231121..............   1         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
104449 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104450 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104451 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104452 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104453 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
104454 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104455 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104456 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104457 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104458 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104459 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104460 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104461 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
104462 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104463 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104464 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
104465 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
104466 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
104467 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
104468 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104469 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104470 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
104471 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
104472 -        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                                                                                                                                                                                                                                                                                                                           
104473 -        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                                                                                                                                                                                                                                                                                                                                                                                    
104474 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104475 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
104476 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
104477 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104478 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104479 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
104480 -        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                                                                                                                                                                                                                                                                                                                                           
104481 -        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                                                                                                                                                                                                                                                                                                                                           
104482 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104483 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
104484 -        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                                                                                                                                                                                                                                                                                                                                                                                        
104485 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
104486 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
104487 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104488 -        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                                                                                                                                                                                                                                                                                                                                                              
104489 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
104490 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
104491 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104492 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104493 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
104494 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104495 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
104496 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
104497 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104498 -        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                                                                                                                                                                                                                                                                                                                                                                               
104499 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104500 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104501 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104502 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104503 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104504 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104505 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104506 -        Wobbly disoriented staggering dizzy..........   4         40  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104507 -        Wasted - very fatigued.......................   3         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104508 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104512 -  ..
104513 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104514 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104515 - laces very loose.  Did not use new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104516 - protect #4-#5 on both feet.  Shoes have good rebound energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104517 - "extra-wide" seemed to reduce pain on lateral edges of left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104518 - and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104520 -  ..
104521 - Orthotic inserts - On 240724, switched back to Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104522 - inserts, explained in case study record on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104523 - PR6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104525 -  ..
104526 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104527 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104528 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104529 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104530 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104532 -  ..
104533 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104534 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104535 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104536 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104537 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104540 -  ..
104541 - San Francisco 12 mile route, reported on 170519, ref SDS 8 WTRS - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104542 - Glucosamine Chondroitin for OA protection, mainly left knee treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104543 - with PRP intra articular injection 13 times, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104544 - 0701, ref SDS 18 TTPV, and also left hip.  At the hospital, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104545 - starting the hike, took 2 Tramadol for pain management, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104546 - metatarsalgia in feet.  Also applied Lidocaine cream to bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104547 - forefeet, and left foot #1 and #5.  Took Magnesium Complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104548 - for energy; and to absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104549 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104550 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104551 - - was able to swallow pill whole after EGD dilated LESV on 250211,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104552 - ref SDS 73 433O, avoids capsule clogging LESV, as occurred on 240824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104553 - ref SDS 36 PPTU  Had small amount peanut butter and margarine, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104554 - Mayonnaise, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104555 - avocado for HDL, ...and took 5 ml liquid Ubiquinol CoQ10 - all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104556 - above. ref SDS 0 T35F  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104557 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104558 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104559 - bloating feeling, but still bloated starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104560 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104561 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104562 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104563 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104564 - backpack to carry stuff.  Temperature mild 53 and no wind.  Departed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104565 - VAMCSF campus in dark at 0431.  Hiked slowly downhill on 42nd Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104566 - to warm up.  Turned corner heading downhill West on Point Lobos to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104567 - Cliff House at mile 1.  Road bends and changes to "Great Highway"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104568 - going South along ocean beach.  Pace picked up as CoQ10 and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104569 - was digested and increased strength.  At mile 2 turned onto John F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104570 - Kennedy (JFK) Drive entering Golden Gate Park.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104571 - slightly uphill into the park for .5 miles.  Said hello to early                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104572 - morning jogger going West - normally this pass occurs nearer to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104573 - Highway 1 bridge, but today, was delayed leaving the house in Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104574 - Turned corner and continued East on JFK.  Dark and with few widely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104575 - spaced street lights, cannot see the road.  Passed Buffalo compound,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104576 - then Spreckles Lake.  Hiked past Lindley Meadow, then past Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104577 - Hollow.  Both feet pain level 1.  Hiked under bridge at Crossover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104578 - Drive (part of highway 1 that goes to Golden Gate Bridge). - JFK is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104579 - blocked to vehicle traffic the rest of the way through the park to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104580 - Stanyon, limiting attendance to keep people separated that minimizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104581 - spreading coronavirus.  Now that the epidemic has been delcared over,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104582 - the park continues to deny access to drivers on JFK.  At mile 5, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104583 - past De Young Museum.  Encountering more hikers and bikers heading in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104584 - both directions.  Before reaching Conservatory stopped mile 6, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104585 - 0602, temp 55, wind 03; EKG mostly uniform with artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104586 - reported HR 098 Normal Sinus Rhythm - see below. ref SDS 0 S7P2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104587 - Bloating PL 4.  Both feet PL 2, burning sensation PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104588 - left foot #1 PL 3 and #5 PL 2, left knee PL 2, and left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104589 - 0.  Took 1 Tramadol.  Took Magnesium.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104590 - home for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104591 - margarine, Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104592 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104593 - electrolyte pill.  Took 5 ml Ubiquinol liquid CoQ10, all per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104594 - ref SDS 0 STTP  Continued hiking West back toward the ocean.  Stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104595 - on South side against traffic (no actual vehicle traffic in park)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104596 - going Eest.  Increased pace with endorphins rising.  Waterfall already                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104597 - running at 0630 this morning, before hiking under Crossover Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104598 - bridge at highway 1.  Hiked past Hellman Hollow then Lindley Meadow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104599 - where 9 years ago, a truck backed up because missed a turn, and struck                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104600 - Kathy's car; this got her a new car, reported on 150729 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104601 - ref SDS 6 0001  Continued hiking past Spreckles Lake, then saw 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104602 - Buffalo grazing in the compound.  Crossed to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104603 - with traffic.  Turned corner and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104604 - North onto Great Highway.  Hiked parallel to ocean toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104605 - House and hospital.  Halfway to Cliff House had liquid CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104606 - energy.  Slowed pace hiking up steep hill - 5% - 6% grade - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104607 - stop, and maintained breathing without dyspnea today, i.e., did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104608 - breath through mouth last mile uphill to the hospital, similar to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104609 - on 240829, ref SDS 36 QTSP  Indicates condition has improved after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104610 - increasing hiking to recover from cardiac ablation on 240611 - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104611 - Polar GPS/HR report on daily hiking in the record on ref SDS 36 UVYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104612 - At the Cliff House, turned onto Point Lobos Avenue going East; hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104613 - uphill for 1 mile.  Became very weak and fatigued - had to slow pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104614 - by 60%, but continued hiking without stopping to rest, same as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104615 - yesterday, reported above. ref SDS 0 SUPW  Turned onto 42nd street and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104616 - maintained pace going up final hill to the VA campus.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104617 - 12, time 0745, temp 52 wind 02, feet PL 2, left foot #1 callus PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104618 - #5 callus PL 1, right foot bottom forefoot below #4 Pl 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104619 - hamstring PL 0, left knee PL 2, neck and right shoulder PL 0 (only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104620 - when turning head or lifting right arm), left shoulder PL 0 - getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104621 - better.  EKG looks uniform with p-wave and no artifact, reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104622 - 087 Normal Sinus Rhythm - see below. ref SDS 0 8X25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104638 -  ..
104639 - Kardia recorded HR 068 at 0219 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104640 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104641 - hiking 21 miles temp 80 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104642 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104643 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104644 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104647 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104648 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250325-ecg-021906_mile_00_068_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104653 -  ..
104654 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104655 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104656 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104657 - ..
104658 -                                                                                                                                                                                                                                                                                                              x
104659 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104660 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104661 -       Date          250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 240105 240104 24010  
104662 -       Miles            12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0      0      0  
104663 -       HR AVG          107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no     no     no  
104664 -         MAX           129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report report report repo  
104665 -         Min            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                              
104666 -       El Climb Ft     340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                                454  
104667 -       Temp Max         56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                                 65  
104668 -       Wind Max         04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                                  9  
104669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104671 -              https://flow.polar.com/training/analysis/8079596062                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104674 -               ..
104676 -   
104677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104680 -  ..
104681 - EKG at mile 06 time 0602 HR 098 temp 55, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104682 - Rhythm... heart rate mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104683 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104686 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104687 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250325-ecg-060202_mile_06_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104691 -  ..
104692 - End hike EKG at mile 12, time 0754 HR 087 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104693 - Normal Sinus Rhythm... looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104694 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104697 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104698 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250325-ecg-075437_mile_12_087_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104702 -  ..
104703 - Post hike HR profile beginning 1803, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104704 - hiking 11 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104705 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104706 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104707 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104710 -        ..
104711 -       Date      250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114  250113    
104712 -       Time       1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939    1938     
104713 -       Hours         8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13      12     
104714 -       HR AVG       64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69      68     
104715 -       HR MAX      108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     126     
104716 -       HR Min       45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45      45     
104717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104719 -              https://flow.polar.com/training/analysis/8079927359                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104722 -               ..
104724 -   
104725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104728 -  ..
104729 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104730 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104731 - Dinner - eggs rice hamburger broccoli onion macaroni cheese asparagus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104733 -  ..
104734 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104765 -         ..
104766 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104767 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104768 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104769 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104770 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104771 -   85.  250326 0230............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104772 -               0230....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104773 -               0230....BP HR..................................................... 143  80  61  Kardia ECG reports HR status, see below. ref SDS 0 T9VW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104774 -               0235....BP HR..................................................... 140  72  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104775 -               0240....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104776 -               0300....80 445000 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104777 -               0420....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104778 -               0420... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104779 -               0420... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104780 -               0420....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104781 -               0420....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104782 -               0420....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104783 -               0420....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104784 -               0420... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104785 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104786 -               1700... 40 121540 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                                                                                                                                                                                                                                                                                  
104787 -             1 0000............ 10 21240  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104788 -             1 0000............ 10 21590  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
104789 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104790 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104791 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104792 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104793 -               2200... 1000 2412000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104794 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104795 -               2330... 80 445080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104796 -               2340... 40 96240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104798 -  ..
104799 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104800 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104802 -  ..
104803 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104804 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104805 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104806 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104807 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104809 -  ..
104810 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104811 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104813 -  ..
104814 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104815 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104821 -  ..
104822 - Kardia recorded HR 053 at 0202 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104823 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104824 - after hiking 11 miles temp 58 yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104825 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104826 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104827 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104830 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104831 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250326-ecg-020221_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104835 -  ..
104836 - Post hike HR profile beginning 1922, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104837 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104838 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104839 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104840 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104843 -        ..
104844 -       Date      250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115  250114    
104845 -       Time       1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957    1939     
104846 -       Hours        12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12      13     
104847 -       HR AVG       66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73      69     
104848 -       HR MAX      114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     125     
104849 -       HR Min       45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48      45     
104850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104852 -              https://flow.polar.com/training/analysis/8080790707                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104855 -               ..
104857 -   
104858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104861 -  ..
104862 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
104863 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104864 - Dinner - eggs rice hamburger broccoli onion macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104866 -  ..
104867 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104899 -         ..
104900 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104901 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104902 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104903 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104904 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104905 -   86.  250327 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104906 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104907 -               0720....BP HR..................................................... 170  81  51  Kardia ECG reports HR status, see below. ref SDS 0 TUXR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104908 -               0725....BP HR..................................................... 159  91  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104909 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104910 -               0730....80 445160 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104911 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104912 -               0940... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104913 -               0940... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104914 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104915 -               0940....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104916 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104917 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104918 -               0940... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
104919 -  ..
104920 -           *   1002....miles...........  23.0  55.0  368   920 minutes  temp  65 wind 20  rain 30% heavy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104921 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104922 -               1205....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104923 -               1205....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104924 -               1205... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
104925 -               1205... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104926 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104927 -               1356....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104928 -               1356....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104929 -               1356... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
104930 -               1356... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104931 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104932 -               1528....mile 18 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
104933 -               1528....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104934 -               1528... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
104935 -               1528... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
104936 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104937 -               1648... Hike ends mile 23... ref SDS 0 69FJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104938 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104939 -               1710....weight.................................... 173  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104940 -               1715....BP HR..................................................... 116  72 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104941 -               1725....BP HR..................................................... 111  70 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104942 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104943 -               1730... 40 121580 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                                                                                                                                                                                                                                                                                  
104944 -               1850............ 10 21250  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
104945 -               1850............ 10 21600  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
104946 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104947 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104948 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104949 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104950 -               2200... 1000 2413000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104951 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
104952 -               2330... 80 445240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104953 -               2340... 40 96280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104955 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104956 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104957 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104958 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104959 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
104960 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104961 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
104962 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
104963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104965 -  ..
104966 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104967 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
104969 -  ..
104970 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104971 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104972 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104973 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104974 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104976 -  ..
104977 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104978 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104980 -  ..
104981 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104982 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104985 -  ..
104986 - Today, hiked 22 miles - good hike, but fatigued from hiking 30 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
104987 - yesterday, and feeling bloated starting, possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
104988 - heart rate causing dysfunctional autonomic nervous system (ANS),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
104989 - testing with Zia Holter HR completed on 250320 after beginning on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104990 - 250306 - see meeting with Doctor Pellegrini in Cardiology on 250306                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
104991 - 0900. ref SDS 77 S55I  Feet PL 0 before starting hike, after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
104992 - days resting feet.  Took 1 (one) Tramadol and applied Lidocaine to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104993 - feet.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104994 - Turtle Creek Road.  Continued on Ayers East to Clayton Road, Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
104995 - South 1 mile and turned West 1 mile on Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104996 - East 1.00 mile on Pine Hollow.  Hiked back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
104997 - Turned West onto Campus Drive heading uphill 1 mile 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
104998 - Visitor Parking at College.  Hiked loop through parking lots.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
104999 - 11, did EKG.  Took 2 Tramadol, and another magnesium. to dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105000 - lactate acid, and prevent inflammation so that HDL increases.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105001 - CoQ10 for energy.  Hiked another loop through parking lots.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105002 - college heading North downhill on Campus Drive.  Turned left hiking 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105003 - miles over summit Ygnacio Valley Road.  Did another EKG, had more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105004 - hydration and nutrition, then hiked 4 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105007 -         ..
105008 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105009 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105010 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
105011 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105012 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105013 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105014 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105015 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105016 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105017 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105018 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105019 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
105020 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105021 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
105022 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105023 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
105024 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105025 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105026 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105027 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105028 -        Knee left meniscus...PRP 231121..............   1         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
105029 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105030 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105031 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105032 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105033 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
105034 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105035 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105036 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105037 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105038 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105039 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105040 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105041 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
105042 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105043 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105044 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105045 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105046 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105047 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
105048 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105049 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105050 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
105051 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105052 -        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                                                                                                                                                                                                                                                                                                                           
105053 -        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                                                                                                                                                                                                                                                                                                                                                                                    
105054 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105055 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
105056 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
105057 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105058 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105059 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
105060 -        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                                                                                                                                                                                                                                                                                                                                           
105061 -        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                                                                                                                                                                                                                                                                                                                                           
105062 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105063 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
105064 -        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                                                                                                                                                                                                                                                                                                                                                                                        
105065 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
105066 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
105067 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105068 -        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                                                                                                                                                                                                                                                                                                                                                              
105069 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
105070 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
105071 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105072 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105073 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
105074 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105075 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
105076 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
105077 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105078 -        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                                                                                                                                                                                                                                                                                                                                                                               
105079 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105080 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105081 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105082 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105083 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105084 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105085 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105086 -        Wobbly disoriented staggering dizzy..........   4         40  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105087 -        Wasted - very fatigued.......................   3         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105088 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105092 -  ..
105093 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105094 - Hoka Bondi 6 size 10.5 wide.  First eyelets not laced, and first laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105095 - very loose.  Did not use new Pediplasti Interdigital Spacer to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105096 - #4-#5 on both feet.  Shoes have good rebound energy - orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105097 - received from VA on 250725, seemed to reduce pain on lateral edges of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105098 - left foot #1 and #5, despite width being width, instead of extra wide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105100 -  ..
105101 - Orthotic inserts - On 250727, switched from Stable Elite orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105102 - inserts, to new Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105103 - 250325, explained in case study record on 200101 0701. ref SDS 18 0S6X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105104 - Significant improvement occurred wearing the new inserts for the 1st                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105105 - time today, while hiking 23 miles.  Speed was noticably faster.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105106 - level for metatarsalgia both feet was PL 0 - 1 80% of hike, reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105107 - from PL 3 - 5 80% of hikes the past few months.  Pain level for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105108 - calluses left foot #1 was PL 0 - 1 entire hike reduced from PL 2 - 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105109 - entire hike the past few months. Unclear why inserts would induce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105110 - faster speed, but speed was faster today all the way to end of 23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105111 - miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105113 -  ..
105114 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105115 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105116 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105117 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105118 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105120 -  ..
105121 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105122 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105123 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105124 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105125 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105128 -  ..
105129 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105130 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105131 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105132 - and also left hip.  Did not take Tramadol to start hike.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105133 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105134 - Magnesium Complex 300 mg pill for energy; also, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105135 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105136 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105137 - on 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105138 - EGD Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105139 - as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105140 - and margarine with Mayonnaise, and chia seeds for electrolytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105141 - energy, and had some avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105142 - Ubiquinol CoQ10 per above. ref SDS 0 2L4I  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105143 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105144 - human cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105145 - No breakfast reduces bloating feeling, but still bloated starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105146 - today, from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105147 - also symptomatic of diabetes, and atrial fibrillation, and since 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105148 - cardiac ablation on 240611, variable heart rate may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105149 - dysfunctional autonomic nervous system (see analysis on 250114 1202,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105150 - ref SDS 69 PQ5Y).  Took backpack to carry stuff.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105151 - and turned left, onto Treat.  Feet starting hike feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105152 - needles - peripheral neuropathy taking statins.  After not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105153 - Tramadol PL 1 left foot #1 and #5 most of 5 hour hike - much easier                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105154 - wearing new orthotic inserts today.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105155 - without dyspnea.  Temp started at 54, and reached 65.  West wind 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105156 - mph and mostly 10 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105157 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105158 - mostly flat grade, some places 2% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105159 - not hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105160 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105161 - .75 miles on asphalt road shoulder.  At mile 3, feeling bloated, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105162 - left foot #1 and #5 PL 1 - huge improvement.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105163 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105164 - Continued hiking on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105165 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105166 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105167 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105168 - Ygnacio Valley Road hiking on wider shoulder.  Hiked West past Stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105169 - Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105170 - Station store mile 5. time ____, Continued on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105171 - turned left hiked 2.50 miles East to end of Pine Hollow.  Stopped mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105172 - 08 time 1205 temp 65 and wind 16 mph; EKG mostly variable with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105173 - artifact, Kardia reported HR 103 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105174 - VK2E  Bloated PL 3, Both feet PL 1, burning sensation PL 0, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105175 - #1 PL 1, #5 PL 1 - these factors noticably much better than past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105176 - months wearing new orthotic inserts created by Doctor Hewittson at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105177 - on 250325, per above. ref SDS 0 TTVT  Took 1 Tramadol, took Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105178 - Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105179 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105180 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105181 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105182 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105183 - on 240824. ref SDS 36 PPTU  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105184 - hydration, swallowing meds and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105185 - margarine, Mayonaise and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105186 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105187 - pill.  Took Ubiquinol CoQ10 0.5 ml (after ordering refill from Amazon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105188 - on 250315 2005. ref SDS 79 NT9K) for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105189 - per above. ref SDS 0 TRYS  Light rain 5 minutes.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105190 - hiked 2.5 miles back to Ygnacio Valley Road.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105191 - Drive hiking West 1 mile uphill 3% - 4% grade against wind 12 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105192 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105193 - Concord Campus.  Hiked around main campus buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105194 - training station to do 10 half-pullups, 20 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105195 - using training equipment.  Back at Visitor Parking hiked 1.5 mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105196 - through Faculty and Student parking lots.  Feet PL 0.  Started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105197 - downhill on Campus drive heading over summit to Oak Grove 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105198 - away.  Raining very hard, so hiked back to Visitor Parking.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105199 - at Administration Building mile 14 time 1356 temp 64 and wind 18 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105200 - EKG uniform with minor artifact, Kardia reported HR 117 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105201 - see below. ref SDS 0 TVS6  Bloated PL 3.  Both feet PL 1.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105202 - #1 PL 1, #5 PL 1.  Burning sensation PL 0 - seems like a miracle with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105203 - new orthotic inserts, per above. ref SDS 0 TTVT  Took 1 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105204 - again.  Took Magnesium to control pain by absorbing lactic acid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105205 - muscles, resolves inflammation which then enables HDL to rise in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105206 - liver, increases energy for hiking.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105207 - for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105208 - margarine and Mayonnaise, chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105209 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105210 - pill, took 0.5 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105211 - ref SDS 0 TRYS  Waited about 15 minutes for rain to calm down, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105212 - clothing totally soaked.  Exited college hiking North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105213 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105214 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105215 - grade .5 miles against wind 20 mph - despite wind, for some reason                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105216 - hiking faster than usual today.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105217 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105218 - severe camber.  Sun shining now.  Hiked .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105219 - summit.  At end of concrete traffic barriar mile 16, when break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105220 - occurred in commute traffic crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105221 - Road.  Continued 2 miles downhill 3% grade; crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105222 - Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105223 - 1-mile loop around block at Safeway shopping complex.  Stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105224 - Pizza mile 18, time 1528, temp 58 and wind 15 mph; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105225 - with no artifact, Kardia reported HR 118 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105226 - ref SDS 0 BF3L  Bloated PL 3.  Both feet PL 3, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105227 - left foot #1 PL 3, #5 PL 2.  Took 1 Tramadol again.  Took Magnesium to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105228 - control pain by absorbing lactic acid in muscles, resolves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105229 - inflammation which then enables HDL to rise in the liver, increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105230 - energy for hiking.  Sips softdrink carried from home and using Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105231 - Pizza courtesy cup of ice for hydration, swallowing meds and nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105232 - - peanut butter, margarine and Mayonnaise, and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105233 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105234 - take Nuun electrolyte pill, took Ubiquinol CoQ10, 0.5 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105235 - energy to complete hike. per above. ref SDS 0 TRYS  Continued hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105236 - 1-mile loop around the block - turned right onto path parallel to Via                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105237 - Monte hiking North .25 miles, turned right onto Shadelands hiking .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105238 - miles, and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105239 - shoulder.  At mile 20, crossed Treat at Stop Light.  Cloths completely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105240 - dry now.  Turned right hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105241 - sidewalk.  At San Miguel continued .75 miles on Treat uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105242 - temp 62.  Handled this well, after taking CoQ10 at mile 22 - speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105243 - increased more than usual today.  At summit, mile 22, hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105244 - mile to Cuneo and .25 mile to Kaski and back, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105245 - mile 23 time 1648 temp 62, wind 10.  Bloated PL 4, feet PL 4 (last 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105246 - miles PL increased), burning sensation PL 2, left foot #1 PL 2, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105247 - 1, left knee PL 0, wobbly PL 0.  EKG looks uniform, with artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105248 - Kardia reported HR 121 Tachycardia - see below. ref SDS 0 69FJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105259 -  ..
105260 - Kardia recorded HR 054 at 0805 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105261 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105262 - after hiking 00 miles temp __ yesterday, and stopping Apixaban on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105263 - 240710 after 6th ablation on 240611 0930. ref SDS 53 0001, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105264 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105265 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105268 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105269 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250327-ecg-080504_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105274 -  ..
105275 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105276 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105277 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105278 - ..
105279 -                                                                                                                                                                                                                                                                                                              x
105280 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105281 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105282 -       Date          250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 250106 24010  
105283 -       Miles            23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0      0  
105284 -       HR AVG          120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no     no  
105285 -         MAX           142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   report repo  
105286 -         Min            50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74                
105287 -       El Climb Ft     436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                       
105288 -       Temp Max         65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                       
105289 -       Wind Max         20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                       
105290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105292 -              https://flow.polar.com/training/analysis/8081116845                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105295 -               ..
105297 -   
105298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105303 -  ..
105304 - EKG at mile 08 time 1205 HR 103 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105305 - Unclassified... heart rate mostly variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105306 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105308 -  ..
105309 - Speed seems faster today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105311 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105312 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250327-ecg-120533_mile_08_103_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105316 -  ..
105317 - EKG at mile 14 time 1356 HR 117 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105318 - Tachycardia... heart rate uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105319 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105322 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105323 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250327-ecg-135627_mile_14_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105327 -  ..
105328 - EKG at mile 18 time 1528 HR 118 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105329 - Tachycardia... heart rate mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105330 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105333 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105334 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250327-ecg-152805_mile_18_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105338 -  ..
105339 - End hike EKG at mile 23, time 1648 HR 121 temp 62 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105340 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105341 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105344 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105345 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250327-ecg-164825_mile_23_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105349 -  ..
105350 - Post hike HR profile beginning 2032, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105351 - hiking 23 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105352 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105353 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105354 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105357 -        ..
105358 -       Date      250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116  250115    
105359 -       Time       2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955    1957     
105360 -       Hours        11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12      12     
105361 -       HR AVG       65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75      73     
105362 -       HR MAX      136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     121     
105363 -       HR Min       40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49      48     
105364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105366 -              https://flow.polar.com/training/analysis/8081396858                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105369 -               ..
105371 -   
105372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105375 -  ..
105376 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105377 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105378 - Dinner - eggs rice hamburger broccoli onion macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105380 -  ..
105381 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105412 -         ..
105413 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105414 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105415 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105416 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105417 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105418 -   87.  250328 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105419 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105420 -               0710....BP HR..................................................... 140  74  54  Kardia ECG reports HR status, see below. ref SDS 0 TXSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105421 -               0715....BP HR..................................................... 149  81  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105422 -               0720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105423 -               0720....80 445320 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105424 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105425 -               0840... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105426 -               0840... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105427 -               0840....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105428 -               0840....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105429 -               0840....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105430 -               0840....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105431 -               0840... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
105432 -  ..
105433 -               0916....miles...........  10.0  65.0  162  1082 minutes  temp  57 wind 12  rain 15% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105434 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105435 -               1107....mile 06 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105436 -               1107....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105437 -               1107... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
105438 -               1107... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105439 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105440 -               1356....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105441 -               1356....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105442 -               1356... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
105443 -               1356... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105444 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105445 -               1528....mile 18 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105446 -               1528....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105447 -               1528... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
105448 -               1528... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105449 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105450 -               1211... Hike ends mile 10... ref SDS 0 ___J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105451 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105452 -               1220....weight.................................... 174  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105453 -               1230....BP HR..................................................... 118  77 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105454 -               1235....BP HR..................................................... 124  76 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105455 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105456 -               1700... 40 121620 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                                                                                                                                                                                                                                                                                  
105457 -             1 0000............ 10 21250  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105458 -             1 0000............ 10 21600  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
105459 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105460 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105461 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105462 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105463 -               2200... 1000 2414000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105464 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105465 -               2330... 80 445400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105466 -               2340... 40 96320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105469 -  ..
105470 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105471 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105473 -  ..
105474 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105475 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105476 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105477 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105478 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105480 -  ..
105481 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105482 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105484 -  ..
105485 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105486 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105489 -  ..
105490 - Today, hiked 10 miles - not good hike, because feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105491 - 5+, and feeling bloated starting, possibly related to variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105492 - rate causing dysfunctional autonomic nervous system (ANS), testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105493 - with Zia Holter HR completed on 250320 after beginning on 250306 - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105494 - meeting with Doctor Pellegrini in Cardiology on 250306 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105495 - ref SDS 77 S55I  Feet PL 0 before starting hike.  Took 0 (no) Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105496 - and applied Lidocaine to feet.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105497 - Concord streets - Treat, Turtle Creek Road.  Feet PL 3.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105498 - Ayers East to Clayton Road, Then South 1 mile and turned West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105499 - on Ygnacio Valley Road.  Stopped mile 6 for EKG.  Feet PL 5, took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105500 - Tramadol.  Turned West onto Campus Drive heading uphill 1 mile 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105501 - grade to Visitor Parking at College.  Feet hurt too much to hike loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105502 - through parking lots.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105503 - Drive.  Took Ayers then Turtle Creek Road to Treat and home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105506 -         ..
105507 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105508 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105509 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
105510 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105511 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105512 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105513 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105514 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105515 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105516 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105517 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105518 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
105519 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105520 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
105521 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105522 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
105523 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105524 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105525 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105526 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105527 -        Knee left meniscus...PRP 231121..............   1         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
105528 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105529 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105530 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105531 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105532 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
105533 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105534 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105535 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105536 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105537 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105538 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105539 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105540 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
105541 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105542 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105543 -        Metatarsalgia left foot...PRP 210705.........   6         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105544 -        Metatarsalgia right foot..PRP 210705.........   6         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105545 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105546 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
105547 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105548 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105549 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
105550 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105551 -        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                                                                                                                                                                                                                                                                                                                           
105552 -        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                                                                                                                                                                                                                                                                                                                                                                                    
105553 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105554 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
105555 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
105556 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105557 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105558 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
105559 -        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                                                                                                                                                                                                                                                                                                                                           
105560 -        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                                                                                                                                                                                                                                                                                                                                           
105561 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105562 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
105563 -        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                                                                                                                                                                                                                                                                                                                                                                                        
105564 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
105565 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
105566 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105567 -        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                                                                                                                                                                                                                                                                                                                                                              
105568 -  new   Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
105569 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
105570 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105571 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105572 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
105573 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105574 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
105575 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
105576 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105577 -        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                                                                                                                                                                                                                                                                                                                                                                               
105578 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105579 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105580 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105581 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105582 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105583 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105584 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105585 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol and 0 Gabapentin mile 06, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105586 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105587 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105591 -  ..
105592 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105593 - another pair of Hoka Bondi 6 size 10.5 "wide" in the natural order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105594 - switching daily through 14 pair of this shoe specification.  Like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105595 - yesterday, did not take Tramadol to start hike; first eyelets not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105596 - laced, and first laces very loose.  Did not use new Pediplasti                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105597 - Interdigital Spacer to protect #4-#5 on both feet.  Shoes have good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105598 - rebound energy.  Significantly much more difficult hiking only 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105599 - miles today.  After 1 - 2 miles today, metatrsalgia PL 0 yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105600 - increased to PL 3+ today.  After taking 2 Tramadol pain pills at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105601 - mile 6, pain increased to PL 7 hiking the same route.  Had to end hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105602 - at mile 10 due to pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105604 -  ..
105605 - Orthotic inserts - continued wearing new Powerstep inserts after good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105606 - results yesterday, and another pair Hoka Bondi 6 shoes.  Per just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105607 - above, experience today, was much worse than yesterday. ref SDS 0 TVVT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105609 -  ..
105610 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105611 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105612 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105613 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105614 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105616 -  ..
105617 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105618 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105619 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105620 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105621 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105624 -  ..
105625 - Concord 10 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105626 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105627 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105628 - and also left hip.  Did not take Tramadol to start hike.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105629 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105630 - Magnesium Complex 300 mg pill for energy; also, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105631 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105632 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105633 - on 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105634 - EGD Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105635 - as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105636 - and margarine with Mayonnaise, and chia seeds for electrolytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105637 - energy, and had some avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105638 - Ubiquinol CoQ10 per above. ref SDS 0 3I4G  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105639 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105640 - human cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105641 - No breakfast reduces bloating feeling, but still bloated starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105642 - today, from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105643 - also symptomatic of diabetes, and atrial fibrillation, and since 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105644 - cardiac ablation on 240611, variable heart rate may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105645 - dysfunctional autonomic nervous system (see analysis on 250114 1202,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105646 - ref SDS 69 PQ5Y).  Took backpack to carry stuff, and wore rain gear.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105647 - Hiked Cuneo .25 mile and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105648 - feeling like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105649 - After not taking Tramadol PL 1 left foot #1 and #5 most of 5 hour hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105650 - - much better wearing new orthotic inserts today; metatarsalgia both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105651 - feet PL 5, much worse than PL 0 yesterday, Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105652 - entire hike without dyspnea.  Temp started at 54, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105653 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105654 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105655 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105656 - traffic.  Light rain started.  Hiked across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105657 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105658 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105659 - to stop along this part of route to remove right shoe due to sharp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105660 - irritation on bottom of foot.  Removed orthotic insert and shook shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105661 - to remove tiny gravel item.  Replaced shoe and continued hike.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105662 - mile 3, feeling bloated, but left foot #1 and #5 PL 1 - huge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105663 - improvement.  Metatarsalgia balls of both feet PL 6 much worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105664 - Turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105665 - pavement in parking lots.  Gerry called to advise change in plans for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105666 - construction the house today.  Noise from construction on Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105667 - - had to go into Mountain Mike's Pizza restaurant to have a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105668 - discussion, reported in another record today. 250328 0905, ref SDS 84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105669 - L26K  After the call, continued hiking on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105670 - At mile 4, turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105671 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105672 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105673 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105674 - Hiked West past Stop Light at Michigan Boulevard.  Stopped near Union                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105675 - 76 Texaco Gas Station store mile 5. time 1107, temp 58 and wind 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105676 - mph; EKG mostly uniform with minor artifact, Kardia reported HR 093                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105677 - Normal Sinus Rhythm - see below. ref SDS 0 XJEN  Bloated PL 3, Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105678 - feet PL 4, burning sensation PL 3, left foot #1 PL 1, #5 PL 1 - these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105679 - factors noticably much worse than yesterday wearing new orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105680 - inserts created by Doctor Hewittson at VA on 250325, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105681 - ref SDS 0 TVWR  Took 2 Tramadol, took Magnesium Complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105682 - for energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105683 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105684 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105685 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105686 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105687 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105688 - swallowing nutrition - peanut butter, margarine, Mayonaise and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105689 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105690 - for HDL, did not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 0.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105691 - ml (after ordering refill from Amazon on 250315 2005. ref SDS 79 NT9K)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105692 - for HDL and energy to complete hike. per above. ref SDS 0 TTYQ  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105693 - right onto Campus Drive hiking West 1 mile uphill 3% - 4% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105694 - against wind 08 mph.  Saw Lisa's new "dog mobile" at North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105695 - Student Parking.  Encountered Laura heading East on Campus Drive.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105696 - said everyone has been wondering why I haven't been seen much since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105697 - middle of last year.  Gave her a hug and explained cardiology issues,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105698 - including 6th ablation last June.  Laura asked me to stop hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105699 - Ygnacio Valley Road, and cited the woman killed months ago.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105700 - hike.  Decided not to go over the summit, in order to get home in time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105701 - to coordinate work discussed with Gerry earlier.  The crew left for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105702 - Concord from Pacifica about 20 minutes ago, so hope to arrive home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105703 - about the same time.  Campus Drive heading West curves heading North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105704 - Crossed Ygnacio Valley Road at stop light.  Hiked North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105705 - Ayers.  Road bends East, at mile 7, turned left onto Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105706 - Road.  Hiked 2 miles North on Turtle Creek Road.  At mile 09, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105707 - left onto Treat heading West.  Continued 1 mile against heavy commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105708 - traffic, and crossed Cowell at stop light.  Turned onto Cuneo.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105709 - hike mile 10 time 1206 temp 58, wind 10; Both feet metatarsalgia PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105710 - and left foot #5 edge blister/callus PL 2 and #1 PL 2, Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105711 - meniscus PL 2.  EKG done about 20 minutes after ending hike - looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105712 - mostly uniform with some artifact.  Kardia reported HR 098 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105713 - Sinus Rhythm, see below. ref SDS 0 TYQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105725 -  ..
105726 - Kardia recorded HR 046 at 0709 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105727 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105728 - 23 miles temp 65 yesterday, and stopping Apixaban on 240710 after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105729 - ablation on 240611 0930. ref SDS 53 0001, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105730 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105731 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105734 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105735 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250328-ecg-070915_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105740 -  ..
105741 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105742 - hike 10 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105743 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105744 - ..
105745 -                                                                                                                                                                                                                                                                                                              x
105746 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105747 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105748 -       Date          250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 250107 25010  
105749 -       Miles            10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15      0  
105750 -       HR AVG          105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138     no  
105751 -         MAX           127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164   repo  
105752 -         Min            57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74         
105753 -       El Climb Ft     425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454                
105754 -       Temp Max         57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67                
105755 -       Wind Max         12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13                
105756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105758 -              https://flow.polar.com/training/analysis/8081583621                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105761 -               ..
105763 -   
105764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105769 -  ..
105770 - EKG at mile 06 time 1107 HR 095 temp 58, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105771 - Rhythm... heart rate mostly uniforme with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105772 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105775 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105776 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250328-ecg-110754_mile_06_095_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105780 -  ..
105781 - End hike EKG at mile 10, time 1206 HR 098 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105782 - Normal Sinus Rhythm... looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105783 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105785 -  ..
105786 - EKG done about 20 minutes after ending hike...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105788 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105789 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250328-ecg-122628_mile_10_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105793 -  ..
105794 - Post hike HR profile beginning 2014, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105795 - hiking 10 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105796 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105797 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105798 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105801 -        ..
105802 -       Date      250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117  250116    
105803 -       Time       2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921    1955     
105804 -       Hours        11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12      12     
105805 -       HR AVG       63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67      75     
105806 -       HR MAX      117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     147     
105807 -       HR Min       40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44      49     
105808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105810 -              https://flow.polar.com/training/analysis/8082024521                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105813 -               ..
105815 -   
105816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105819 -  ..
105820 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105821 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105822 - Dinner - eggs rice hot dog broccoli onion macaroni cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105824 -  ..
105825 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105856 -         ..
105857 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105858 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105859 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105860 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105861 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105862 -   88.  250329 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105863 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105864 -               0715....BP HR..................................................... 163  84  54  Kardia ECG reports HR status, see below. ref SDS 0 UR2D                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105865 -               0720....BP HR..................................................... 151  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105866 -               0725....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105867 -               0725....80 445480 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105868 -               0910....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105869 -               0915... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105870 -               0915... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105871 -               0915....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105872 -               0915....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105873 -               0915....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105874 -               0915....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105875 -               0915... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
105876 -  ..
105877 -               0946....miles...........  21.0  87.0  356  1438 minutes  temp  64 wind 10  rain 15% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105878 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105879 -               1158....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105880 -               0000....Tramadol 50 mg took 0 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105881 -               1158... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
105882 -               1158... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105883 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105884 -               1329....mile 12 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105885 -               1329....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105886 -               1329... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
105887 -               1329... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
105888 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105889 -               1609... Hike ends mile 21... ref SDS 0 USQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
105890 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105891 -               1635....weight.................................... 173  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105892 -               1640....BP HR..................................................... 142  80 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105893 -               1645....BP HR..................................................... 121  80  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
105894 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105895 -               1700... 40 121660 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                                                                                                                                                                                                                                                                                  
105896 -               1830............ 10 21260  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
105897 -               1830............ 10 21610  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
105898 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105899 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105900 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105901 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105902 -               2200... 1000 2415000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105903 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105904 -               2330... 80 445560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105905 -               2340... 40 96360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105907 -  ..
105908 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105909 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
105911 -  ..
105912 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105913 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105914 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105915 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105916 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105918 -  ..
105919 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105920 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105922 -  ..
105923 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105924 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105927 -  ..
105928 - Today, hiked 10 miles - good hike, but fatigued from hiking 30 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105929 - yesterday, and feeling bloated starting, possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105930 - heart rate causing dysfunctional autonomic nervous system (ANS),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
105931 - testing with Zia Holter HR completed on 250320 after beginning on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105932 - 250306 - see meeting with Doctor Pellegrini in Cardiology on 250306                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105933 - 0900. ref SDS 77 S55I  Feet PL 0 before starting hike, after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105934 - days resting feet.  Took 1 (one) Tramadol and applied Lidocaine to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105935 - feet.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105936 - Turtle Creek Road.  Continued on Ayers East to Clayton Road, Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105937 - South 1 mile and turned West 1 mile on Ygnacio Valley Road.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105938 - East 1.00 mile on Pine Hollow.  Hiked back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105939 - Turned West onto Campus Drive heading uphill 1 mile 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105940 - Visitor Parking at College.  Hiked loop through parking lots.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105941 - 11, did EKG.  Took 2 Tramadol, and another magnesium. to dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
105942 - lactate acid, and prevent inflammation so that HDL increases.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105943 - CoQ10 for energy.  Hiked another loop through parking lots.  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105944 - college heading North downhill on Campus Drive.  Turned left hiking 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
105945 - miles over summit Ygnacio Valley Road.  Did another EKG, had more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105946 - hydration and nutrition, then hiked 4 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
105949 -         ..
105950 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105951 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105952 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
105953 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105954 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105955 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105956 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
105957 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
105958 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105959 -        Spine below neck lift left or right arm......   7          5  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
105960 -        Neck turning head/chest left or right........   7          5  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105961 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
105962 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105963 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
105964 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105965 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
105966 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105967 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105968 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105969 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105970 -        Knee left meniscus...PRP 231121..............   1         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
105971 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105972 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
105973 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
105974 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105975 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
105976 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
105977 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105978 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105979 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105980 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
105981 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105982 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
105983 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
105984 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105985 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105986 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105987 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105988 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
105989 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
105990 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105991 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105992 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
105993 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
105994 -        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                                                                                                                                                                                                                                                                                                                           
105995 -        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                                                                                                                                                                                                                                                                                                                                                                                    
105996 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
105997 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
105998 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
105999 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106000 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106001 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
106002 -        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                                                                                                                                                                                                                                                                                                                                           
106003 -        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                                                                                                                                                                                                                                                                                                                                           
106004 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106005 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
106006 -        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                                                                                                                                                                                                                                                                                                                                                                                        
106007 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
106008 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
106009 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106010 -        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                                                                                                                                                                                                                                                                                                                                                              
106011 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
106012 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
106013 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106014 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106015 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
106016 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106017 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
106018 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
106019 -        Diabetes toes both feet inflamed, itch.......   2        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106020 -        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                                                                                                                                                                                                                                                                                                                                                                               
106021 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106022 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106023 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106024 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106025 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106026 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106027 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106028 -        Wobbly disoriented staggering dizzy..........   4         40  took 2 Tramadol and 0 Gabapentin mile 00, and 0 Tramadol mile 13 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106029 -        Wasted - very fatigued.......................   3         40                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106030 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106034 -  ..
106035 - Shoes see case study on 200101 0701. ref SDS 18 SO4L, today switched                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106036 - from Hoka Bondi 6 size 10.5 "wide" to Brooks Ghost size 10.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106037 - "extra-wide" shoes after very good experience hiking 23 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106038 - new Powerstep orthotic insert on 250327, and the next day (yesterday)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106039 - hiked only 10 miles having a very bad experience wearing same new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106040 - Powerstep inserts.  Today, was another bad experience with high pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106041 - levels.  Unlike yesterday, today, tried taking 2 Tramadol pain pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106042 - to start hike.  After 1 - 2 miles today, metatrsalgia PL 3+ yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106043 - was about the same today.  After taking 2 more Tramadol pain pills at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106044 - mile 8, pain increased to PL 6+ hiking the same route.  Had to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106045 - hike at mile 21 due to pain - was unable to complete 8-mile loop in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106046 - hills of Crystal Ranch development.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106049 -  ..
106050 - Orthotic inserts - switched from new Powerstep inserts back to Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106051 - Ghost size 10.5 extra-wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106052 - after good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106053 - results yesterday, and another pair Hoka Bondi 6 shoes.  Per just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106054 - above, experience today, was much worse than yesterday. ref SDS 0 TVVT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106057 -  ..
106058 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106059 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106060 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106061 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106062 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106064 -  ..
106065 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106066 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106067 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106068 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106069 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106072 -  ..
106073 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106074 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106075 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106076 - and also left hip.  Did not take Tramadol to start hike.  Applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106077 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106078 - Magnesium Complex 300 mg pill for energy; also, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106079 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106080 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106081 - on 200101 0701, ref SDS 18 QP6L - was able to swallow pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106082 - EGD Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106083 - as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106084 - and margarine with Mayonnaise, and chia seeds for electrolytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106085 - energy, and had some avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106086 - Ubiquinol CoQ10 per above. ref SDS 0 3I4G  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106087 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106088 - human cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106089 - No breakfast reduces bloating feeling, but still bloated starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106090 - today, from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106091 - also symptomatic of diabetes, and atrial fibrillation, and since 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106092 - cardiac ablation on 240611, variable heart rate may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106093 - dysfunctional autonomic nervous system (see analysis on 250114 1202,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106094 - ref SDS 69 PQ5Y).  Took backpack to carry stuff, and wore rain gear.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106095 - Hiked Cuneo .25 mile and turned left, onto Treat.  Feet starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106096 - feeling like pins and needles - peripheral neuropathy taking statins.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106097 - After not taking Tramadol PL 1 left foot #1 and #5 most of 5 hour hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106098 - - much better wearing new orthotic inserts today; metatarsalgia both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106099 - feet PL 5, much worse than PL 0 yesterday, Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106100 - entire hike without dyspnea.  Temp started at 54, and reached 67.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106101 - West wind 12 mph and mostly 08 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106102 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106103 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106104 - traffic.  Light rain started.  Hiked across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106105 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106106 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106107 - to stop along this part of route to remove right shoe due to sharp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106108 - irritation on bottom of foot.  Removed orthotic insert and shook shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106109 - to remove tiny gravel item.  Replaced shoe and continued hike.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106110 - mile 3, feeling bloated, but left foot #1 and #5 PL 1 - huge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106111 - improvement.  Metatarsalgia balls of both feet PL 6 much worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106112 - Turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106113 - pavement in parking lots.  Gerry called to advise change in plans for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106114 - construction the house today.  Noise from construction on Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106115 - - had to go into Mountain Mike's Pizza restaurant to have a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106116 - discussion, reported in another record today. 250328 0905, ref SDS 84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106117 - L26K  After the call, continued hiking on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106118 - At mile 4, turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106119 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106120 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106121 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106122 - Hiked West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106123 - Union 76 Texaco Gas Station store mile 5. time ____, Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106124 - Ygnacio Valley Road; turned left hiked 2.50 miles East to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106125 - Hollow.  Significant improvement from yesterday, when unable to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106126 - on Pine Hollow, but had to stop for Tramadol pain pills, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106127 - ref SDS 0 TWPP  Today, at end of Pine Hollow, stopped mile 08 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106128 - 1158 temp 60 and wind 02 mph; EKG mostly uniform with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106129 - Kardia reported HR 107 Tachycardia - see below. ref SDS 0 US26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106130 - Bloated PL 3, Both feet PL 2, burning sensation PL 0, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106131 - 1, #5 PL 2 - these factors little worse than yesterday after switching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106132 - to Brooks Ghost shoes with Stable Elite inserts today on 250329, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106133 - above. ref SDS 0 UQRV  Took 0 Tramadol, took Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106134 - pill for energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106135 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106136 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106137 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106138 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106139 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106140 - swallowing nutrition - peanut butter, margarine, Mayonaise and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106141 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106142 - for HDL, did not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 0.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106143 - ml (after ordering refill from Amazon on 250315 2005. ref SDS 79 NT9K)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106144 - for HDL and energy to complete hike. per above. ref SDS 0 TYUS  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106145 - around and hiked 2.5 miles back to Ygnacio Valley Road.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106146 - onto Campus Drive hiking West 1 mile uphill 3% - 4% grade against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106147 - 10 mph.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106148 - Bay Concord Campus.  Hiked around main campus buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106149 - training station to do 10 half-pullups, 20 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106150 - using training equipment.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106151 - Administration Building mile 12 time 1329 temp 62 and wind 02 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106152 - uniform with no artifact, Kardia reported HR 111 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106153 - below. ref SDS 0 227K  Bloated PL 3.  Both feet PL 3.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106154 - 4, #5 PL 5.  Burning sensation PL 2 - significant pain wearing Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106155 - Ghost "extra-wide" shoes with old Stable Elite inserts per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106156 - ref SDS 0 UQRV, - similar pain to yesterday, wearing Hoka Bondi 6 only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106157 - "wide" shoes with new Powerstep inserts - very disappointing.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106158 - Tramadol.  Took Magnesium to control pain by absorbing lactic acid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106159 - muscles, resolves inflammation which then enables HDL to rise in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106160 - liver, increases energy for hiking.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106161 - for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106162 - margarine and Mayonnaise, chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106163 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106164 - pill, took 0.5 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106165 - ref SDS 0 TYUS  Continued hiking 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106166 - Student parking lots.  Back at Visitor Parking, exited college hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106167 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106168 - Hiked West on flat grade .5 miles.  Turned left onto Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106169 - Road.  Hiked South 1 mile uphill 5% grade with 03 mph wind.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106170 - this well breathing through nose without dyspnea nor stopping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106171 - Tramadol pain medication did not reduce pain - hiking every step left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106172 - foot #1 and #5 PL 4.  At summit continued flat grade .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106173 - around at Maplegate Court.  Hiked back downhill.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106174 - Ygnacio Valley Road.  Continued uphill 3% grade .5 miles against wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106175 - 04 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106176 - to North side Ygnacio Valley Road to avoid severe camber.  Because of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106177 - left foot pain, turned left onto Cowell.  Continued North 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106178 - turned left onto Treat, then .25 mile and turned right onto Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106179 - then home.  Ended hike mile 21 time 1609 temp 63, wind 08.  Bloated PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106180 - 2, feet PL 5, burning sensation PL 2, left foot #1 PL 7, #5 PL 7, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106181 - knee PL 2, wobbly PL 0.  EKG looks mostly uniform, with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106182 - Kardia reported HR 111 Tachycardia - see below. ref SDS 0 USQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106194 -  ..
106195 - Kardia recorded HR 052 at 0847 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106196 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106197 - hiking 10 miles temp 62 yesterday, and stopping Apixaban on 240710                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106198 - after 6th ablation on 240611 0930. ref SDS 53 0001, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106199 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106200 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106203 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106204 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250329-ecg-084709_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106209 -  ..
106210 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106211 - hike 10 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106212 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106213 - ..
106214 -                                                                                                                                                                                                                                                                                                              x
106215 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106216 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106217 -       Date          250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 250111 250110 250109 250108 25010  
106218 -       Miles            21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20      0     13     16     15  
106219 -       HR AVG          114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131     no    125    132    138  
106220 -         MAX           134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151   report  147    148    164  
106221 -         Min            81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66            71     82     74  
106222 -       El Climb Ft     660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520           313    540    454         
106223 -       Temp Max         64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67            41     67     67         
106224 -       Wind Max         10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15             5      5     13         
106225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106227 -              https://flow.polar.com/training/analysis/8082234434                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106230 -               ..
106232 -   
106233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106238 -  ..
106239 - EKG at mile 08 time 1158 HR 107 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106240 - Tachycardia...  heart rate mostly uniforme with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106241 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106244 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106245 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250329-ecg-115849_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106249 -  ..
106250 - EKG at mile 12 time 1329 HR 111 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106251 - Tachycardia...  heart rate mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106252 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106255 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106256 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250329-ecg-132932_mile_14_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106260 -  ..
106261 - End hike EKG at mile 21, time 1609 HR 111 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106262 - Taxycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106263 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106266 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106267 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250329-ecg-160930_mile_21_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106271 -  ..
106272 - Post hike HR profile beginning 1923, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106273 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106274 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106275 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106276 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106279 -        ..
106280 -       Date      250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118  250117    
106281 -       Time       1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915    1921     
106282 -       Hours        12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13      12     
106283 -       HR AVG       61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72      67     
106284 -       HR MAX      117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     129     
106285 -       HR Min       39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48      44     
106286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106288 -              https://flow.polar.com/training/analysis/8083334522                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106291 -               ..
106293 -   
106294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106297 -  ..
106298 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106299 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106300 - Dinner - macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106302 -  ..
106303 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106333 -         ..
106334 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106335 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106336 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106337 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106338 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106339 -   89.  250330 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106340 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106341 -               0715....BP HR..................................................... 147  86  48  Kardia ECG reports HR status, see below. ref SDS 0 UW3Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106342 -               0720....BP HR..................................................... 153  92  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106343 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106344 -               0725....80 445640 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106345 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106346 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106347 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106348 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106349 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106350 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106351 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106352 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106353 -               1700... 40 121700 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                                                                                                                                                                                                                                                                                  
106354 -             1 0000............ 10 21260  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106355 -             1 0000............ 10 21610  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106356 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106357 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106358 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106359 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106360 -               2200... 1000 2416000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106361 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106362 -               2330... 80 445720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106363 -               2340... 40 96400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106365 -  ..
106366 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106367 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106369 -  ..
106370 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106371 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106372 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106373 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106374 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106376 -  ..
106377 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106378 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106380 -  ..
106381 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106382 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106387 -  ..
106388 - Kardia recorded HR 047 at 0707 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106389 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106390 - hiking 21 miles temp 64 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106391 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106392 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106395 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106396 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250330-ecg-070701_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106401 -  ..
106402 - Post hike HR profile beginning 1933, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106403 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106404 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106405 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106406 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106409 -        ..
106410 -       Date      250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119  250118    
106411 -       Time       1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200    1915     
106412 -       Hours        13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8      13     
106413 -       HR AVG       61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68      72     
106414 -       HR MAX      117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     112     
106415 -       HR Min       40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48      48     
106416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106418 -              https://flow.polar.com/training/analysis/8084208609                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106421 -               ..
106423 -   
106424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106427 -  ..
106428 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106429 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106430 - Dinner - eggs macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106432 -  ..
106433 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106460 -         ..
106461 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106462 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106463 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106464 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106465 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106466 -   90.  250331 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106467 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106468 -               0700....BP HR..................................................... 150  91  47  Kardia ECG reports HR status, see below. ref SDS 0 V51B                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106469 -               0710....BP HR..................................................... 154  85  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106470 -               0715....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106471 -               0715....80 445800 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106472 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106473 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106474 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106475 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106476 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106477 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106478 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106479 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106480 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106481 -               1700... 40 121740 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                                                                                                                                                                                                                                                                                  
106482 -               1830............ 10 21270  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106483 -               1830............ 10 21620  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106484 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106485 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106486 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106487 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106488 -               2200... 1000 2417000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106489 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106490 -               2330... 80 445880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106491 -               2340... 40 96440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106493 -  ..
106494 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106495 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106497 -  ..
106498 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106499 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106500 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106501 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106502 - has paused 2 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106504 -  ..
106505 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106506 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106508 -  ..
106509 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106510 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106514 -  ..
106515 - Kardia recorded HR 049 at 0814 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106516 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106517 - hiking 21 miles temp 64 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106518 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106519 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106522 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106523 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250331-ecg-081410_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106527 -  ..
106528 - Post hike HR profile beginning 2239, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106529 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106530 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106531 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106532 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106535 -        ..
106536 -       Date      250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120  250119    
106537 -       Time       2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144    2200     
106538 -       Hours         9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10       8     
106539 -       HR AVG       75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71      68     
106540 -       HR MAX      143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     105     
106541 -       HR Min       46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48      48     
106542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106544 -              https://flow.polar.com/training/analysis/8084921430                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106547 -               ..
106549 -   
106550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106553 -  ..
106554 - Breakfast - toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106555 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106556 - Dinner - eggs macaroni cheese steak broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106558 -  ..
106559 - Vomiting: 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106586 -         ..
106587 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106588 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106589 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106590 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106591 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106592 -   91.  250401 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106593 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106594 -               0720....BP HR..................................................... 138  75  82  Kardia ECG reports HR status, see below. ref SDS 0 VA37                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106595 -               0720....BP HR..................................................... 142  85  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106596 -               0735....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106597 -               0735....80 445960 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106598 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106599 -               0000... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106600 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106601 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106602 -               0000....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106603 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106604 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106605 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106606 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106607 -               1700... 40 121780 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                                                                                                                                                                                                                                                                                  
106608 -             1 0000............ 10 21270  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106609 -             1 0000............ 10 21620  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106610 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106611 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106612 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106613 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106614 -               2200... 1000 2418000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106615 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106616 -               2330... 80 446040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106617 -               2340... 40 96480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106619 -  ..
106620 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106621 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106623 -  ..
106624 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106625 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106626 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106627 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106628 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106630 -  ..
106631 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106632 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106634 -  ..
106635 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106636 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106640 -  ..
106641 - Kardia recorded HR 087 at 0858 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106642 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106643 - likely no AFL after hiking 21 miles temp 64 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106644 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106645 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106648 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106649 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250401-ecg-085825_mile_00_087_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106653 -  ..
106654 - Post hike HR profile beginning 1948, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106655 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106656 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106657 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106658 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106661 -        ..
106662 -       Date      250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121  250120    
106663 -       Time       1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952    2144     
106664 -       Hours        11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12      10     
106665 -       HR AVG       71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72      71     
106666 -       HR MAX      162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     111     
106667 -       HR Min       46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50      48     
106668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106670 -              https://flow.polar.com/training/analysis/8085578459                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106673 -               ..
106675 -   
106676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106679 -  ..
106680 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106681 - Lunch - hamburger Coke                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106682 - Dinner - potato hot dog onion (ate few bites)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106684 -  ..
106685 - Vomiting: 0% - bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106712 -         ..
106713 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106714 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106715 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106716 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106717 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106718 -   92.  250402 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106719 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106720 -               0655....BP HR..................................................... 163  97  80  Kardia ECG reports HR status, see below. ref SDS 0 VA37                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106721 -               0700....BP HR..................................................... 145  85  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106722 -               0705....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106723 -               0705....80 446120 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106724 -               0840....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106725 -               0840... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106726 -               0840... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106727 -               0840....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106728 -               0840....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106729 -               0840....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106730 -               0840....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106731 -               0840... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
106732 -  ..
106733 -         * cr  0919....miles...........  33.0  33.0  560   560 minutes  temp  64 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106734 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106735 -               1158....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106736 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106737 -               1158... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
106738 -               1158... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106739 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106740 -               1324....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106741 -               1324....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106742 -               1324... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
106743 -               1324... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106744 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106745 -               1454....mile 18 stopped EKG and nothing to eat or drink - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106746 -               0000....Tramadol 50 mg took 0 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106747 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
106748 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106749 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106750 -               1626....mile 22 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106751 -               1626....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106752 -               1626... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
106753 -               1626... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106754 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106755 -               1813....mile 28 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106756 -               1813....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106757 -               1813... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
106758 -               1813... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
106759 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106760 -               1941... Hike ends mile 33... ref SDS 0 VUTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106761 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106762 -               2005....weight.................................... 173  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106763 -               2010....BP HR..................................................... 124  67  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106764 -               2015....BP HR..................................................... 129  78  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106765 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106766 -               2030... 40 121820 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                                                                                                                                                                                                                                                                                  
106767 -               2130............ 10 21280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
106768 -               2130............ 10 21630  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
106769 -               2140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106770 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106771 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106772 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106773 -               2200... 1000 2419000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106774 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106775 -               2330... 80 446200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106776 -               2340... 40 96520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106778 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106779 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106780 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106781 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106782 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106783 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106784 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106785 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106788 -  ..
106789 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106790 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106792 -  ..
106793 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106794 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106795 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106796 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106797 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106799 -  ..
106800 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106801 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106803 -  ..
106804 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106805 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106808 -  ..
106809 - Today, hiked 33 miles - good hike despite feeling bloated starting,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106810 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106811 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106812 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106813 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106814 - before starting hike, after resting feet past 3 days.  Took 2 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106815 - and applied Lidocaine to feet.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106816 - Concord streets - Treat, Turtle Creek Road.  Continued on Ayers East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106817 - to Clayton Road, Then South 1 mile and turned West 1 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106818 - Valley Road.  Hiked East 2.50 miles to end of Pine Hollow.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106819 - to Ygnacio Valley Road.  Turned West onto Campus Drive heading uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106820 - 1 mile 4% grade to Visitor Parking at College.  Hiked loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106821 - main buildings and loop through parking lots.  At mile 14, did EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106822 - Took 1 Tramadol, and another magnesium. to dissipate lactate acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106823 - prevent inflammation so that HDL increases.  Took CoQ10 for energy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106824 - Hiked 8-mile loop through Crystal Ranch Development.  Back at college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106825 - did more laps in parking lots, continued 4 miles over summit Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106826 - Valley Road and loop around block at Safeway shopping complex at Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106827 - Grove.  Stopped at Mod Pizza for EKG.  Took Oak Grove 1 mile to Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106828 - then hiked 2-miles East on Treat.  Ended hike at mile 33 at home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106829 - Much better hike with less pain to feet.  Hope can do this again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106830 - tomorrow.  Today in very long time there was pain in right knee.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106831 - knee continues low pain.  Felt wasted leaving Mod Pizza mile 28,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106832 - worried about hiking uphill 6% grade from San Miguel last mile;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106833 - however handled this well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106836 -         ..
106837 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106838 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106839 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
106840 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106841 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106842 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106843 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106844 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106845 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106846 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106847 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106848 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
106849 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106850 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
106851 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106852 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
106853 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106854 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106855 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106856 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106857 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
106858 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106859 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106860 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106861 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106862 -        Knee right meniscus PRP 190816...............   3         20  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
106863 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
106864 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106865 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106866 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106867 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106868 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106869 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106870 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
106871 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106872 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106873 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
106874 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
106875 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
106876 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
106877 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106878 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106879 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
106880 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
106881 -        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                                                                                                                                                                                                                                                                                                                           
106882 -        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                                                                                                                                                                                                                                                                                                                                                                                    
106883 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106884 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
106885 -        Callus big toe left foot...PRP 210705........   3         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
106886 -        Callus big toe right foot...PRP 210705.......   2         40  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106887 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106888 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
106889 -        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                                                                                                                                                                                                                                                                                                                                           
106890 -        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                                                                                                                                                                                                                                                                                                                                           
106891 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106892 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
106893 -        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                                                                                                                                                                                                                                                                                                                                                                                        
106894 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
106895 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
106896 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106897 -        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                                                                                                                                                                                                                                                                                                                                                              
106898 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
106899 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
106900 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106901 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106902 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
106903 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106904 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
106905 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
106906 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106907 -        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                                                                                                                                                                                                                                                                                                                                                                               
106908 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106909 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106910 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106911 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106912 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106913 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106914 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106915 -        Wobbly disoriented staggering dizzy..........   2         20  took 2 Tramadol mile 00, and 1 Tramadol mile 14, and 1 Tramadol mile 22, and 1 Tramadol mile 28 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
106916 -        Wasted - very fatigued.......................   2         15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106917 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106921 -  ..
106922 - Shoes see case study on 200101 0701. ref SDS 18 SO4L, today wore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106923 - Brooks Ghost size 10.5 "extra-wide" shoes again after having severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106924 - pain despite taking 2 Tramadol pain pills to start hike on 250329, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106925 - above. ref SDS 0 UQRV  Today, took 2 Tramadol again starting hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106926 - much better experience hiking 33 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106928 -  ..
106929 - Orthotic inserts - wore Brooks Ghost size 10.5 extra-wide after bad                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106930 - results on 250329 - today, was much better until last 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106933 -  ..
106934 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
106935 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106936 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106937 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106938 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106940 -  ..
106941 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106942 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106943 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106944 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106945 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106948 -  ..
106949 - Concord 33 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106950 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
106951 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
106952 - and also left hip.  Took 2 Tramadol to start hike that complements                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106953 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106954 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106955 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106956 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106957 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
106958 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
106959 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106960 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106961 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106962 - above. ref SDS 0 E45P  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106963 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106964 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106965 - bloating feeling, but still bloated starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106966 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106967 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106968 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106969 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
106970 - backpack to carry stuff.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106971 - Treat.  Feet starting hike feeling like pins and needles - peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106972 - neuropathy taking statins.  Breathed through nose entire hike without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106973 - dyspnea.  Temp started at 44, and reached 63.  West wind 12 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106974 - mostly 07 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106975 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106976 - flat grade, some places 2% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106977 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106978 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106979 - .75 miles on asphalt road shoulder.  At mile 3, feeling bloated turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106980 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106981 - parking lots of shopping complex.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
106982 - light and continued on concrete sidewalk .5 miles.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106983 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106984 - miles - feet PL 2.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
106985 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106986 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106987 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106988 - Texaco Gas Station store mile 5. time ____, Continued on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
106989 - Valley Road; turned left hiked 2.50 miles East on Pine Hollow.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106990 - of Pine Hollow stopped mile 08 time 1133 temp 57 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106991 - mostly uniform with mild artifact, Kardia reported HR 116 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
106992 - - see below. ref SDS 0 VURP  Bloated PL 3 more in lower abdomen.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106993 - feet PL 1, burning sensation PL 0, left foot #1 PL 0, #5 PL 0 - best                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106994 - in long time, after taking 2 Tramadol at home before starting hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
106995 - per above. ref SDS 0 E45P  Took 0 Tramadol here at mile 8, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
106996 - another Magnesium Complex 300 mg pill for energy, absorb lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
106997 - for pain management, and resolve inflammation to enable HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
106998 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
106999 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107000 - EGD Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107001 - as occurred on 240824. ref SDS 36 PPTU  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107002 - home for hydration, swallowing meds and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107003 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107004 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107005 - pill, took Ubiquinol CoQ10 0.5 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107006 - per above. ref SDS 0 E45P  Turned around and hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107007 - Valley Road.  Turned left onto Campus Drive hiking West 1 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107008 - 3% - 4% grade against wind 06 mph.  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107009 - California State University East Bay Concord Campus.  Hiked around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107010 - main campus buildings.  Stopped at training station to do 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107011 - half-pullups, 40 half-pushups and 00 situps using training equipment.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107012 - Back at Visitor Parking continued 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107013 - Student parking lots.  Stopped at Administration Building mile 14 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107014 - 1324 temp 60 and wind 07 mph; EKG uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107015 - reported HR 120 Tachycardia - see below. ref SDS 0 VUSQ  Bloated PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107016 - Both feet PL 1.  Left foot #1 PL 2, #5 PL 1.  Left hip PL 0.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107017 - Tramadol for pain.  Took 3rd Magnesium to control pain by absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107018 - lactic acid in muscles, resolves inflammation which then enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107019 - to rise in the liver, increases energy for hiking.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107020 - carried from home for hydration, swallowing meds and nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107021 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107022 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107023 - electrolyte pill, took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107024 - continue hike, per above. ref SDS 0 VQTY  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107025 - main buildings.  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107026 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107027 - miles.  At mile 15, turned left onto Crystal Ranch Road.  Hiked South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107028 - 1 mile uphill 5% grade against 08 mph wind.  Handled this well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107029 - breathing through nose without dyspnea nor stopping.  At summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107030 - continued flat grade .5 miles.  Encountered Nipoma and her husband                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107031 - coming the other way - visited for few minutes.  Continued downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107032 - .25 miles 5% grade.  At Rolling Woods Way continued uphill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107033 - Ranch Road .5 miles 6% grade against wind 07 mph.  Road ends at top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107034 - hill.  Did not hiked back down hill about .25 mile and then back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107035 - top.  Stopped mile 18 time 1454, temp 62, wind 09 mph; EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107036 - with no artifact, Kardia reported HR 131 (...  HR - no wait to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107037 - cellphone connection...) Tachycardia - see below. ref SDS 0 4PA7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107038 - Bloated PL 3, feet PL 2, left foot #1 PL 3, #5 PL 0, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107039 - PL 0; nothing to eat nor drink (NPO), per above. ref SDS 0 VQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107040 - Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107041 - of hill, Turned right onto Rolling Woods Way hiking East .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107042 - uphill 6% grade against 09 mph wind.  At summit continued downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107043 - miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107044 - onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107045 - wind 08 mph.  At mile 21, reached Visitor Parking again at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107046 - State University East Bay Concord Campus.  Hiked 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107047 - campus buildings.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107048 - Building mile 22, time 1626 temp 64 and wind 09 mph; EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107049 - artifact, Kardia reported HR 119 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107050 - E382  Bloated PL 2, both feet PL 2, burning sensation PL 1, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107051 - #1 PL 4, #5 PL 0.  Took 1 Tramadol for pain management.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107052 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107053 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107054 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107055 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107056 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107057 - on 240824. ref SDS 36 PPTU  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107058 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107059 - seeds for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107060 - pill, took more CoQ10, per above. ref SDS 0 VQTY  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107061 - around main buildings.  Exited college on Campus Drive North,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107062 - downhill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107063 - grade .5 miles.  Continued past Crystal Ranch Road uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107064 - miles against wind 10 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107065 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107066 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107067 - barriar mile 25, hiked West 2 miles downhill 3% grade; crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107068 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107069 - Hiked 1-mile loop around block at Safeway shopping complex.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107070 - at Mod Pizza mile 28, time 1813, temp 61 and wind 10 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107071 - uniform with some artifact, Kardia reported HR 118 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107072 - below. ref SDS 0 YC16  Noticing fatigue and getting wobbly.  Bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107073 - PL 2 - this issue feels better.  Both feet PL 3, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107074 - 2, left foot #1 PL 4, #5 PL 0 - this issue much better.  Despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107075 - getting loopy, took 1 Tramadol for pain.  Took 5th Magnesium to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107076 - control pain by absorbing lactic acid in muscles, resolves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107077 - inflammation which then enables HDL to rise in the liver, increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107078 - energy for hiking.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107079 - swallowing meds and nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107080 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107081 - for HDL, did not take Nuun electrolyte pill, took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107082 - ml for HDL and energy to continue hike, per above. ref SDS 0 VQTY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107083 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107084 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107085 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107086 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107087 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107088 - .75 miles on Treat uphill 5% grade temp 70.  Handled this well.  Felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107089 - wasted; was able to hike without stopping likely because of magnesium;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107090 - did not get noticably more loopy despite taking another Tramadol at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107091 - mile 28.  At summit, mile 30, hiked another mile to Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107092 - Ended hike mile 33 time 1941 temp 58, wind 10.  Bloated PL 2, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107093 - 3, burning sensation PL 2, left foot #1 PL 3, #5 PL 2, wobbly PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107094 - wasted PL 3.  EKG looks uniform, with minor artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107095 - HR 110 Tachycardia - see below. ref SDS 0 VUTR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107108 -  ..
107109 - Kardia recorded HR 074 at 0741 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107110 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107111 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107112 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, and medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107113 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107116 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107117 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250402-ecg-074142_mile_00_074_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107122 -  ..
107123 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107124 - hike 33 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107125 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107126 - ..
107127 -                                                                                                                                                                                                                                                                                                              x
107128 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107129 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107130 -       Date          250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 250112 25011  
107131 -       Miles            33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16     20  
107132 -       HR AVG          121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120    131  
107133 -         MAX           144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137    151  
107134 -         Min            81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71     66  
107135 -       El Climb Ft     678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520         
107136 -       Temp Max         64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67         
107137 -       Wind Max         12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15         
107138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107140 -              https://flow.polar.com/training/analysis/8085960344                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107143 -               ..
107145 -   
107146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107151 -  ..
107152 - EKG at mile 08 time 1133 HR 116 temp 57, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107153 - Tachycardia...  heart rate mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107154 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107157 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107158 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250402-ecg-113307_mile_08_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107162 -  ..
107163 - EKG at mile 14 time 1324 HR 120 temp 60, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107164 - Tachycardia...  heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107165 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107168 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107169 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250402-ecg-132447_mile_14_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107173 -  ..
107174 - EKG at mile 18 time 1454 HR 131 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107175 - Tachycardia...  heart rate uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107176 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107179 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107180 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250402-ecg-145435_mile_18_131_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107184 -  ..
107185 - EKG at mile 22 time 1626 HR 119 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107186 - Tachycardia...  heart rate uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107187 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107190 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107191 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250402-ecg-162606_mile_22_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107195 -  ..
107196 - EKG at mile 28 time 1813 HR 118 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107197 - Tachycardia...  heart rate mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107198 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107201 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107202 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250402-ecg-181323_mile_28_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107206 -  ..
107207 - End hike EKG at mile 33, time 1941 HR 110 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107208 - Taxycardia... looks mostly uniform with mild artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107209 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107212 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107213 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250402-ecg-194123_mile_33_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107217 -  ..
107218 - Post hike HR profile beginning 2349, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107219 - hiking 33 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107220 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107221 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107222 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107225 -        ..
107226 -       Date      250401  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122  250121    
107227 -       Time       2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951    1952     
107228 -       Hours         8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11      12     
107229 -       HR AVG       64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69      72     
107230 -       HR MAX      145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     119     
107231 -       HR Min       41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40      50     
107232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107234 -              https://flow.polar.com/training/analysis/8086272291                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107237 -               ..
107239 -   
107240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107243 -  ..
107244 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107245 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107246 - Dinner - macaroni cheese steak (cut up) broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107248 -  ..
107249 - Vomiting: 0% - seems like bloating 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107276 -         ..
107277 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107278 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107279 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107280 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107281 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107282 -   93.  250403 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107283 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107284 -               0720....BP HR..................................................... 132  78  51  Kardia ECG reports HR status, see below. ref SDS 0 VW4A                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107285 -               0725....BP HR..................................................... 130  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107286 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107287 -               0730....80 446280 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107288 -               0730....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107289 -               0840... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107290 -               0840... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107291 -               0840....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107292 -               0840....Peanut butter with margarine for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107293 -               0840....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107294 -               0840....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107295 -               0840... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
107296 -  ..
107297 -               1032....miles...........  14.0  47.0  254   814 minutes  temp  67 wind 09  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107298 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107299 -               1327....mile 08 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107300 -               1327....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107301 -               1327... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
107302 -               1327... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107303 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107304 -               1324....mile 14 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107305 -               1324....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107306 -               1324... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
107307 -               1324... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107308 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107309 -               1529... Hike ends mile 14... ref SDS 0 VXQU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107310 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107311 -               1540....weight.................................... 173  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107312 -               1545....BP HR..................................................... 124  67  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107313 -               1558....BP HR..................................................... 129  78  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107314 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107315 -               1700... 40 121860 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                                                                                                                                                                                                                                                                                  
107316 -             1 0000............ 10 21280  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107317 -             1 0000............ 10 21630  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
107318 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107319 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107320 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107321 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107322 -               2200... 1000 2420000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107323 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107324 -               2330... 80 446360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107325 -               2340... 40 96560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107328 -  ..
107329 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107330 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107332 -  ..
107333 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107334 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107335 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107336 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107337 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107339 -  ..
107340 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107341 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107343 -  ..
107344 - Reflux slept in chair after EGD dilation on 250211 0830. ref SDS 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107345 - 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107348 -  ..
107349 - Today, hiked 14 miles - difficult hike testing again new orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107350 - inserts created on 250328.  Started feeling bloated, possibly related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107351 - to variable heart rate causing dysfunctional autonomic nervous system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107352 - (ANS), testing with Zia Holter HR completed on 250320 after beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107353 - on 250306 - see meeting with Doctor Pellegrini in Cardiology on 250306                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107354 - 0900. ref SDS 77 S55I  Feet PL 0 before starting hike, after hiking 33                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107355 - miles yesterday.  Took 2 Tramadol and applied Lidocaine to feet.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107356 - 1 mile loop in neighborhood; seemed good, so did regular 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107357 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107358 - Continued on Ayers East to Clayton Road.  Left foot #1 and #5 PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107359 - metatarsalgia both feet seemed like PL 1.  Then South 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107360 - turned West 1 mile on Ygnacio Valley Road.  Feet hurting much worse.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107361 - Hiked East 0.50 miles, then back to Ygnacio Valley Road.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107362 - onto Campus Drive heading uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107363 - College.  Feet hurt too badly to hike loops around main buildings and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107364 - loop through parking lots.  At mile 10, did EKG.  Took 1 Tramadol, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107365 - another magnesium. to dissipate lactate acid, and prevent inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107366 - so that HDL increases.  Hiked 4 miles home with PL 6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107369 -         ..
107370 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107371 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107372 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
107373 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107374 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107375 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107376 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107377 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107378 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107379 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107380 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107381 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
107382 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107383 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
107384 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107385 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
107386 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107387 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107388 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107389 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107390 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
107391 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107392 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107393 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107394 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107395 -        Knee right meniscus PRP 190816...............   0         20  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
107396 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107397 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107398 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107399 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107400 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107401 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107402 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107403 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
107404 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107405 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107406 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
107407 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
107408 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
107409 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
107410 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107411 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107412 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
107413 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
107414 -        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                                                                                                                                                                                                                                                                                                                           
107415 -        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                                                                                                                                                                                                                                                                                                                                                                                    
107416 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107417 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
107418 -        Callus big toe left foot...PRP 210705........   6         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
107419 -        Callus big toe right foot...PRP 210705.......   1         40  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107420 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107421 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
107422 -        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                                                                                                                                                                                                                                                                                                                                           
107423 -        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                                                                                                                                                                                                                                                                                                                                           
107424 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107425 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
107426 -        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                                                                                                                                                                                                                                                                                                                                                                                        
107427 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
107428 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
107429 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107430 -        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                                                                                                                                                                                                                                                                                                                                                              
107431 -  new   Callus little toe #5 left foot...PRP 210705..   6         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
107432 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
107433 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107434 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107435 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
107436 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107437 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
107438 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
107439 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107440 -        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                                                                                                                                                                                                                                                                                                                                                                               
107441 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107442 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107443 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107444 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107445 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107446 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107447 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107448 -        Wobbly disoriented staggering dizzy..........   2         20  took 2 Tramadol mile 00, and 1 Tramadol mile 10, and 0 Tramadol mile 22, and 0 Tramadol mile 28 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
107449 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107450 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107454 -  ..
107455 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107456 - Brooks Ghost to Hoka Bondi 6 size 10.5 wide.  These are shoes worn for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107457 - 1st hike testing orthotic inserts Doctor Hewitson made at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107458 - 250325 0830. ref SDS 83 5Q5M  This hike 2 days later on 250327, had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107459 - very little pain and fast pace, per above. ref SDS 0 TTVT  The hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107460 - the next day tested the new orthotics with a different pair of Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107461 - Bondi 6 shoes.  It had significant pain, reported for 250328, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107462 - above. ref SDS 0 TVWR  Today, doing the test again, but with the same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107463 - pair of shoes worn on 250327.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107464 - laces very loose.  Did not use new Pediplasti Interdigital Spacer to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107465 - protect #4-#5 on both feet.  Shoes have good rebound energy - orthotic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107466 - inserts received from VA on 250725, seemed not to reduce pain on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107467 - lateral edges of left foot #1 and #5, due in part to Bondi 6 shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107468 - being "wide" instead of "extra wide."  Actually, there was reduced pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107469 - on right foot.  Significant pain occurred left foot #1 and #5.  Pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107470 - was much slower today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107472 -  ..
107473 - Orthotic inserts - testing new inserts again - did not go well, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107474 - above. ref SDS 0 VUSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107476 -  ..
107477 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107478 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107479 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107480 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107481 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107483 -  ..
107484 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107485 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107486 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107487 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107488 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107491 -  ..
107492 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107493 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107494 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107495 - and also left hip.  Took 1 Tramadol to start hike that complements                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107496 - Lidocaine to balls of both feet, and left foot #1 and #5.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107497 - Magnesium Complex 300 mg pill for energy, absorb lactic acid for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107498 - management, and resolve inflammation to enable HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107499 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107500 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107501 - on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107502 - on 240824. ref SDS 36 PPTU  Had small amount peanut butter and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107503 - margarine, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107504 - avocado for HDL.  Just before starting hike took Ubiquinol CoQ10 per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107505 - above. ref SDS 0 E45P  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107506 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107507 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107508 - bloating feeling, but still bloated starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107509 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107510 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107511 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107512 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107513 - backpack to carry stuff.  Started local route to stay close to house                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107514 - in case of immediate severe pain.  Hiked Cuneo to Kaski and then 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107515 - mile around the block.  There was no pain.  Hiked regular route Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107516 - .25 mile and turned left, onto Treat.  Feet starting hike feeling like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107517 - pins and needles - peripheral neuropathy taking statins.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107518 - through nose entire hike without dyspnea.  Temp started at 58, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107519 - reached 67.  West wind 09 mph and mostly 04 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107520 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107521 - Creek Road for 1.5 miles mostly flat grade, some places 2% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107522 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107523 - back today.  Continued on Turtle Creek Road uphill 4% grade.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107524 - hurting caused very slow pace.  Turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107525 - miles on asphalt road shoulder.  At mile 4, feeling bloated turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107526 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107527 - parking lots of shopping complex.  Feet hurting PL 3, and left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107528 - PL 4, #5 PL 2.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107529 - concrete sidewalk .5 miles.  At mile 5, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107530 - Ygnacio Valley Road using concrete sidewalk .5 miles - feet PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107531 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107532 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107533 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107534 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107535 - store mile 5. time ____, Continued on Ygnacio Valley Road; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107536 - hiked 0.50 miles East on Pine Hollow.  Past Discovery Way turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107537 - around and hiked back to Ygnacio Valley Road.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107538 - Drive hiking West 1 mile uphill 3% - 4% grade against wind 06 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107539 - Left foot #1 PL 7 and #5 PL 5.  Reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107540 - State University East Bay Concord Campus.  Stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107541 - Building mile 10 time 1327 temp 64 and wind 05 mph; EKG variable with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107542 - some artifact, Kardia reported HR 099 Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107543 - ref SDS 0 VWVP  Bloated PL 2, Both feet PL 2.  Left foot #1 PL 5, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107544 - PL 5.  Left hip PL 0.  Took 2 Tramadol for pain.  Took 3rd Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107545 - to control pain by absorbing lactic acid in muscles, resolves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107546 - inflammation which then enables HDL to rise in the liver, increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107547 - energy for hiking.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107548 - swallowing meds and nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107549 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107550 - for HDL, did not take Nuun electrolyte pill, took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107551 - ml for HDL and energy to continue hike, per above. ref SDS 0 VSUV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107552 - Encountered Kathy hiking through Visitor Parking.  Visited a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107553 - minutes - she was sick with a cold.  Exited college hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107554 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107555 - Hiked West on flat grade .5 miles.  Going very slow due to feet pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107556 - Continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107557 - wind 06 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107558 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107559 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107560 - mile 12, turned around.  Hiked East back to Cowell.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107561 - hiking downhill 5% grade .25 mile.  Continued flat grade .25 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107562 - then .5 mile flat grade and very narrow shoulder against heavy commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107563 - traffic.  Turned left onto Treat heading West.  Crossed Treat at break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107564 - in traffic.  Turned onto Cuneo then home.  Ended hike mile 14 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107565 - 1529 temp 67, wind 08.  Bloated PL 2, feet PL 2, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107566 - 2, left foot #1 PL 8, #5 PL 8, wobbly PL 4.  EKG looks uniform, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107567 - artifact, Kardia reported HR 110 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107568 - VXQU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107581 -  ..
107582 - Kardia recorded HR 053 at 0702 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107583 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107584 - hiking 33 miles temp 64 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107585 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107586 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107589 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107590 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250403-ecg-070251_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107593 -  ..
107594 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107597 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250403-ecg-072921_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107602 -  ..
107603 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107604 - hike 14 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107605 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107606 - ..
107607 -                                                                                                                                                                                                                                                                                                              x
107608 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107609 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107610 -       Date          250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 250113 25011  
107611 -       Miles            14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0     16  
107612 -       HR AVG          107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no    120  
107613 -         MAX           121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report report  137  
107614 -         Min            75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                          71  
107615 -       El Climb Ft     491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520    520  
107616 -       Temp Max         67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65     67  
107617 -       Wind Max         09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20     15  
107618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107620 -              https://flow.polar.com/training/analysis/8086578512                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107623 -               ..
107625 -   
107626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107631 -  ..
107632 - EKG at mile 10 time 1327 HR 099 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107633 - Unclassified...  heart rate mostly variable with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107634 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107637 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107638 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250403-ecg-132719_mile_10_099_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107642 -  ..
107643 - End hike EKG at mile 14, time 1529 HR 110 temp 67 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107644 - Taxycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107645 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107648 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107649 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250403-ecg-152914_mile_14_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107653 -  ..
107654 - Post hike HR profile beginning 2050, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107655 - hiking 14 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107656 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107657 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107658 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107661 -        ..
107662 -       Date      250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123  250122    
107663 -       Time       2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246    1951     
107664 -       Hours        10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7      11     
107665 -       HR AVG       63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59      69     
107666 -       HR MAX      134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     133     
107667 -       HR Min       40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42      40     
107668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107670 -              https://flow.polar.com/training/analysis/8086908193                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107672 -  ..
107673 - Looks very variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107675 -               ..
107677 -   
107678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107681 -  ..
107682 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107683 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107684 - Dinner - macaroni cheese steak (cut up) broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107686 -  ..
107687 - Vomiting: 0% - seems like bloating 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107714 -         ..
107715 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107716 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107717 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107718 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107719 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107720 -   94.  250404 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107721 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107722 -               0710....BP HR..................................................... 141  79  52  Kardia ECG reports HR status, see below. ref SDS 0 WGL4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107723 -               0715....BP HR..................................................... 137  84  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107724 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107725 -               0720....80 446440 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107726 -               0820....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107727 -               0820... Lidocaine gel applied left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107728 -               0820... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107729 -               0820....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107730 -               0820....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107731 -               0820....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107732 -               0820....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107733 -               0820... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
107734 -  ..
107735 -           *   0848....miles...........  21.0  68.0  348  1162 minutes  temp  73 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107736 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107737 -               1111....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107738 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107739 -               1111... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
107740 -               1111... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107741 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107742 -               1354....mile 16 stopped EKG and chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107743 -               1354....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107744 -               1354... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
107745 -               1354... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
107746 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107747 -               1525... Hike ends mile 21... ref SDS 0 7A3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107748 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107749 -               1537....weight.................................... 171  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107750 -               1550....BP HR..................................................... 116  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107751 -               1555....BP HR..................................................... 121  73  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107752 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107753 -               1700... 40 121900 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                                                                                                                                                                                                                                                                                  
107754 -               1830............ 10 21290  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
107755 -               1830............ 10 21640  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
107756 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107757 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107758 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107759 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107760 -               2200... 1000 2421000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107761 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107762 -               2330... 80 446520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107763 -               2340... 40 96600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107765 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107766 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107767 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107768 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107769 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107770 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107771 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107772 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107775 -  ..
107776 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107777 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107779 -  ..
107780 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107781 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107782 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107783 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107784 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107786 -  ..
107787 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107788 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107790 -  ..
107791 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107792 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107795 -  ..
107796 - Today, hiked 21 miles - good hike despite feeling bloated starting,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107797 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107798 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107799 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107800 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107801 - before starting hike, after resting feet over night.  Took 2 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107802 - and applied Lidocaine to feet.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107803 - Concord streets - Treat, Turtle Creek Road.  Had more energy starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107804 - hike and had less pain than starting hike yesterday.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107805 - Ayers East to Clayton Road, Then South 1 mile and turned West 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107806 - on Ygnacio Valley Road.  Hiked East 2.50 miles to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107807 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107808 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107809 - loops around main buildings and loop through parking lots.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107810 - 16, did EKG.  Did not take another Tramadol; did take another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107811 - magnesium. to dissipate lactate acid, and prevent inflammation so that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107812 - HDL increases.  Took CoQ10 for energy.  Left college and hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107813 - summit Ygnacio Valley Road then back to Cowell and home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107814 - at mile 21.  Much better hike with less pain to feet than yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107815 - but still very difficult.  Need time off for calluses to heal, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107816 - need sustained hiking to elevate HDL and EPCs, and to recover from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107817 - dysfunctional ANS - e.g., after hiking just 3 days in a row, there is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107818 - less bloating, BP and HR drop.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107821 -         ..
107822 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107823 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107824 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
107825 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107826 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107827 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107828 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107829 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107830 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107831 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107832 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107833 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
107834 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107835 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
107836 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107837 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
107838 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107839 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107840 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107841 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107842 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
107843 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107844 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107845 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107846 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107847 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
107848 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
107849 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107850 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107851 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107852 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107853 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107854 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107855 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
107856 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107857 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107858 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
107859 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
107860 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
107861 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
107862 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107863 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107864 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
107865 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
107866 -        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                                                                                                                                                                                                                                                                                                                           
107867 -        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                                                                                                                                                                                                                                                                                                                                                                                    
107868 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107869 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
107870 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
107871 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107872 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107873 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
107874 -        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                                                                                                                                                                                                                                                                                                                                           
107875 -        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                                                                                                                                                                                                                                                                                                                                           
107876 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107877 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
107878 -        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                                                                                                                                                                                                                                                                                                                                                                                        
107879 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
107880 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
107881 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107882 -        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                                                                                                                                                                                                                                                                                                                                                              
107883 -  new   Callus little toe #5 left foot...PRP 210705..   4         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
107884 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
107885 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107886 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107887 -        Callus bottom right foot below little toe....   2        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
107888 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107889 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
107890 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
107891 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107892 -        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                                                                                                                                                                                                                                                                                                                                                                               
107893 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107894 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107895 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107896 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107897 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107898 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107899 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107900 -        Wobbly disoriented staggering dizzy..........   1         20  took 2 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
107901 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107902 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107906 -  ..
107907 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107908 - Brooks Ghost extra wide, from Hoka Bondi 6 size 10.5 wide.  First                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107909 - eyelets not laced, and first laces very loose.  Did not use new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107910 - Pediplasti Interdigital Spacer to protect #4-#5 on both feet.  Extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107911 - Wide shoes reduce lateral pressure compared to simply wide.  Really                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107912 - need to heal calluses on edges of left foot, as has occurred on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107913 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107915 -  ..
107916 - Orthotic inserts - switched back from new inserts, which has not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107917 - worked well, to Stable Elite. testing new inserts again - went better,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107918 - but still did not well, per above. ref SDS 0 VYXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107920 -  ..
107921 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
107922 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107923 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107924 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107925 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107927 -  ..
107928 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107929 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107930 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107931 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107932 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107935 -  ..
107936 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107937 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107938 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107939 - and also left hip.  Took 2 Tramadol for pain management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107940 - metatarsalgia pain in feet PL 2 starting hike, and left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107941 - both calluses PL 2, treated by Doctor Tang at VAMCSF on 250109 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107942 - ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107943 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107944 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107945 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107946 - EGD Dilation on 241126, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107947 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107948 - and Chia Seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107949 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107950 - ref SDS 0 Y76G  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107951 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107952 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107953 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107954 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107955 - fibrillation (arrhythmia - variable heart rate related to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107956 - dysfunctional automatic nervous system - ANS) see analysis by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
107957 - Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
107958 - stuff.  Applied Lidocaine (small amount) to left foot #1 and #5 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107959 - pain relief until reach end of Pine Hollow take Tramadol about mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107960 - again.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107961 - hike feet feeling swelled and like pins and needles - felt electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107962 - shocks in balls of feet this morning - due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107963 - After about 1 mile feet calming down.  Bottom of both feet PL 0 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107964 - metatarsalgia pain, including left foot #5, which flared up on 240919,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107965 - per above. ref SDS 36 XVTR  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
107966 - dyspnea, indicating good condition despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107967 - months.  Temperature started at 52, and reached 73.  East wind 14 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107968 - and mostly 04 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107969 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107970 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107971 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
107972 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107973 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107974 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
107975 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107976 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107977 - Feeling good hiking with energy despite PL 2 in feet - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107978 - taking magnesium and CoQ10.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107979 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107980 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107981 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107982 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
107983 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107984 - time ____.  Hiking on Ygnacio Valley Road; turned left and hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107985 - miles East on Pine Hollow past Diablo Elementary school and to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107986 - Pine Hollow.  Stopped mile 08 time 1111 temp 62 and wind 08 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
107987 - looks uniform with no artifact.  Kardia reported HR 108 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107988 - see below. ref SDS 0 WQVR  Bloating PL 4, both feet PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107989 - PL 3, #5 PL 3.  Took 1 Tramadol 50 mg for pain.  Took another (2nd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107990 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
107991 - 19.5 on 250211 0830, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
107992 - occurred last year on 240824, see case study. ref SDS 36 PPTU; Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
107993 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
107994 - - peanut butter, margarine, Mayonnaise.  Took Chia Seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107995 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
107996 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
107997 - hike.  Since temperature forecast below 80, reduced sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107998 - ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
107999 - above. ref SDS 0 VXQQ  Removed left shoe and sock.  Applied Lidocaine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108000 - cream to left foot #1 and #5 to continue pain relief.  Hiked back 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108001 - miles.  Turned left onto Campus Drive heading West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108002 - hiked 1 mile with wind 04 mph.  The road bends North.  Lisa drove by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108003 - and stopped briefly to say hello on way home after walking dogs at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108004 - college.  On reaching Ygnacio Valley Road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108005 - uphill .25 mile 5% grade.  Reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108006 - University East Bay Concord Campus.  Hiked loop around main buildings,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108007 - and then 2 loops through Faculty and Student parking lots.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108008 - Visitor Parking stopped at Administration Building mile 16 time 1351                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108009 - temp 71 and wind 08 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108010 - reported HR 108, Tachycardia - see below. ref SDS 0 W16S  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108011 - 3.  Both feet PL 2, left foot #1 PL 4, #5 PL 4.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108012 - 2.  Did not take another Tramadol for pain - only few left and need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108013 - them for next hikes until more Tramadol is delivered.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108014 - (3rd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108015 - Dilation to 19.5 mm on 250211 0830, ref SDS 73 433O, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108016 - clogging LESV, as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108017 - ref SDS 36 YWSY  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108018 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108019 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108020 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108021 - complete hike.  Since temperature forecast below 80, reduced sweating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108022 - that ejects electrolytes, then did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108023 - above. ref SDS 0 VXQQ  Back at Visitor Parking, exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108024 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108025 - Hiked West on flat grade .5 miles.  At mile 17, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108026 - Ranch Road uphill 3% grade .5 miles against wind 09 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108027 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108028 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108029 - summit.  At mile 18 end of concrete traffic barrier turned around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108030 - Hiked back and turned left onto Cowell heading North .25 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108031 - asphalt shoulder downhill 5% grade - left hip PL 0 - then flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108032 - .25 miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108033 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108034 - then home.  Ended hike mile 21 time 1525 temp 73, wind 14, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108035 - 3, both feet metatarsalgia PL 2, burning sensation PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108036 - PL 4, #5 PL 3.  Both ankles PL 2.  Left knee meniscus PL 3, EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108037 - uniform with some artifact, Kardia reported HR 112 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108038 - below. ref SDS 0 7A3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108051 -  ..
108052 - Kardia recorded HR 048 at 0707 Bradycardis, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108053 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108054 - hiking 14 miles temp 63 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108055 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108056 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108059 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108060 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250404-ecg-070742_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108065 -  ..
108066 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108067 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108068 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108069 - ..
108070 -                                                                                                                                                                                                                                                                                                              x
108071 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108072 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108073 -       Date          250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 250114 25011  
108074 -       Miles            21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0      0  
108075 -       HR AVG          114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no     no  
108076 -         MAX           129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report report repo  
108077 -         Min            64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                       
108078 -       El Climb Ft     431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                         520  
108079 -       Temp Max         73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                          65  
108080 -       Wind Max         14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                          20  
108081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108083 -              https://flow.polar.com/training/analysis/8087171310                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108086 -               ..
108088 -   
108089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108094 -  ..
108095 - EKG at mile 08 time 1111 HR 108 temp 62, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108096 - Tachycardia...  heart rate mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108097 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108100 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108101 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250404-ecg-111133_mile_08_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108105 -  ..
108106 - EKG at mile 16 time 1351 HR 108 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108107 - Tachycardia...  heart rate mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108108 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108111 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108112 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250404-ecg-135143_mile_16_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108116 -  ..
108117 - End hike EKG at mile 16, time 1525 HR 112 temp 73 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108118 - Taxycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108119 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108122 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108123 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250404-ecg-152529_mile_21_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108127 -  ..
108128 - Post hike HR profile beginning 2111, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108129 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108130 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108131 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108132 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108135 -        ..
108136 -       Date      250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124  250123    
108137 -       Time       2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937    0246     
108138 -       Hours        10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13       7     
108139 -       HR AVG       62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70      59     
108140 -       HR MAX      148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     138     
108141 -       HR Min       40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46      42     
108142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108144 -              https://flow.polar.com/training/analysis/8087566042                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108146 -  ..
108147 - Looks very variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108149 -               ..
108151 -   
108152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108155 -  ..
108156 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108157 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108158 - Dinner - macaroni cheese steak (cut up) broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108160 -  ..
108161 - Vomiting: 0% - seems like bloating 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108189 -         ..
108190 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108191 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108192 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108193 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108194 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108195 -   95.  250405 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108196 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108197 -               0710....BP HR..................................................... 141  79  52  Kardia ECG reports HR status, see below. ref SDS 0 EUXW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108198 -               0715....BP HR..................................................... 147  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108199 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108200 -               0720....80 446600 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108201 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108202 -               0830....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108203 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108204 -               0830... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108205 -               0830....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108206 -               0830....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108207 -               0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108208 -               0830....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108209 -               0830... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
108210 -  ..
108211 -               0927....miles...........  20.0  88.0  340  1402 minutes  temp  77 wind 12  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108212 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108213 -               1201....mile 09 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108214 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108215 -               1201... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
108216 -               1201... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108217 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108218 -               1525... Hike ends mile 20... ref SDS 0 7A3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108219 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108220 -               1537....weight.................................... 171  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108221 -               1545....BP HR..................................................... 105  66  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108222 -               1613....BP HR..................................................... 100  61  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108223 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108224 -               1700... 40 121940 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                                                                                                                                                                                                                                                                                  
108225 -             1 0000............ 10 21290  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108226 -             1 0000............ 10 21640  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
108227 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108228 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108229 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108230 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108231 -               2200... 1000 2422000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108232 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108233 -               2330... 80 446680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108234 -               2340... 40 96640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108236 -  ..
108237 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108238 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108240 -  ..
108241 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108242 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108243 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108244 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108245 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108247 -  ..
108248 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108249 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108251 -  ..
108252 - Reflux none slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108253 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108256 -  ..
108257 - Today, hiked 20 miles - good hike despite feeling bloated starting,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108258 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108259 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108260 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108261 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108262 - before starting hike, after resting feet over night.  Took 2 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108263 - because out of Tramadol - maybe should have taken only 1 Naproxen 250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108264 - mg.  Did not apply Lidocaine to feet due to rising side effects.  Used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108265 - bandaging scheme that worked well.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108266 - Concord streets - Treat, Turtle Creek Road.  Had less energy starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108267 - hike, likely to taking 2 instead of 1 Naproxen, but had less pain than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108268 - starting hike yesterday.  Continued on Ayers East to Clayton Road,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108269 - Then South 1 mile and turned West 1 mile on Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108270 - Hiked East 2.50 miles to end of Pine Hollow.  Hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108271 - Valley Road.  Felt little loopy maybe from 2 Naproxen.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108272 - onto Campus Drive heading uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108273 - College.  Hiked loops around main buildings, but no loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108274 - parking lots.  Left college and hiked to summit Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108275 - then back to Cowell and through residential street, and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108276 - hike at mile 20.  Much better hike with less pain to feet than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108277 - yesterday.  Possibly bandaging toe calluses can be effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108278 - Disappointing BP has not stayed below 140.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108281 -         ..
108282 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108283 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108284 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
108285 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108286 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108287 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108288 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108289 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108290 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108291 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108292 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108293 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
108294 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108295 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
108296 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108297 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
108298 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108299 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108300 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108301 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108302 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
108303 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108304 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108305 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108306 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108307 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
108308 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108309 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108310 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108311 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108312 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108313 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108314 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108315 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
108316 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108317 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108318 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
108319 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
108320 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
108321 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
108322 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108323 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108324 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
108325 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
108326 -        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                                                                                                                                                                                                                                                                                                                           
108327 -        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                                                                                                                                                                                                                                                                                                                                                                                    
108328 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108329 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
108330 -        Callus big toe left foot...PRP 210705........   1         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
108331 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108332 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108333 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
108334 -        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                                                                                                                                                                                                                                                                                                                                           
108335 -        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                                                                                                                                                                                                                                                                                                                                           
108336 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108337 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
108338 -        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                                                                                                                                                                                                                                                                                                                                                                                        
108339 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
108340 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
108341 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108342 -        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                                                                                                                                                                                                                                                                                                                                                              
108343 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
108344 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
108345 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108346 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108347 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
108348 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108349 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
108350 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
108351 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108352 -        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                                                                                                                                                                                                                                                                                                                                                                               
108353 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108354 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108355 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108356 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108357 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108358 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108359 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108360 -        Wobbly disoriented staggering dizzy..........   1         20  took 2 Naproxen mile 00, and 0 Tramadol mile 08, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
108361 -        Wasted - very fatigued.......................   2         20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108362 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108366 -  ..
108367 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108368 - Brooks Ghost extra wide, from Hoka Bondi 6 size 10.5 wide.  First                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108369 - eyelets not laced, and first laces very loose.  Did not use new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108370 - Pediplasti Interdigital Spacer to protect #4-#5 on both feet.  Extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108371 - Wide shoes reduce lateral pressure compared to simply wide.  Really                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108372 - need to heal calluses on edges of left foot, as has occurred on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108373 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108375 -  ..
108376 - Orthotic inserts - switched back from new Powerstep inserts created by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108377 - Doctor Hewittson on 250325, explained in case study record on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108378 - 0701, ref SDS 18 0S6X, which have not worked well, to Stable Elite.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108379 - testing new inserts again - went better, but still did not well,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108381 -  ..
108382 - Callus Injuries - today on 250405 tried applying large round bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108383 - with center relief, like a donut.  Taped to left foot #1 to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108384 - lateral pressure on callus.  Took 2 Naproxen to start.  Result:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108385 - minimal pressure until last 3 miles or so.  For left foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108386 - applied...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108388 -            DeRoyal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108389 -            REF 46-400                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108390 -            Covaderm Plus - prescription (RX) only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108391 -            Adhesive Dressing  2" x 2"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108393 - ...received from Doctor Tang during meeting at VAMCSF on 250310 0930.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108394 - ref SDS 78 YM7L  This was reviewed with Microsoft AI, which indicated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108395 - the dressing if primarily for wound care. ref SDS 78 Y76N  Result                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108396 - today on 250405, left foot #5 was pain free for 85% of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108398 -  ..
108399 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108400 - dual-ply Wrightsocks socks in order to reduce lateral pressure on #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108401 - and #5 that has been causing blisters and calluses.  Works better to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108402 - avoid feet pain, but takes time to change socks.  Did not change                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108403 - socks today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108405 -  ..
108406 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108407 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108408 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108409 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108410 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108413 -  ..
108414 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108415 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108416 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108417 - and also left hip.  Took 2 Naproscn 250 mg for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108418 - because out of Tramadol (ordered refill on 250403 0829. ref SDS 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108419 - 4N6O) and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108420 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108421 - 250109 0830. ref SDS 68 T49H  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108422 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108423 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108424 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108425 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108426 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108427 - and margarine, and Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108428 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108429 - per above. ref SDS 0 Y76G  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108430 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108431 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108432 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108433 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108434 - and atrial fibrillation (arrhythmia - variable heart rate related to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108435 - dysfunctional automatic nervous system - ANS) see analysis by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108436 - Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108437 - stuff.  Did not apply Lidocaine (small amount) to left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108438 - for pain relief because only lasts an hour and causes side effects -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108439 - e.g., rash, as occurred using Dyclofenac gel to left knee.  Instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108440 - applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108441 - ref SDS 0 2T8N  This worked very good today.  Hiked Cuneo .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108442 - Had to return to house, to get sunglasses.  Hiked Cuneo again and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108443 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108444 - pins and needles - felt electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108445 - morning - due to peripheral neuropathy.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108446 - calming down.  Bottom of both feet PL 0 with metatarsalgia pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108447 - including left foot #1 and #5, which have been major sourse of hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108448 - pain past weeks.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108449 - indicating good condition that reflects increased hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108450 - months.  Temperature started at 56, and reached 77.  East wind 12 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108451 - and mostly 06 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108452 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108453 - flat grade, some places 3% uphill, and light traffic.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108454 - across Newhall Community park and back today.  Discovered forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108455 - bring small pain medication pill container.  Just realized was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108456 - hearing pills rattling in the container with each step.  Called Lynn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108457 - and asked her to go next door to my place, upstairs in the office and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108458 - bring the pill container.  Continued on Turtle Creek Road uphill 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108459 - grade.  Lynn called 10 minutes later.  She was upstairs in the office.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108460 - She found the pill container, so is on her way.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108461 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108462 - road shoulder.  Decided to turn back and meet Lynn at corner of Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108463 - and Turtle Creek Road, to avoid confusion finding me.  Lynn called 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108464 - minutes later to confirm Turtle Creek is left turn off of Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108465 - stoplight after Cowell.  We continued talking while Lynn drove South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108466 - on Turtle Creek past the tennis courts and winding through Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108467 - Community Park.  Good news when she related seeing me.  Lynn arrived                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108468 - and pulled off the road at corner of Turtle Creek Road and Ayers.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108469 - Thanked her for disrupting her Saturday morning.  Turned left again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108470 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108471 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108472 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108473 - traffic light and continued on concrete sidewalk .5 miles.  Feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108474 - good hiking with energy and PL 0 in feet - aligns with taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108475 - magnesium and CoQ10, and taking 2 Naproxen 250 mg before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108476 - hike.  At mile 5, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108477 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108478 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108479 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108480 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108481 - not stop at Union 76 Texaco Gas Station store mile 6, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108482 - Feeling little wobbly, possibly 2 Naproxen was too many.  Hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108483 - Ygnacio Valley Road; turned left and hiked 2.50 miles East on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108484 - Hollow past Diablo Elementary school and to end of Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108485 - Stopped mile 09 time 1201 temp 70 and wind 05 mph; EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108486 - with no artifact.  Kardia reported HR 098 Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108487 - ref SDS 0 WVSP  Bloating PL 3, both feet PL 2, left foot #1 PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108488 - PL 1.  Took 0 Tramadol 50 mg and 0 Naproxen 250 mg for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108489 - another (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108490 - EGD Dilation to 19.5 on 250211 0830, ref SDS 73 433O, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108491 - clogging LESV, as occurred last year on 240824, see case study.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108492 - ref SDS 36 PPTU; Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108493 - and swallowing nutrition - peanut butter, margarine, Mayonnaise.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108494 - Chia Seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108495 - avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108496 - energy to hike the hills.  Since temperature forecast below 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108497 - reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108498 - electrolyte pill, per above. ref SDS 0 WRWP  Hiked back 2.5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108499 - Turned left onto Campus Drive heading West uphill 3% grade hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108500 - mile with wind 06 mph.  The road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108501 - Valley Road turned around and hiked uphill .25 mile 5% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108502 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108503 - Campus.  Hiked 2 loop around main buildings.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108504 - did not stop for EKG, meds, nutrition.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108505 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108506 - Hiked West on flat grade .5 miles.  At mile 15, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108507 - Ranch Road uphill 3% grade .5 miles against wind 03 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108508 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108509 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108510 - summit.  At mile 16 end of concrete traffic barrier turned around.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108511 - Hiked back and turned left onto Cowell heading North .25 Mile using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108512 - asphalt shoulder downhill 5% grade, then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108513 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108514 - left onto Treat hiking West .25 miles back to Cuneo.  Turned right and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108515 - hiked 2 miles through residential streets, then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108516 - 20 time 1517 temp 75, wind 05, bloating PL 3, both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108517 - PL 3, burning sensation PL 3, left foot #1 PL 2, #5 PL 2.  Both ankles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108518 - PL 1.  Left knee meniscus PL 2, EKG mostly uniform with some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108519 - Kardia reported HR 122 Tachycardia - see below. ref SDS 0 WVUR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108532 -  ..
108533 - Kardia recorded HR 051 at 0702 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108534 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108535 - AFL after hiking 14 miles temp 63 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108536 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108537 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108540 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108541 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250405-ecg-070230_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108546 -  ..
108547 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108548 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108549 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108550 - ..
108551 -                                                                                                                                                                                                                                                                                                              x
108552 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108553 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108554 -       Date          250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 250115 25011  
108555 -       Miles            20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0      0  
108556 -       HR AVG          115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no     no  
108557 -         MAX           131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   report repo  
108558 -         Min            50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75                
108559 -       El Climb Ft     431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                       
108560 -       Temp Max         77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                       
108561 -       Wind Max         12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                       
108562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108564 -              https://flow.polar.com/training/analysis/8087781918                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108567 -               ..
108569 -   
108570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108575 -  ..
108576 - EKG at mile 09 time 1201 HR 098 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108577 - Unclassified... heart rate mostly variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108578 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108581 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108582 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250405-ecg-120100_mile_09_098_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108586 -  ..
108587 - End hike EKG at mile 20, time 1517 HR 122 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108588 - Taxycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108589 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108592 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108593 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250405-ecg-151754_mile_20_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108597 -  ..
108598 - Post hike HR profile beginning 2032, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108599 - hiking 20 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108600 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108601 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108602 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108605 -        ..
108606 -       Date      250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125  250124    
108607 -       Time       2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122    1937     
108608 -       Hours        11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11      13     
108609 -       HR AVG       69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66      70     
108610 -       HR MAX      123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     131     
108611 -       HR Min       42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45      46     
108612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108614 -              https://flow.polar.com/training/analysis/8088248100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108616 -  ..
108617 - Looks very variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108619 -               ..
108621 -   
108622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108625 -  ..
108626 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108627 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108628 - Dinner - macaroni cheese steak (cut up) broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108630 -  ..
108631 - Vomiting: 0% - seems like bloating 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108661 -         ..
108662 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108663 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108664 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108665 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108666 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108667 -   96.  250406 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108668 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108669 -               0720....BP HR..................................................... 140  78  53  Kardia ECG reports HR status, see below. ref SDS 0 XQPV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108670 -               0725....BP HR..................................................... 147  76  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108671 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108672 -               0730....80 446760 Famotidine H2 Blocker supplement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108673 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108674 -               1120....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108675 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108676 -               1120... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108677 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108678 -               1120....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108679 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108680 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108681 -               1120... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
108682 -  ..
108683 -               1232....miles...........  21.0 109.0  346  1748 minutes  temp  74 wind 14  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108684 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108685 -               1517....mile 10 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108686 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108687 -               1517....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108688 -               1517... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
108689 -               1517... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
108690 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108691 -               1617....mile 13 stopped EKG only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108692 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108693 -               1842... Hike ends mile 21... ref SDS 0 XQVP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108694 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108695 -               1900....weight.................................... 168  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108696 -               1910....BP HR..................................................... 118  69 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108697 -               1915....BP HR..................................................... 113  65  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108698 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108699 -               1700... 40 121980 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                                                                                                                                                                                                                                                                                  
108700 -               1830............ 10 21300  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
108701 -               1830............ 10 21650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
108702 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108703 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108704 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108705 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108706 -               2200... 1000 2423000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108707 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108708 -               2330... 80 446840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108709 -               2340... 40 96680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108711 -  ..
108712 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108713 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108715 -  ..
108716 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108717 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108718 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108719 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108720 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108722 -  ..
108723 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108724 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108726 -  ..
108727 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108728 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108731 -  ..
108732 - Today, hiked 21 miles - difficult hike with variable HR 2/3rs, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108733 - settled into normal sinus last 1/3 (7 miles) aligning with speed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108734 - changes in elevation (Hooray!!).  Variable HR and feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108735 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108736 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108737 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108738 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108739 - before starting hike, after resting feet over night.  Took 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108740 - (probably should have taken 2) and did not apply Lidocaine to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108741 - Instead, used bandaging, which was partially helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108742 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108743 - Had less energy starting hike and more pain than yesterday.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108744 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108745 - mile on Ygnacio Valley Road.  Hiked East 0.50 miles on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108746 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108747 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108748 - loop through parking lots.  At mile 10, did EKG.  Took 2 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108749 - Took another magnesium. to dissipate lactate acid, and prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108750 - inflammation to enable HDL to increase.  Took CoQ10 for energy.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108751 - college and hiked to summit Ygnacio Valley Road mile 12.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108752 - 13 noticed Polar monitor showed HR 82, should be 110+ - did EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108753 - showing HR 121, and Possible AF - tracing demonstrates severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108754 - variable.  Continued back to then back to Cowell then 6 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108755 - residential streets with some hills with grade 5% +, and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108756 - hike at mile 21.  Hike more pain to feet than yesterday.  Hike 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108757 - in row first time in nearly a year on 240524.  Weight 168, lowest in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108758 - year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108761 -         ..
108762 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108763 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108764 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
108765 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108766 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108767 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108768 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108769 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108770 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108771 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108772 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108773 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
108774 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108775 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
108776 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108777 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
108778 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108779 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108780 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108781 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108782 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
108783 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108784 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108785 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108786 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108787 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
108788 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108789 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108790 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108791 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108792 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108793 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108794 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108795 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
108796 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108797 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108798 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
108799 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
108800 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
108801 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
108802 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108803 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108804 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
108805 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
108806 -        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                                                                                                                                                                                                                                                                                                                           
108807 -        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                                                                                                                                                                                                                                                                                                                                                                                    
108808 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108809 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
108810 -        Callus big toe left foot...PRP 210705........   6         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
108811 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108812 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108813 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
108814 -        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                                                                                                                                                                                                                                                                                                                                           
108815 -        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                                                                                                                                                                                                                                                                                                                                           
108816 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108817 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
108818 -        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                                                                                                                                                                                                                                                                                                                                                                                        
108819 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
108820 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
108821 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108822 -        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                                                                                                                                                                                                                                                                                                                                                              
108823 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
108824 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
108825 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108826 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108827 -        Callus bottom right foot below little toe....   1        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
108828 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108829 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
108830 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
108831 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108832 -        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                                                                                                                                                                                                                                                                                                                                                                               
108833 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108834 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108835 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108836 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108837 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108838 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108839 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108840 -        Wobbly disoriented staggering dizzy..........   0         20  took 2 Tramadol mile 00, and 2 Tramadol mile 10, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
108841 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108842 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108846 -  ..
108847 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108848 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108849 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108850 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108851 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108852 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108854 -  ..
108855 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108856 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108857 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108859 -  ..
108860 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108862 -  ..
108863 - Callus Injuries - today on 250406 tried applying large round bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108864 - with center relief, like a donut.  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108865 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108866 - together is awkward - took 3 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108867 - pain relief.  Cut bandage at top to further provide pressure relief on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108868 - the callus.  Took only 1 Naproxen to start.  Result: not good - PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108869 - for 10 miles.  Took another Naproxen.  Half mile later took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108870 - Naproxen.  This became effective 2 miles later and was helpful to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108871 - 19, so had PL 6 for last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108873 -  ..
108874 - For left foot #5 applied...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108876 -            Soft Gel Toe Protector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108878 - ...received from Doctor Tang during meeting at VAMCSF earlier this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108879 - year.  Held this in place with tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108881 -  ..
108882 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
108883 - Smartwool socks.  Change socks at mile 10.  Works better to avoid feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108884 - pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108886 -  ..
108887 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108888 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108889 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108890 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108891 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108894 -  ..
108895 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108896 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108897 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108898 - and also left hip.  Took 1 Naproscn 250 mg for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108899 - because out of Tramadol (ordered refill on 250403 0829. ref SDS 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108900 - 4N6O) and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108901 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108902 - 250109 0830. ref SDS 68 T49H  Yesterday, took 2 Naproxen starting and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
108903 - seemed over medicated initial 10 miles, per above. ref SDS 0 WSSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108904 - Took Magnesium Complex 300 mg pill for energy, absorbing lactic acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108905 - and reducing inflammation - enables HDL to increase that together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108906 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108907 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 241126,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108908 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108909 - Had small amount peanut butter and margarine, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108910 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108911 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 A77N  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108912 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108913 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108914 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108915 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108916 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108917 - Feeling bloated this morning possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108918 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108919 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108920 - on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry stuff.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
108921 - not apply Lidocaine (small amount) to left foot #1 and #5 for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108922 - relief because only lasts an hour and causes side effects - e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108923 - rash, as occurred using Dyclofenac gel to left knee.  Instead applied                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108924 - bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
108925 - ref SDS 0 WYUV  This worked very good yesterday.  Not as good today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108926 - possibly because only took 1 Naproxen starting hike.  After taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108927 - Naproxen at mile 10, was able to hike 11 more miles with less pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108928 - Hiked Cuneo .25 mile.  Had to return to house for small bottle COQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108929 - left on kitchen counter.  Hiked Cuneo again and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108930 - Treat.  Starting hike feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108931 - did not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108932 - peripheral neuropathy.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108933 - of both feet PL 0 with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108934 - #5, which have been major sourse of hiking pain past weeks.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108935 - through nose entire hike with no dyspnea, indicating good condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108936 - that reflects increased hiking past few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108937 - at 69, and reached 74.  East wind 12 mph and mostly 05 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108938 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108939 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108940 - uphill, and light traffic.  Noticed Polar HR monitor showing HR in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108941 - 80s, then bounding up to 130s, then later doing same thing for much of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108942 - first 14 miles.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108943 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108944 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108945 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108946 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108947 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108948 - concrete sidewalk .5 miles.  Feeling not great hiking with energy, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108949 - PL 2 in feet - aligns with taking magnesium and CoQ10, and taking only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108950 - 1 Naproxen 250 mg before starting hike.  At mile 4, turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108951 - hiking West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108952 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108953 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108954 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108955 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108956 - store mile 6, time ____.  Hiking on Ygnacio Valley Road; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108957 - and hiked 0.50 miles East on Pine Hollow.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108958 - back 0.5 miles.  Turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108959 - grade hiked 1 mile with wind 04 mph.  The road bends North.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108960 - reaching Ygnacio Valley Road turned around and hiked uphill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108961 - 5% grade.  At mile 8, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108962 - University East Bay Concord Campus.  Hiked loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108963 - Student parking lots, and around main buildings.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108964 - Parking, stopped at Administration Building mile 10 time 1517 temp 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108965 - and wind 10 mph; EKG looks uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108966 - reported HR 124, Tachycardia - see below. ref SDS 0 XQTY  After the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108967 - hike, Polar HR monitor and GPS shown HR erratic and out of sync with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108968 - level of effort hiking hills, i.e., HR dropping when going uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108969 - Bloating PL 4.  Both feet PL 3, left foot #1 PL 2, #5 PL 2.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108970 - meniscus PL 1.  Took 1 Naproxen 250 MG - avoid getting wobbly like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108971 - yesterday.  Took another (2nd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108972 - swallowed whole after EGD Dilation to 19.5 mm on 250211 0830,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
108973 - ref SDS 73 433O, avoids capsule clogging LESV, as occurred last year                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
108974 - on 240824, see case study. ref SDS 36 YWSY  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
108975 - from home and for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108976 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108977 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108978 - for HDL and energy to complete hike.  Since temperature forecast below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
108979 - 80, reduced sweating that ejects electrolytes, then did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108980 - electrolyte pill, per above. ref SDS 0 WWVY  Exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
108981 - North downhill on Campus Drive.  Halfway down, left foot #1 PL 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108982 - Stopped and took 2nd Naproxen.  Continued downhill.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108983 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108984 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
108985 - wind 10 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108986 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108987 - Continued West .5 mile to summit.  At mile 12 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108988 - barrier, turned around.  Hiked back 0.5 mile to Cowell.  On the way,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108989 - noticed again Polar reporting HR in 82.  About mile 13 time 1617                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108990 - stopped and did EKG showing irregular HR with some artifact and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
108991 - reporting HR 121 Possible Atrial Fibrillation - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108992 - 557H  This stop was NPO, per above.  Good news is that while this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
108993 - condition continued for 2/3rds of hike, the last 1/3rd HR calmed down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108994 - and maintained normal sinus process.  This stop was EKG only and NPO,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108995 - per above. ref SDS 0 WWVY  Continued and turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
108996 - heading North .25 mile using asphalt shoulder downhill 5% grade, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
108997 - flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
108998 - oncoming traffic.  Turned left onto Treat hiking West .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
108999 - to Cuneo.  Turned right and hiked 6 miles through residential streets                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109000 - (e.g., Kaski, Hitchcock, Court Lane) then home.  Ended hike mile 21                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109001 - time 1842 temp 69, wind 09, bloating PL 3, both feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109002 - 4, burning sensation PL 3, left foot #1 PL 6, #5 PL 3.  Both ankles PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109003 - 0.  Left knee meniscus PL 1, EKG mostly uniform with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109004 - Kardia reported HR 127 Tachycardia - see below. ref SDS 0 XQVP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109017 -  ..
109018 - Kardia recorded HR 054 at 0854 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109019 - heart beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109020 - hiking 20 miles temp 77 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109021 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109022 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109025 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109026 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250406-ecg-085457_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109031 -  ..
109032 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109033 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109034 - TSYT  Notice initial 2/3rds of hike HR severely variable and out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109035 - sync with level of effort - speed and grade - last 1/3rd Polar shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109036 - HR maintained alignment with speed and grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109037 - ..
109038 -                                                                                                                                                                                                                                                                                                              x
109039 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109040 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109041 -       Date          250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 250118 250117 250116 25011  
109042 -       Miles            21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0     22     21      0  
109043 -       HR AVG          117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no    122    122     no  
109044 -         MAX           144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report report  138    152   repo  
109045 -         Min            42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                                 60     75         
109046 -       El Climb Ft     504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520    643                
109047 -       Temp Max         74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58     62                
109048 -       Wind Max         14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20      7                
109049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109051 -              https://flow.polar.com/training/analysis/8088506727                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109054 -               ..
109056 -   
109057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109062 -  ..
109063 - EKG at mile 10 time 1517 HR 124 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109064 - Tachycardia... heart rate mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109065 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109068 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109069 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250406-ecg-151706_mile_10_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109073 -  ..
109074 - EKG at mile 13 time 1617 HR 121 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109075 - Tachycardia... heart rate mostly variable with possible artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109076 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109079 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109080 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250406-ecg-161754_mile_13_121_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109084 -  ..
109085 - End hike EKG at mile 21, time 1842 HR 127 temp 69 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109086 - Taxycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109087 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109090 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109091 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250406-ecg-184200_mile_21_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109095 -  ..
109096 - Post hike HR profile beginning 2203, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109097 - hiking 21 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109098 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109099 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109100 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109103 -        ..
109104 -       Date      250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126  250125    
109105 -       Time       2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012            2122     
109106 -       Hours         9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no      11     
109107 -       HR AVG       78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report    66     
109108 -       HR MAX      117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             112     
109109 -       HR Min       48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45              45     
109110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109112 -              https://flow.polar.com/training/analysis/8088800251                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109114 -  ..
109115 - Looks very variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109117 -               ..
109119 -   
109120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109123 -  ..
109124 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109125 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109126 - Dinner - potato hot dog onion (ate half)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109128 -  ..
109129 - Vomiting: 0% - seems like bloating 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109157 -         ..
109158 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109159 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109160 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109161 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109162 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109163 -   97.  250407 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109164 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109165 -               0720....BP HR..................................................... 136  77  87  Kardia ECG reports HR status, see below. ref SDS 0 2B38                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109166 -               0725....BP HR..................................................... 139  76  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109167 -               0830....BP HR..................................................... 160  80  76  1 hour after taking Lisinopril 10 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109168 -               0939....BP HR..................................................... 159  81  72  2 hours after taking Lisinopril 10 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109169 -               1130....BP HR..................................................... 151  82  77  4 hours after taking Lisinopril 10 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109170 -               1240....BP HR..................................................... 148  80  69  5 hours after taking Lisinopril 10 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109171 -               1450....BP HR..................................................... 140  84  79  6 hours after taking Lisinopril 10 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109172 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109173 -               0730....80 446920 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109174 -               0730....10    10 Lisinopril Blood Pressure treatment - started 250407 - side effects in the record on 250324 2214. ref SDS 82 RW3M                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109175 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109176 -               0000....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109177 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109178 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109179 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109180 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109181 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109182 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109183 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109184 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109185 -               1700... 40 122020 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                                                                                                                                                                                                                                                                                  
109186 -             1 0000............ 10 21300  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109187 -             1 0000............ 10 21650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
109188 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109189 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109190 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109191 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109192 -               2200... 1000 2424000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109193 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109194 -               2330... 80 447000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109195 -               2340... 40 96720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109197 -  ..
109198 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109199 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109201 -  ..
109202 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109203 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109204 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109205 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109206 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109208 -  ..
109209 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109210 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109212 -  ..
109213 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109214 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109218 -  ..
109219 - Kardia recorded HR 076 at 0804 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109220 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109221 - after hiking 21 miles temp 74 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109222 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109223 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109226 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109227 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250407-ecg-080442_mile_00_076_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109229 -  ..
109230 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109232 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109233 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250407-ecg-080934_mile_00_065_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109236 -  ..
109237 - Post hike HR profile beginning 1930, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109238 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109239 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109240 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109241 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109244 -        ..
109245 -       Date      250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127  250126    
109246 -       Time       1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012             
109247 -       Hours        11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12      no     
109248 -       HR AVG       70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71    report   
109249 -       HR MAX      163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128             
109250 -       HR Min       42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45             
109251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109253 -              https://flow.polar.com/training/analysis/8089423752                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109255 -  ..
109256 - Looks very variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109258 -               ..
109260 -   
109261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109264 -  ..
109265 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109266 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109267 - Dinner - hamburger broccoli potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109269 -  ..
109270 - Vomiting: 0% - seems like bloating 4 - sneezing nose running began yesterday on 250406                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109298 -         ..
109299 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109300 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109301 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109302 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109303 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109304 -   98.  250408 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109305 -               0615....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109306 -               0620....BP HR..................................................... 134  81  69  Kardia ECG reports HR status, see below. ref SDS 0 YQPW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109307 -               0625....BP HR..................................................... 129  79  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109308 -               0630....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109309 -               0630....80 447160 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109310 -               0630....10    20 Lisinopril Blood Pressure treatment - started 250407 - side effects in the record on 250324 2214. ref SDS 82 RW3M                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109311 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109312 -               0000....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109313 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109314 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109315 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109316 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109317 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109318 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109319 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109320 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109321 -               1700... 40 122060 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                                                                                                                                                                                                                                                                                  
109322 -               1830............ 10 21310  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109323 -               1830............ 10 21650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
109324 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109325 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109326 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109327 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109328 -               2200... 1000 2425000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109329 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109330 -               2330... 80 447240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109331 -               2340... 40 96760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109333 -  ..
109334 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109335 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109337 -  ..
109338 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109339 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109340 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109341 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109342 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109344 -  ..
109345 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109346 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109348 -  ..
109349 - Reflux slept in bed after EGD dilation on 250408 1030. ref SDS 86 GG6G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109353 -  ..
109354 - Kardia recorded HR 078 at 0633 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109355 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109356 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109357 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109358 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109361 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109362 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250408-ecg-063356_mile_00_078_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109364 -  ..
109365 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109367 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109368 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250408-ecg-063748_mile_00_071_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109372 -  ..
109373 - Post hike HR profile beginning 2301, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109374 - hiking 00 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109375 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109376 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109377 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109380 -        ..
109381 -       Date      250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128  250127    
109382 -       Time       2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006    2012     
109383 -       Hours         8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12      12     
109384 -       HR AVG       68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68      71     
109385 -       HR MAX      114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     128     
109386 -       HR Min       42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41      45     
109387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109390 -              https://flow.polar.com/training/analysis/8090213277                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109395 -   
109396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109399 -  ..
109400 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109401 - Lunch - sandwich balogny cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109402 - Dinner - hamburger broccoli potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109404 -  ..
109405 - Vomiting: 0% - seems like bloating PL 4 - sneezing nose running began                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109406 - yesterday on 250406                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109434 -         ..
109435 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109436 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109437 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109438 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109439 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109440 -   99.  250409 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109441 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109442 -               0610....BP HR..................................................... 136  77  87  Kardia ECG reports HR status, see below. ref SDS 0 YQPW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109443 -               0615....BP HR..................................................... 129  79  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109444 -               0620....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109445 -               0620....80 447160 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109446 -               0620....10    20 Lisinopril Blood Pressure treatment - started 250407 - side effects in the record on 250324 2214. ref SDS 82 RW3M                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109447 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109448 -               1140....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109449 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109450 -               1130... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109451 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109452 -               1130....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109453 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109454 -               1130....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109455 -               1130... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
109456 -  ..
109457 -               1156....miles...........  16.0  16.0  253   253 minutes  temp  80 wind 08  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109458 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109459 -               1456....mile 12 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109460 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109461 -               0000....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109462 -               1456... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
109463 -               1456... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109464 -               1456... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109465 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109466 -               1623... Hike ends mile 16... ref SDS 0 YSQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109467 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109468 -               1635....weight.................................... 171  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109469 -               1640....BP HR..................................................... 118  69 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109470 -               1645....BP HR..................................................... 113  65  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109471 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109472 -               1700... 40 122060 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                                                                                                                                                                                                                                                                                  
109473 -             1 0000............ 10 21310  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109474 -             1 0000............ 10 21650  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
109475 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109476 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109477 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109478 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109479 -               2200... 1000 2425000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109480 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109481 -               2330... 80 447240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109482 -               2340... 40 96760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109484 -  ..
109485 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109486 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109488 -  ..
109489 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109490 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109491 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109492 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109493 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109495 -  ..
109496 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109497 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109499 -  ..
109500 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109501 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109504 -  ..
109505 - Today, hiked 21 miles - difficult hike with variable HR 2/3rs, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109506 - settled into normal sinus last 1/3 (7 miles) aligning with speed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109507 - changes in elevation (Hooray!!).  Variable HR and feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109508 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109509 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109510 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109511 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109512 - before starting hike, after resting feet over night.  Took 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109513 - (probably should have taken 2) and did not apply Lidocaine to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109514 - Instead, used bandaging, which was partially helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109515 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109516 - Had less energy starting hike and more pain than yesterday.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109517 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109518 - mile on Ygnacio Valley Road.  Hiked East 0.50 miles on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109519 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109520 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109521 - loop through parking lots.  At mile 10, did EKG.  Took 2 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109522 - Took another magnesium. to dissipate lactate acid, and prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109523 - inflammation to enable HDL to increase.  Took CoQ10 for energy.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109524 - college and hiked to summit Ygnacio Valley Road mile 12.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109525 - 13 noticed Polar monitor showed HR 82, should be 110+ - did EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109526 - showing HR 121, and Possible AF - tracing demonstrates severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109527 - variable.  Continued back to then back to Cowell then 6 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109528 - residential streets with some hills with grade 5% +, and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109529 - hike at mile 21.  Hike more pain to feet than yesterday.  Hike 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109530 - in row first time in nearly a year on 240524.  Weight 168, lowest in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109531 - year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109534 -         ..
109535 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109536 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109537 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
109538 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109539 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109540 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109541 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109542 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109543 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109544 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109545 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109546 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
109547 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109548 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
109549 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109550 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
109551 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109552 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109553 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109554 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109555 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
109556 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109557 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109558 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109559 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109560 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
109561 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109562 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109563 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109564 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109565 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109566 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109567 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109568 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
109569 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109570 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109571 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
109572 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
109573 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
109574 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
109575 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109576 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109577 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
109578 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
109579 -        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                                                                                                                                                                                                                                                                                                                           
109580 -        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                                                                                                                                                                                                                                                                                                                                                                                    
109581 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109582 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
109583 -        Callus big toe left foot...PRP 210705........   6         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
109584 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109585 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109586 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
109587 -        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                                                                                                                                                                                                                                                                                                                                           
109588 -        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                                                                                                                                                                                                                                                                                                                                           
109589 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109590 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
109591 -        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                                                                                                                                                                                                                                                                                                                                                                                        
109592 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
109593 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
109594 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109595 -        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                                                                                                                                                                                                                                                                                                                                                              
109596 -  new   Callus little toe #5 left foot...PRP 210705..   3         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
109597 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
109598 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109599 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109600 -        Callus bottom right foot below little toe....   1        100  Doctor Tang cut out core of callus again on 240829 - took 2 Tramadol and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
109601 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109602 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
109603 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
109604 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109605 -        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                                                                                                                                                                                                                                                                                                                                                                               
109606 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109607 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109608 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109609 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109610 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109611 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109612 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109613 -        Wobbly disoriented staggering dizzy..........   0         20  took 2 Tramadol mile 00, and 2 Tramadol mile 10, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
109614 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109615 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109619 -  ..
109620 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109621 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109622 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109623 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109624 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109625 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109627 -  ..
109628 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109629 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109630 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109632 -  ..
109633 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109635 -  ..
109636 - Callus Injuries - today on 250409 tried applying large round bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109637 - with center relief, like a donut.  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109638 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109639 - together is awkward - took 3 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109640 - pain relief.  Cut bandage at top to further provide pressure relief on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109641 - the callus.  Took only 1 Naproxen to start.  Result: not good - PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109642 - for 10 miles.  Took another Naproxen.  Half mile later took 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109643 - Naproxen.  This became effective 2 miles later and was helpful to mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109644 - 19, so had PL 6 for last 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109646 -  ..
109647 - For left foot #5 applied...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109649 -            Mepilex Border Flex Lite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109651 - ...received from Doctor Tang during meeting at VAMCSF earlier this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109652 - year.  Held this in place with tape.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109654 -  ..
109655 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109656 - Smartwool socks.  Change socks at mile 10.  Works better to avoid feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109657 - pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109659 -  ..
109660 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109661 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109662 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109663 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109664 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109667 -  ..
109668 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109669 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109670 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109671 - and also left hip.  Took 1 Naproscn 250 mg for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109672 - because out of Tramadol (ordered refill on 250403 0829. ref SDS 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109673 - 4N6O) and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109674 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109675 - 250310 0930. ref SDS 78 T49H  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109676 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109677 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109678 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109679 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109680 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109681 - and margarine, and Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109682 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109683 - per above. ref SDS 0 O34M  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109684 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109685 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109686 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109687 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109688 - and atrial fibrillation (arrhythmia.  Feeling bloated this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109689 - possibly arising from variable heart rate related to dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109690 - automatic nervous system - ANS) following 6th ablation on 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109691 - ref SDS 53 MC6F; see analysis by Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109692 - ref SDS 69 PQ5Y  Took backpack to carry stuff.  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109693 - Lidocaine (small amount) to left foot #1 and #5 for pain relief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109694 - because only lasts an hour and causes side effects - e.g., rash, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109695 - occurred using Dyclofenac gel to left knee.  Instead applied bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109696 - scheme to calluses left foot #1 and #5, per above. ref SDS 0 YPXV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109697 - This worked better than yesterday, and possibly because took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109698 - Naproxen starting hike.  Hiked Cuneo .25 mile, and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109699 - Treat.  Starting hike feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109700 - did not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109701 - peripheral neuropathy.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109702 - of both feet PL 0 with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109703 - #5, which have been major source of hiking pain past weeks.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109704 - through nose entire hike with no dyspnea, indicating good condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109705 - that reflects increased hiking past few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109706 - at 72, and reached 80.  East wind 08 mph and mostly 03 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109707 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109708 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109709 - uphill, and light traffic.  Noticed Polar HR monitor was steady rising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109710 - and falling based on changes in elevation of route and speed.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109711 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109712 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109713 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109714 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109715 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109716 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109717 - Feeling okay hiking with temp nearing 80 that saps energy, and PL 1 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109718 - feet - aligns with taking magnesium and CoQ10, and taking 2 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109719 - 250 mg before starting hike.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109720 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109721 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109722 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109723 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109724 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109725 - time ____.  Hiking on Ygnacio Valley Road; turned left and hiked 0.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109726 - miles East on Pine Hollow.  Turned around and hiked back 0.5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109727 - Turned left onto Campus Drive heading West uphill 3% grade hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109728 - mile with wind 01 mph.  The road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109729 - Valley Road turned decided not to hike up the college and do laps in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109730 - parking lots as usual, because short of time.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109731 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 08,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109732 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109733 - wind 08 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109734 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109735 - Continued West .5 mile to summit.  At mile 10 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109736 - barrier, hiked West 2 miles downhill 3% grade; crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109737 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109738 - Stopped at Mod Pizza mile 12, time 1456, temp 79 and wind 06 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109739 - mostly uniform with significant artifact, Kardia reported HR 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109740 - Tachycardia - see below. ref SDS 0 YRYU  Noticing fatigue and getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109741 - wobbly likely due to heat.  Bloated PL 2 - this issue feels better.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109742 - Both feet PL 2, burning sensation PL 1, left foot #1 PL 3, #5 PL 1 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109743 - this issue much better.  Did not take another Naproxen for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109744 - 2nd Magnesium to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109745 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109746 - increases energy for hiking.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109747 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109748 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109749 - and avocado for HDL, with temp near 80 took Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109750 - took Ubiquinol CoQ10 0.6 ml for HDL and energy to continue hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109751 - above. ref SDS 0 XXYY  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109752 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109753 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109754 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109755 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109756 - San Miguel continued .75 miles on Treat uphill 5% grade temp 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109757 - Handled this well.  At summit, mile 15, hiked another mile to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109758 - then home.  Ended hike mile 16 time 1623 temp 80, wind 07.  Bloated PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109759 - 2, feet PL 2, burning sensation PL 2, left foot #1 PL 5, #5 PL 1, EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109760 - looks uniform, with minor artifact, Kardia reported HR 122 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109761 - - see below. ref SDS 0 YSQW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109775 -  ..
109776 - Kardia recorded HR 074 at 0642 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109777 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109778 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109779 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109780 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109783 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109784 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250409-ecg-064202_mile_00_074_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109789 -  ..
109790 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109791 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109792 - TSYT  Notice initial 2/3rds of hike HR severely variable and out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109793 - sync with level of effort - speed and grade - last 1/3rd Polar shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109794 - HR maintained alignment with speed and grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109795 - ..
109796 -                                                                                                                                                                                                                                                                                                              x
109797 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109798 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109799 -       Date          250409 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 250119 25011  
109800 -       Miles            16      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0      0  
109801 -       HR AVG          123     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no     no  
109802 -         MAX           146   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report report repo  
109803 -         Min            59                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                              
109804 -       El Climb Ft     638                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                                520  
109805 -       Temp Max         80                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                                 58  
109806 -       Wind Max         08                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                                 20  
109807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109809 -              https://flow.polar.com/training/analysis2/8090475023                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109812 -               ..
109814 -   
109815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109818 -  ..
109819 - EKG at mile 12 time 1456 HR 121 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109820 - Tachycardia... heart rate mostly uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109821 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109824 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109825 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250409-ecg-145657_mile_12_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109829 -  ..
109830 - End hike EKG at mile 16, time 162337, 122 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
109831 - Taxycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109832 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109835 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109836 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250409-ecg-162337_mile_16_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109840 -  ..
109841 - Post hike HR profile beginning 2158, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109842 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109843 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109844 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109845 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109848 -        ..
109849 -       Date      250409  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128    
109850 -       Time       2158    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006     
109851 -       Hours         3       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12     
109852 -       HR AVG       72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68     
109853 -       HR MAX      110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     
109854 -       HR Min       47      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41     
109855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109858 -              https://flow.polar.com/training/analysis/8090625216                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109863 -   
109864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109867 -  ..
109868 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109869 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109870 - Dinner - hamburger broccoli potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
109872 -  ..
109873 - Vomiting: 0% - seems like bloating 2 - less sneezing nose running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109900 -         ..
109901 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109902 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109903 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109904 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109905 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109906 -  100.  250410 0135............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109907 -               0135....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109908 -               0140....BP HR..................................................... 147  83  64  Kardia ECG reports HR status, see below. ref SDS 0 YSSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109909 -               0145....BP HR..................................................... 154  88  65                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109910 -               0150....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109911 -               0150....80 447320 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109912 -               0150....10    30 Lisinopril Blood Pressure treatment - started 250407 - side effects in the record on 250324 2214. ref SDS 82 RW3M                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109913 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109914 -               0400....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109915 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109916 -               0400... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109917 -               0400....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109918 -               0400....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109919 -               0150....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109920 -               0400....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109921 -               0400... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
109922 -  ..
109923 -               0411....miles...........  17.0  33.0  312   565 minutes  temp  54 wind 15  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109924 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109925 -               0604....mile 07 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109926 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109927 -               0000....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109928 -               0604... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
109929 -               0604... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109930 -               0604... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
109931 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109932 -               0815... Hike ends mile 17... ref SDS 0 YSXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
109933 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109934 -               1300....weight.................................... 172  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109935 -               1330....BP HR..................................................... 114  74 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109936 -               1340....BP HR..................................................... 116  72  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
109937 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109938 -               1700... 40 122100 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                                                                                                                                                                                                                                                                                  
109939 -               1830............ 10 21320  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
109940 -               1830............ 10 21660  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
109941 -               2130....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109942 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109943 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109944 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
109945 -               2200... 1000 2426000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109946 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109947 -               2330... 80 447400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109948 -               2340... 40 96800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109950 -  ..
109951 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109952 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
109954 -  ..
109955 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109956 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109957 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109958 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109959 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109961 -  ..
109962 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109963 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109965 -  ..
109966 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109967 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109970 -  ..
109971 - Today, hiked 17 miles in San Francisco Golden Gate Park - did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109972 - Tramadol (out of supply on order) and did not take Naproxen for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109973 - calluses and metatarsalgia feet pain.  Took Magnesium and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109974 - nutrition with CoQ10 -- begin from VA Medical Center on Clement at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109975 - 42nd street, hike to Point Lobos, then West 1 mile to Cliff House.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109976 - Continued hike South 1 mile on Great Highway.  Turn East onto JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109977 - through Golden Gate Park past Buffalo compound, and Sprekles Lake.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109978 - Past De Young museum, then the Conservatory.  Turned left onto Stanyon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
109979 - heading North, crossed Fulton.  Turned onto Paramount, and stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109980 - the end for EKG.  Then hiked back same route to VA hospital.  Forgot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109981 - to EKG and nutrition.  Samsung GPS reported 14 miles.  After meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109982 - with Podiatry at VA, drove home to Concord.  Stopped at Costco for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109983 - groceries - hiked another 3 miles for total today of 17 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
109984 - Stomach bloaded starting hike - seemed less so at the end back at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
109985 - VA mile 14.  Needed no pain meds.  Took magnesium and CoQ10.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
109986 - back to hospital.  Did hike uphill for 2 miles from Great Highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109987 - along Ocean Beach to Cliff House then on Point Lobos to 42nd and the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109988 - hospital, all without breathing through mouth indicating improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109989 - conditioning, and effect taking magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
109990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
109993 -         ..
109994 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
109995 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
109996 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
109997 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
109998 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
109999 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110000 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110001 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110002 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110003 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110004 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110005 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
110006 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110007 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
110008 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110009 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
110010 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110011 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110012 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110013 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110014 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
110015 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110016 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110017 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110018 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110019 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
110020 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110021 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110022 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110023 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110024 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110025 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110026 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110027 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
110028 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110029 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110030 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
110031 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
110032 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
110033 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
110034 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110035 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110036 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
110037 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
110038 -        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                                                                                                                                                                                                                                                                                                                           
110039 -        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                                                                                                                                                                                                                                                                                                                                                                                    
110040 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110041 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
110042 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
110043 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110044 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110045 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
110046 -        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                                                                                                                                                                                                                                                                                                                                           
110047 -        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                                                                                                                                                                                                                                                                                                                                           
110048 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110049 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
110050 -        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                                                                                                                                                                                                                                                                                                                                                                                        
110051 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
110052 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
110053 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110054 -        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                                                                                                                                                                                                                                                                                                                                                              
110055 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
110056 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
110057 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110058 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110059 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
110060 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110061 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
110062 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
110063 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110064 -        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                                                                                                                                                                                                                                                                                                                                                                               
110065 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110066 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110067 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110068 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110069 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110070 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110071 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110072 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol mile 00, and 0 Tramadol mile 10, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
110073 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110074 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110078 -  ..
110079 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110080 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110081 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110082 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110083 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110084 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110086 -  ..
110087 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110088 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110089 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110091 -  ..
110092 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110094 -  ..
110095 - Callus Injuries - today on 250410 tried applying large round bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110096 - with center relief, like a donut.  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110097 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110098 - together is awkward - took 2 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110099 - pain relief.  Cut bandage at top to further provide pressure relief on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110100 - the callus.  Took only 0 Naproxen to start.  Result: not good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110101 - for 07 miles.  Took no more Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110103 -  ..
110104 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110105 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110106 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110108 -  ..
110109 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110110 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110111 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110112 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110113 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110116 -  ..
110117 - San Francisco 17 mile route, reported on 170519, ref SDS 8 WTRS - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110118 - Glucosamine Chondroitin for OA protection, mainly left knee treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110119 - with PRP intra articular injection 13 times, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110120 - 0701, ref SDS 18 TTPV, and also left hip.  At the hospital, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110121 - starting the hike, took 2 Naproxen because out of Tramadol due for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110122 - delivery on 250412, and for pain management, mostly metatarsalgia in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110123 - and other feet injuries, per above. ref SDS 0 YPYP  Have stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110124 - applying Lidocaine cream to bottom of both forefeet, and left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110125 - and #5, because started getting rash on feet side effects, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110126 - using Dyclofenac gel on knees, previously.  Took Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110127 - mg pill for energy; and to absorb lactic acid for pain management, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110128 - resolve inflammation to enable HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110129 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110130 - ref SDS 18 QP6L - was able to swallow pill whole after EGD dilated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110131 - LESV on 250408 1030, ref SDS 86 433O; this avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110132 - LESV, as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110133 - butter and margarine, and Mayonnaise, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110134 - and energy, and had some avocado for HDL, ...and took 5 ml liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110135 - Ubiquinol CoQ10 - all per above. ref SDS 0 YW4N  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110136 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110137 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110138 - 136K  No breakfast reduces bloating feeling, but still bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110139 - starting hike today, from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110140 - and other drugs, also symptomatic of diabetes, and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110141 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110142 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110143 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110144 - stuff.  Temperature mild 53 and wind 15 mph.  Departed VAMCSF campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110145 - in dark at 0411.  Hiked slowly downhill on 42nd Street to warm up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110146 - Turned corner heading downhill West on Point Lobos to Cliff House at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110147 - mile 1.  Road bends and changes to "Great Highway" going South along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110148 - ocean beach.  Pace picked up as CoQ10 and magnesium was digested and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110149 - increased strength.  At mile 2 turned onto John F Kennedy (JFK) Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110150 - entering Golden Gate Park.  Maintained pace going slightly uphill into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110151 - the park for .5 miles.  Did not encounter early morning jogger going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110152 - West - normally this pass occurs nearer to the Highway 1 bridge, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110153 - today, did not cross paths.  Turned corner and continued East on JFK.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110154 - Dark and with few widely spaced street lights, cannot see the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110155 - Passed Buffalo compound, then Spreckles Lake.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110156 - Meadow.  Encountered a few bikers passing Helman Hollow.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110157 - pain level 1.  Hiked under bridge at Crossover Drive (part of highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110158 - 1 that goes to Golden Gate Bridge). - JFK is blocked to vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110159 - traffic the rest of the way through the park to Stanyon, limiting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110160 - attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110161 - coronavirus.  Now that the epidemic has been declared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110162 - continues to deny access to drivers on JFK.  At mile 5, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110163 - Young Museum.  Encountering more hikers and bikers heading in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110164 - directions.  Past Conservatory near Nancy Pelosi Way.  Turned onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110165 - Stanyon and hiked uphill North.  Crossed Fulton at street light; no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110166 - traffic, so was not affected by the lights.  Continued downhill a few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110167 - blocks.  Turned left onto Paramount.  Hiked to the end and stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110168 - mile 7, time 0604, temp 52, wind 08; EKG mostly uniform with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110169 - Kardia reported HR 099 Normal Sinus Rhythm - see below. ref SDS 0 YSWT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110170 - Bloating PL 2.  Both feet PL 1, burning sensation PL 0, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110171 - left foot #1 PL 2 and #5 PL 1, left knee PL 2, and left hamstring PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110172 - 0.  Took 0 Tramadol.  Took Magnesium.  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110173 - home for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110174 - margarine, Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110175 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110176 - electrolyte pill.  Took 5 ml Ubiquinol liquid CoQ10, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110177 - ref SDS 0 YPPP  Hiked back on Stanyon heading South uphill.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110178 - Fulton at stop light.  Morning commute traffic is now heavy.  Went                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110179 - downhill on Stanyon and turned right on JFK, heading West toward the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110180 - Ocean.  Stayed on South side against traffic (no actual vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110181 - traffic in park).  Increased pace with endorphins rising.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110182 - Conservatory again, and DeYoung Museum.  Waterfall not running this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110183 - morning at 0710, before hiking under Crossover Road bridge at highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110184 - 1.  Hiked past Hellman Hollow then Lindley Meadow, where 10 years ago,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110185 - a truck backed up because missed a turn, and struck Kathy's car; this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110186 - got her a new car, reported on 150729 0942. ref SDS 6 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110187 - hiking past Spreckles Lake, then saw 0 Buffalo grazing in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110188 - compound.  Crossed to North side of JFK going with traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110189 - corner and headed toward the ocean.  Turned North onto Great Highway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110190 - Hiked parallel to ocean toward the Cliff House and hospital.  Halfway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110191 - to Cliff House had liquid CoQ10 for energy.  Slowed pace hiking up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110192 - steep hill - 5% - 6% grade - did not stop, and maintained breathing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110193 - without dyspnea today, i.e., did not breath through mouth last mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110194 - uphill to the hospital, similar to hike on 240829, ref SDS 36 QTSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110195 - Indicates condition has improved after increasing hiking to recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110196 - from cardiac ablation on 240611 - see Polar GPS/HR report on daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110197 - hiking in the record on ref SDS 36 UVYY  At the Cliff House, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110198 - onto Point Lobos Avenue going East; hiked uphill for 1 mile.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110199 - strong and plenty of energy - had to slow pace by 40%, but continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110200 - hiking without stopping to rest.  Turned onto 42nd street and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110201 - maintained pace going up final hill to the VA campus.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110202 - 14, forgot to do EKG - approximate time 0815, temp 56 wind 02, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110203 - 3, left foot #1 callus PL 3, #5 callus PL 2, right foot bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110204 - forefoot below #4 Pl 0, left hamstring PL 0, left knee PL 2, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110205 - right shoulder PL 0 (only when turning head or lifting right arm),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110206 - left shoulder PL 0 - getting better.  EKG looks - none performed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110207 - After returning to Concord went to Costco and hiked another 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110208 - from the parking lot and shopping in aisles of the store.  Total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110209 - mileage today - 17.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110220 -  ..
110221 - Kardia recorded HR 060 at 0236 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110222 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110223 - hiking 15 miles temp 80 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110224 - 200612 0700, ref SDS 22 LY3G, and medical history case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110225 - 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110228 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110229 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250410-ecg-023621_mile_00_060_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110234 -  ..
110235 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110236 - used*** hike 16 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110237 - ref SDS 18 TSYT  Notice initial 2/3rds of hike HR severely variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110238 - and out of sync with level of effort - speed and grade - last 1/3rd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110239 - Polar shows HR maintained alignment with speed and grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110240 - ..
110241 -                                                                                                                                                                                                                                                                                                              x
110242 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110243 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110244 -       Date          250410 250409 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 250120 25011  
110245 -       Miles            17     16      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0      0  
110246 -       HR AVG          113    123     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no     no  
110247 -         MAX           140    146   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report report repo  
110248 -         Min            52     59                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                       
110249 -       El Climb Ft     339    638                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                              
110250 -       Temp Max         54     80                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                              
110251 -       Wind Max         15     08                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                              
110252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110254 -              https://flow.polar.com/training/analysis/8091071978                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110257 -               ..
110259 -   
110260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110263 -  ..
110264 - EKG at mile 07 time 0604 HR 099 temp 52, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110265 - Rhythm... heart rate mostly uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110266 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110269 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110270 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250410-ecg-060418_mile_07_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110274 -  ..
110275 - End hike EKG at mile 14, estimate time 0815 back at VA; hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110276 - 3 miles shopping at Costco - did not do Kardiamobile EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110280 -  ..
110281 - Post hike HR profile beginning 2158, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110282 - hiking 16 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110283 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110284 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110285 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110288 -        ..
110289 -       Date      250409  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128    
110290 -       Time       2158    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006     
110291 -       Hours         3       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12     
110292 -       HR AVG       72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68     
110293 -       HR MAX      110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     
110294 -       HR Min       47      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41     
110295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110298 -              https://flow.polar.com/training/analysis/8090625216                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110303 -   
110304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110307 -  ..
110308 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110309 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110310 - Dinner - hamburger broccoli potato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110312 -  ..
110313 - Vomiting: 0% - seems like bloating 2 - less sneezing nose running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110341 -         ..
110342 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110343 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110344 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110345 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110346 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110347 -  101.  250411 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110348 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110349 -               0650....BP HR..................................................... 143  74  53  Kardia ECG reports HR status, see below. ref SDS 0 YSSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110350 -               0700....BP HR..................................................... 147  72  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110351 -               0710....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110352 -               0715....80 447480 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110353 -               0715....10    30 Lisinopril Blood Pressure treatment - started 250407 - side effects in the record on 250324 2214. ref SDS 82 RW3M                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110354 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110355 -               1200....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 1 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110356 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110357 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110358 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110359 -               1200....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110360 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110361 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110362 -               1200... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
110363 -  ..
110364 -           *   1231....miles...........  26.0  59.0  451  1016 minutes  temp  78 wind 16  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110365 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110366 -               1526....mile 10 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110367 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110368 -               1526....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110369 -               1526... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
110370 -               1526... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110371 -               1526... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110372 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110373 -               1734....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110374 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110375 -               1734....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110376 -               1734... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
110377 -               1734... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110378 -               1734... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110379 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110380 -               2015... Hike ends mile 26... ref SDS 0 YSXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110381 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110382 -               1300....weight.................................... 171  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110383 -               0000....BP HR.....................................................  91  62 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110384 -               0000....BP HR.....................................................  97  70  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110385 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110386 -               2100... 40 122140 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                                                                                                                                                                                                                                                                                  
110387 -             1 0000............ 10 21320  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110388 -             1 0000............ 10 21660  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
110389 -               2230....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110390 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110391 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110392 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110393 -               2250... 1000 2427000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110394 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110395 -               2330... 80 447560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110396 -               2340... 40 96800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110398 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110399 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110400 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110401 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110402 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110403 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110404 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110405 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110408 -  ..
110409 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110410 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110412 -  ..
110413 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110414 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110415 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110416 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110417 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110419 -  ..
110420 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110421 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110423 -  ..
110424 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110425 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110428 -  ..
110429 - Today, hiked 26 miles - difficult hike with variable HR 2/3rs, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110430 - settled into normal sinus last 1/3 (7 miles) aligning with speed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110431 - changes in elevation (Hooray!!).  Variable HR and feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110432 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110433 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110434 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110435 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110436 - before starting hike, after resting feet over night.  Took 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110437 - (probably should have taken 2) and did not apply Lidocaine to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110438 - Instead, used bandaging, which was partially helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110439 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110440 - Had less energy starting hike and more pain than yesterday.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110441 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110442 - mile on Ygnacio Valley Road.  Hiked East 0.50 miles on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110443 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110444 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110445 - loop through parking lots.  At mile 10, did EKG.  Took 2 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110446 - Took another magnesium. to dissipate lactate acid, and prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110447 - inflammation to enable HDL to increase.  Took CoQ10 for energy.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110448 - college and hiked to summit Ygnacio Valley Road mile 12.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110449 - 13 noticed Polar monitor showed HR 82, should be 110+ - did EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110450 - showing HR 121, and Possible AF - tracing demonstrates severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110451 - variable.  Continued back to then back to Cowell then 6 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110452 - residential streets with some hills with grade 5% +, and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110453 - hike at mile 21.  Hike more pain to feet than yesterday.  Hike 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110454 - in row first time in nearly a year on 240524.  Weight 168, lowest in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110455 - year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110459 -         ..
110460 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110461 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110462 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
110463 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
110464 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110465 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110466 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110467 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110468 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110469 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110470 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110471 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
110472 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110473 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
110474 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110475 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
110476 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110477 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110478 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110479 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110480 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
110481 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110482 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110483 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110484 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110485 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
110486 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110487 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110488 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110489 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110490 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110491 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110492 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110493 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
110494 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110495 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110496 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
110497 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
110498 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
110499 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
110500 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110501 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110502 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
110503 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
110504 -        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                                                                                                                                                                                                                                                                                                                           
110505 -        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                                                                                                                                                                                                                                                                                                                                                                                    
110506 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110507 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
110508 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
110509 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110510 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110511 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
110512 -        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                                                                                                                                                                                                                                                                                                                                           
110513 -        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                                                                                                                                                                                                                                                                                                                                           
110514 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110515 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
110516 -        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                                                                                                                                                                                                                                                                                                                                                                                        
110517 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
110518 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
110519 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110520 -        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                                                                                                                                                                                                                                                                                                                                                              
110521 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
110522 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
110523 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110524 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110525 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
110526 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110527 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
110528 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
110529 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110530 -        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                                                                                                                                                                                                                                                                                                                                                                               
110531 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110532 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110533 -        Veering left.................................   0        100  despite rising wobbly after about mile 13 there was no veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110534 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110535 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110536 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110537 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110538 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol mile 00, and 0 Tramadol mile 10, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
110539 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110540 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110544 -  ..
110545 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110546 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110547 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110548 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110549 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110550 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110552 -  ..
110553 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110554 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110555 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110557 -  ..
110558 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110560 -  ..
110561 - Callus Injuries - today on 250411 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110562 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110563 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110564 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110565 - together is awkward - took 2 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110566 - pain relief.  Took 2 Naproxen to start.  Result: good - PL 2 for 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110567 - miles.  Took 2 more Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110569 -  ..
110570 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110571 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110572 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110574 -  ..
110575 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110576 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110577 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110578 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110579 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110582 -  ..
110583 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110584 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110585 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110586 - and also left hip.  Took 2 Naproxen 250 mg for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110587 - because out of Tramadol (ordered refill on 250403 0829. ref SDS 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110588 - 4N6O) and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110589 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110590 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110591 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110592 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110593 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110594 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110595 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110596 - and margarine, and Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110597 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110598 - per above. ref SDS 0 SF4M  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110599 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110600 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110601 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110602 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110603 - and atrial fibrillation (arrhythmia.  Feeling bloated today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110604 - arising from variable heart rate related to dysfunctional automatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110605 - nervous system - ANS) following 6th ablation on 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110606 - ref SDS 53 MC6F; see analysis by Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110607 - ref SDS 69 PQ5Y  Took backpack to carry stuff.  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110608 - Lidocaine (small amount) to left foot #1 and #5 for pain relief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110609 - because only lasts an hour and causes side effects - e.g., rash, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110610 - occurred using Dyclofenac gel to left knee.  Instead applied bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110611 - scheme to calluses left foot #1 and #5, per above. ref SDS 0 YVQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110612 - This worked better than yesterday, and possibly because took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110613 - Naproxen starting hike.  Hiked Cuneo .25 mile, and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110614 - Treat.  Starting hike feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110615 - did not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110616 - peripheral neuropathy.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110617 - of both feet PL 0 with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110618 - #5, which have been major source of hiking pain past weeks.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110619 - through nose entire hike with no dyspnea, indicating good condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110620 - that reflects increased hiking past few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110621 - at 63, and reached 78.  East wind 16 mph and mostly 06 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110622 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110623 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110624 - uphill, and light traffic.  Did not hike across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110625 - and back today.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110626 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110627 - on asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110628 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110629 - complex.  Crossed Alberto Way at traffic light.  Continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110630 - sidewalk .5 miles.  Feeling okay hiking with temp nearing 80 that saps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110631 - energy, and PL 1 in feet - aligns with taking magnesium and CoQ10, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110632 - taking 2 Naproxen 250 mg before starting hike.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110633 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110634 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110635 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110636 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110637 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110638 - Station store mile 6, time ____.  Hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110639 - turned left and hiked 0.50 miles East on Pine Hollow.  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110640 - and hiked back 0.5 miles.  Turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110641 - uphill 3% grade hiked 1 mile with wind 06 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110642 - On reaching Ygnacio Valley Road turned around and hiked uphill .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110643 - mile 5% grade.  At mile 8, reached Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110644 - University East Bay Concord Campus.  Hiked loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110645 - Student parking lots, and around main buildings.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110646 - Parking, stopped at Administration Building mile 10 time 1526 temp 78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110647 - and wind 13 mph; EKG looks variable with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110648 - HR 113, Tachycardia - see below. ref SDS 0 YWYP  Bloating PL 4.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110649 - feet PL 4, left foot #1 PL 3, #5 PL 3.  Left knee meniscus PL 2.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110650 - 2 Naproxen 250 MG.  Took (2nd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110651 - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110652 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110653 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110654 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110655 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110656 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110657 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110658 - near 80 causes sweating that ejects electrolytes, then took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110659 - electrolyte pill, per above. ref SDS 0 YTSY  Did another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110660 - main buildings.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110661 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110662 - grade .5 miles.  At mile 11, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110663 - 3% grade .5 miles against wind 10 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110664 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110665 - avoid severe camber.  Continued West .5 mile to summit.  At mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110666 - end of concrete traffic barrier, hiked West 2 miles downhill 3% grade;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110667 - crossed back to North side Ygnacio Valley Road.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110668 - traffic light.  Hiked 2 1-mile loops around the block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110669 - shopping complex.  Stopped at Mod Pizza mile 17, time 1734, temp 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110670 - and wind 16 mph; EKG mostly uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110671 - reported HR 114 Tachycardia - see below. ref SDS 0 7V6G  Bloated PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110672 - Both feet PL 2, burning sensation PL 3, left foot #1 PL 3, #5 PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110673 - Took another Naproxen for pain.  Took 3nd Magnesium to control pain by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110674 - absorbing lactic acid in muscles, resolves inflammation which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110675 - enables HDL to rise in the liver, increases energy for hiking.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110676 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110677 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110678 - water/Coca Cola/orange juice) for energy, and avocado for HDL, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110679 - Ubiquinol CoQ10 0.6 ml for HDL and energy to continue hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110680 - ref SDS 0 YTSY  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110681 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110682 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110683 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110684 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110685 - San Miguel continued .75 miles on Treat uphill 5% grade temp 70.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110686 - Handled this well.  At summit, mile 20, hiked another mile to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110687 - then home.  Construction crew locked house again.  As occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110688 - 250216, called Leo. ref SDS 0 QXWW  He appologized and said he would                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110689 - bring the key from Fremont - about an hour.  Continued hiking 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110690 - in residential streets.  Encountered neighbor Zula.  We hiked together                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110691 - another 3 miles.  On returning to house, waited about 5 minutes using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110692 - chairs in front of Lynn's place next door.  Thanked Zula for helping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110693 - me wait for Leo.  Ended hike mile 26 time 2029 temp 60, wind 16.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110694 - Bloated PL 2, feet PL 2, burning sensation PL 2, left foot #1 PL 3, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110695 - PL 1, EKG looks uniform, with minor artifact, Kardia reported HR 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110696 - Tachycardia - see below. ref SDS 0 YXPQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110708 -  ..
110709 - Kardia recorded HR 052 at 0828 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110710 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110711 - AFL after hiking 17 miles temp 54 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110712 - colitis on 200612 0700, ref SDS 22 LY3G, and medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110713 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110716 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110717 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250411-ecg-082814_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110722 -  ..
110723 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110724 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110725 - TSYT  Notice initial 2/3rds of hike HR severely variable and out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110726 - sync with level of effort - speed and grade - last 1/3rd Polar shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110727 - HR maintained alignment with speed and grade...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110728 - ..
110729 -                                                                                                                                                                                                                                                                                                              x
110730 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110731 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110732 -       Date          250411 250410 250409 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 250121 25012  
110733 -       Miles            26     17     16      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0      0  
110734 -       HR AVG          118    113    123     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no     no  
110735 -         MAX           137    140    146   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   report repo  
110736 -         Min            72     52     59                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49                
110737 -       El Climb Ft     472    339    638                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                       
110738 -       Temp Max         78     54     80                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                       
110739 -       Wind Max         16     15     08                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                       
110740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110742 -              https://flow.polar.com/training/analysis/8091717120                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110745 -               ..
110747 -   
110748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110751 -  ..
110752 - EKG at mile 10 time 1526 HR 113 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110753 - Tachycardia... heart rate mostly variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110754 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110757 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110758 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250411-ecg-152629_mile_10_113_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110762 -  ..
110763 - EKG at mile 17 time 1734 HR 114 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110764 - Tachycardia... heart rate mostly variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110765 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110768 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110769 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250411-ecg-173414_mile_17_114_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110773 -  ..
110774 - End hike EKG at mile 26, time 2029 HR 105 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110775 - Taxycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110776 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110779 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110780 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250411-ecg-202955_mile_26_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110784 -  ..
110785 - Post hike HR profile beginning 2330, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110786 - hiking 26 miles and no continuous extended period steady elevated HR >                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110787 - 130, indicates no AFL, and no atril fibrillation, and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110788 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110789 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110792 -        ..
110793 -       Date      250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129  250128    
110794 -       Time       2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356    2006     
110795 -       Hours         7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6      12     
110796 -       HR AVG       72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64      68     
110797 -       HR MAX      110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     130     
110798 -       HR Min       49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34      41     
110799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110802 -              https://flow.polar.com/training/analysis/8092029654                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110807 -   
110808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110811 -  ..
110812 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110813 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110814 - Dinner - eggs hamburger broccoli onion mushroom (Joe's Special from Original Joe's in SF) ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110816 -  ..
110817 - Vomiting: 0% - seems like bloating 3 - less sneezing nose running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110843 -         ..
110844 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110845 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110846 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110847 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110848 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110849 -  102.  250412 0645............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110850 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110851 -               0650....BP HR..................................................... 146  80  53  Kardia ECG reports HR status, see below. ref SDS 0 PRXW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110852 -               0700....BP HR..................................................... 146  84  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110853 -               0710....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110854 -               0715....80 447640 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110855 -               0715....10    30 Lisinopril Blood Pressure treatment - started 250407 - side effects in the record on 250324 2214. ref SDS 82 RW3M                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110856 -               0000....Tramadol 50 mg took 2 pill - left foot #1 and #5 PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110857 -               1240....Naproxen 250 mg took 1 pill - left foot #1 and #5 PL 0 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110858 -               0000... Lidocaine gel applied left foot #1 and #5 - on 250405 trying bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110859 -               1240... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110860 -               1240....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110861 -               1240....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110862 -               1240....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110863 -               1240....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110864 -               1240... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
110865 -  ..
110866 -           *   1314....miles...........  20.0  79.0  339  1355 minutes  temp  78 wind 16  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110867 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110868 -               1622....mile 12 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110869 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110870 -               1622....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110871 -               1622... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
110872 -               1622... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110873 -               1622... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110874 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110875 -               1805....mile 17 stopped EKG - NPO no food some softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110876 -               1805....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110877 -               0000....Naproxen 250 mg took 2 pills - left foot #1 and #5 PL 4 - out of Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110878 -               1805... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
110879 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110880 -               1805... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
110881 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110882 -               1908... Hike ends mile 20... ref SDS 0 YSXU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110883 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110884 -               1300....weight.................................... 170  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110885 -               1940....BP HR..................................................... 144  88 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110886 -               1950....BP HR..................................................... 125  82  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110887 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110888 -               2000... 40 122180 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                                                                                                                                                                                                                                                                                  
110889 -               2040............ 10 21330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
110890 -               2040............ 10 21670  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
110891 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110892 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110893 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110894 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110895 -               2250... 1000 2428000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110896 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110897 -               2330... 80 447720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110898 -               2340... 40 96880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110900 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110901 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110902 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110903 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110904 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110905 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110906 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110907 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110910 -  ..
110911 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110912 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110914 -  ..
110915 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110916 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110917 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110918 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110919 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110921 -  ..
110922 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110923 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110925 -  ..
110926 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110927 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110930 -  ..
110931 - Today, hiked 26 miles - difficult hike with variable HR 2/3rs, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110932 - settled into normal sinus last 1/3 (7 miles) aligning with speed and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110933 - changes in elevation (Hooray!!).  Variable HR and feeling bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110934 - possibly related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110935 - autonomic nervous system (ANS), testing with Zia Holter HR completed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110936 - on 250320 after beginning on 250306 - see meeting with Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110937 - Pellegrini in Cardiology on 250306 0900. ref SDS 77 S55I  Feet PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110938 - before starting hike, after resting feet over night.  Took 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110939 - (probably should have taken 2) and did not apply Lidocaine to feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110940 - Instead, used bandaging, which was partially helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110941 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110942 - Had less energy starting hike and more pain than yesterday.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110943 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110944 - mile on Ygnacio Valley Road.  Hiked East 0.50 miles on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110945 - Hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110946 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110947 - loop through parking lots.  At mile 10, did EKG.  Took 2 Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110948 - Took another magnesium. to dissipate lactate acid, and prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110949 - inflammation to enable HDL to increase.  Took CoQ10 for energy.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110950 - college and hiked to summit Ygnacio Valley Road mile 12.  About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110951 - 13 noticed Polar monitor showed HR 82, should be 110+ - did EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110952 - showing HR 121, and Possible AF - tracing demonstrates severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110953 - variable.  Continued back to then back to Cowell then 6 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110954 - residential streets with some hills with grade 5% +, and home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110955 - hike at mile 21.  Hike more pain to feet than yesterday.  Hike 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110956 - in row first time in nearly a year on 240524.  Weight 168, lowest in a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110957 - year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110961 -         ..
110962 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110963 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110964 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
110965 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
110966 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110967 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110968 -        Chest pain...................................   2         10  about 20 minutes after hike feeling pressure on chest for an hour or so, and similar to report to Doctor Lee on 090908 1130. ref SDS 1 MY4N                                                                                                                                                                                                                                                                                                                                                                                            
110969 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110970 -        Cough possibly from Lisinopril...............   1         50  began about mile 15 - occurs randomly every 15 minutes - side effect of Lisinipril - paused medication                                                                                                                                                                                                                                                                                                                                                                                                                                       
110971 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110972 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110973 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110974 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
110975 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110976 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
110977 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110978 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
110979 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110980 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110981 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110982 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110983 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
110984 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110985 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110986 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110987 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110988 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
110989 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110990 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110991 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110992 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110993 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110994 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110995 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110996 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
110997 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110998 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110999 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
111000 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
111001 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
111002 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
111003 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111004 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111005 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
111006 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
111007 -        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                                                                                                                                                                                                                                                                                                                           
111008 -        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                                                                                                                                                                                                                                                                                                                                                                                    
111009 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111010 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
111011 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
111012 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111013 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111014 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
111015 -        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                                                                                                                                                                                                                                                                                                                                           
111016 -        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                                                                                                                                                                                                                                                                                                                                           
111017 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111018 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
111019 -        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                                                                                                                                                                                                                                                                                                                                                                                        
111020 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
111021 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
111022 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111023 -        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                                                                                                                                                                                                                                                                                                                                                              
111024 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
111025 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
111026 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111027 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111028 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
111029 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111030 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
111031 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
111032 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111033 -        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                                                                                                                                                                                                                                                                                                                                                                               
111034 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111035 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111036 -   new  Veering left.................................   5         30  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111037 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111038 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111039 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111040 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111041 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol mile 00, and 0 Tramadol mile 10, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
111042 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111043 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111047 -  ..
111048 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111049 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111050 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111051 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111052 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111053 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111055 -  ..
111056 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111057 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111058 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111060 -  ..
111061 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111063 -  ..
111064 - Callus Injuries - today on 250411 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111065 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111066 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111067 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111068 - together is awkward - took 2 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111069 - pain relief.  Took 2 Naproxen to start.  Result: good - PL 2 for 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111070 - miles.  Took 2 more Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111072 -  ..
111073 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111074 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111075 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111077 -  ..
111078 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111079 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111080 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111081 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111082 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111085 -  ..
111086 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111087 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111088 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111089 - and also left hip.  Took 2 Naproxen 250 mg for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111090 - because out of Tramadol (ordered refill on 250403 0829. ref SDS 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111091 - 4N6O) and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111092 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111093 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111094 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111095 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111096 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111097 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111098 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111099 - and margarine, and Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111100 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111101 - per above. ref SDS 0 6I5F  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111102 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111103 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111104 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111105 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111106 - and atrial fibrillation (arrhythmia.  Feeling bloated today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111107 - arising from variable heart rate related to dysfunctional automatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111108 - nervous system - ANS) following 6th ablation on 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111109 - ref SDS 53 MC6F; see analysis by Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111110 - ref SDS 69 PQ5Y  Took backpack to carry stuff.  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111111 - Lidocaine (small amount) to left foot #1 and #5 for pain relief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111112 - because only lasts an hour and causes side effects - e.g., rash, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111113 - occurred using Dyclofenac gel to left knee.  Instead applied bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111114 - scheme to calluses left foot #1 and #5, per above. ref SDS 0 YVQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111115 - This worked better than yesterday, and possibly because took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111116 - Naproxen starting hike.  Hiked Cuneo .25 mile, and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111117 - Treat.  Starting hike feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111118 - did not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111119 - peripheral neuropathy.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111120 - of both feet PL 0 with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111121 - #5, which have been major source of hiking pain past weeks.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111122 - through nose entire hike with no dyspnea, indicating good condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111123 - that reflects increased hiking past few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111124 - at 69, and reached 73.  East wind 16 mph and mostly 06 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111125 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111126 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111127 - uphill, and light traffic.  Did not hike across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111128 - and back today.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111129 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111130 - on asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111131 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111132 - complex.  Crossed Alberto Way at traffic light.  Continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111133 - sidewalk .5 miles.  Feeling okay hiking with temp nearing 75 that saps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111134 - energy, and PL 1 in feet - aligns with taking magnesium and CoQ10, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111135 - taking 2 Naproxen 250 mg before starting hike.  At mile 4, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111136 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111137 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111138 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111139 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111140 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111141 - Station store mile 6, time ____.  Hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111142 - turned left and hiked 1.50 miles East on Pine Hollow.  At Pennsylvania                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111143 - Boulevard turned around and hiked back 1.5 miles.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111144 - Campus Drive heading West uphill 3% grade hiked 1 mile against wind 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111145 - mph.  The road bends North.  On reaching Ygnacio Valley Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111146 - around and hiked uphill .25 mile 5% grade.  At mile 9, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111147 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111148 - loop around main buildings.  Stopped at training station and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111149 - half-pullups and half-pushups.  Hiked loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111150 - parking lots, and then another loop around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111151 - Visitor Parking, stopped at Administration Building mile 12 time 1622                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111152 - temp 73 and wind 07 mph; EKG looks variable with artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111153 - reported HR 109, Tachycardia - see below. ref SDS 0 P4SP  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111154 - 3.  Both feet PL 3, left foot #1 PL 2, #5 PL 2.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111155 - 2.  Took 2 Naproxen 250 MG.  Took (2nd) Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111156 - - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111157 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111158 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111159 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111160 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111161 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111162 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111163 - near 80 causes sweating that ejects electrolytes, took Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111164 - electrolyte pill, per above. ref SDS 0 YYTR  Did another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111165 - main buildings.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111166 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111167 - grade .5 miles.  At mile 13, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111168 - 3% grade .5 miles against wind 09 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111169 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111170 - avoid severe camber.  Continued West .5 mile to summit.  At mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111171 - end of concrete traffic barrier, hiked West 2 miles downhill 3% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111172 - About halfway down noticed veering slightly left. crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111173 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111174 - Today, did not hike 1-mile loops around the block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111175 - complex.  Stopped at Mod Pizza mile 17, time 1805, temp 71 and wind 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111176 - mph; EKG mostly variable with some artifact, Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111177 - Unclassified - see below. ref SDS 0 PSTQ  Bloated PL 3.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111178 - 4, burning sensation PL 3, left foot #1 PL 3, #5 PL 2.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111179 - Tramadol for pain.  Took 3nd Magnesium to control pain by absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111180 - lactic acid in muscles, resolves inflammation which then enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111181 - to rise in the liver, increases energy for hiking.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111182 - carried from home for hydration, swallowing meds.  Did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111183 - nutrition.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111184 - hike, per above. ref SDS 0 YYTR  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111185 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111186 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111187 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111188 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111189 - sidewalk.  Noticed veering strongly left - similar to prior condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111190 - when taking Tramadol and Gabapentin, e.g., on 231111 in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111191 - 230101 0654. ref SDS 28 RVVY see line 172870; also see letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111192 - Doctor Wiseman at VAMCSF on 230418 0949. ref SDS 29 RS5F  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111193 - Miguel continued .75 miles on Treat uphill 5% grade temp 70.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111194 - this well.  At summit, mile 19, hiked another mile to Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111195 - Ended hike mile 20 time 1908 temp 70, wind 07.  Bloated PL 6, feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111196 - 2, burning sensation PL 2, left foot #1 PL 3, #5 PL 3, EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111197 - mostly uniform, with artifact, Kardia reported HR 113 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111198 - see below. ref SDS 0 PSUR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111201 -  ..
111202 - After hike for about an hour had chest pain, similar to pain reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111203 - to Doctor Lee that led to treadmill stress test that identified 10 of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111204 - 11 nodes, leading to CABGx4, 15 years ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111206 -  ..
111207 - Possibly bloating was pressing on heart and lungs.  Seems like as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111208 - bloating declined, chest pressure went away.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111214 -  ..
111215 - Kardia recorded HR 066 at 0714 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111216 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111217 - hiking 26 miles temp 78 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111218 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111219 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111220 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111221 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111224 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111225 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250412-ecg-071441_mile_00_066_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111231 -  ..
111232 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111233 - started system about 10 minutes after hike started, hike 20 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111234 - Medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111235 - ..
111236 -                                                                                                                                                                                                                                                                                                              x
111237 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111238 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111239 -       Date          250412 250411 250410 250409 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 250122 25012  
111240 -       Miles            20     26     17     16      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17      0  
111241 -       HR AVG          119    118    113    123     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130     no  
111242 -         MAX           134    137    140    146   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151   repo  
111243 -         Min            49     72     52     59                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49         
111244 -       El Climb Ft     505    472    339    638                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520                
111245 -       Temp Max         73     78     54     80                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64                
111246 -       Wind Max         10     16     15     08                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07                
111247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111250 -              https://flow.polar.com/training/analysis/8092306857                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111253 -               ..
111255 -   
111256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111259 -  ..
111260 - EKG at mile 12 time 1622 HR 109 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111261 - Tachycardia... heart rate looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111262 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111265 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111266 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250412-ecg-162217_mile_12_109_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111270 -  ..
111271 - EKG at mile 17 time 1805 HR 113 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111272 - Tachycardia... heart rate mostly variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111273 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111276 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111277 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250412-ecg-180552_mile_17_113_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111281 -  ..
111282 - End hike EKG at mile 20, time 1908 HR 113 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111283 - Taxycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111284 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111287 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111288 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250412-ecg-190838_mile_20_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111292 -  ..
111293 - Post hike HR profile beginning 2128, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111294 - hiking 20 miles and showing some continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111295 - elevated HR > 130, indicates no AFL, and possible atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111296 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111297 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111298 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111301 -        ..
111302 -       Date      250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130  250129    
111303 -       Time       2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924    2356     
111304 -       Hours        11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14       6     
111305 -       HR AVG       75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62      64     
111306 -       HR MAX      157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     136     
111307 -       HR Min       42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40      34     
111308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111311 -              https://flow.polar.com/training/analysis/8092735177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111316 -   
111317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111320 -  ..
111321 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111322 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111323 - Dinner - eggs hamburger broccoli onion mushroom (Joe's Special from Original Joe's in SF) ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111325 -  ..
111326 - Vomiting: 0% - seems like bloating 4 - with cough, sneezing nose running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111353 -         ..
111354 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111355 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111356 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111357 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111358 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111359 -  103.  250413 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111360 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111361 -               0710....BP HR..................................................... 132  79  54  Kardia ECG reports HR status, see below. ref SDS 0 PX2R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111362 -               0710....BP HR..................................................... 148  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111363 -               0720....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111364 -               0725....80 447800 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111365 -               0000....10    30 Lisinopril Blood Pressure treatment - started 250407 - paused 250413 due to cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111366 -               1200....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111367 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111368 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111369 -               1200....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111370 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111371 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111372 -               1200... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
111373 -  ..
111374 -               1225....miles...........  16.0  95.0  301  1656 minutes  temp  84 wind 11  rain 00% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111375 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111376 -               1438....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111377 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111378 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111379 -               1438... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111380 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111381 -               1635....mile 14 stopped EKG - NPO no food some softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111382 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111383 -               1635... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
111384 -               1635... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111385 -               1635... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
111386 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111387 -               1749... Hike ends mile 16... ref SDS 0 PXVW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111388 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111389 -               1800....weight.................................... 170  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111390 -               1810....BP HR..................................................... 113  69  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111391 -               1820....BP HR..................................................... 121  72  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111392 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111393 -               1900... 40 122220 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                                                                                                                                                                                                                                                                                  
111394 -             1 0000............ 10 21330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111395 -             1 0000............ 10 21670  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
111396 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111397 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111398 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111399 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111400 -               2250... 1000 2429000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111401 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111402 -               2330... 80 447880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111403 -               2340... 40 96920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111406 -  ..
111407 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111408 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111410 -  ..
111411 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111412 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111413 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111414 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111415 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111417 -  ..
111418 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111419 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111421 -  ..
111422 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111423 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111426 -  ..
111427 - Today, hiked 16 miles - difficult hike after 3 miles.  Had very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111428 - energy despite taking Magnesium and CoQ10 twice.  Did 5 mile semi-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111429 - through South Concord streets - Treat, Turtle Creek Road.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111430 - on Ayers East to Clayton Road, Then South 1 mile and turned West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111431 - mile on Ygnacio Valley Road.  Hiked East 2.50 miles to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111432 - Hollow.  Hiked back to Ygnacio Valley Road.  Turned West onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111433 - Drive heading uphill 1 mile 4% grade to Visitor Parking at College.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111434 - Could only hike loop around main buildings.  At mile 14, did EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111435 - Took 2 Tramadol.  Took another magnesium. to dissipate lactate acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111436 - and prevent inflammation to enable HDL to increase.  Left college and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111437 - hiked home.  Ended hike at mile 16.  Rough day at the office.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111440 -         ..
111441 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111442 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111443 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
111444 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
111445 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111446 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111447 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111448 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111449 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111450 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111451 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111452 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
111453 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111454 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
111455 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111456 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
111457 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111458 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111459 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111460 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111461 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
111462 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111463 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111464 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111465 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111466 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
111467 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111468 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111469 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111470 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111471 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111472 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111473 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111474 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
111475 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111476 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111477 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
111478 -        Metatarsalgia right foot..PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
111479 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
111480 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
111481 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111482 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111483 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
111484 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
111485 -        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                                                                                                                                                                                                                                                                                                                           
111486 -        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                                                                                                                                                                                                                                                                                                                                                                                    
111487 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111488 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
111489 -        Callus big toe left foot...PRP 210705........   2         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
111490 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111491 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111492 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
111493 -        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                                                                                                                                                                                                                                                                                                                                           
111494 -        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                                                                                                                                                                                                                                                                                                                                           
111495 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111496 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
111497 -        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                                                                                                                                                                                                                                                                                                                                                                                        
111498 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
111499 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
111500 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111501 -        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                                                                                                                                                                                                                                                                                                                                                              
111502 -  new   Callus little toe #5 left foot...PRP 210705..   1         40  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
111503 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
111504 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111505 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111506 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
111507 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111508 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
111509 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
111510 -        Diabetes toes both feet inflamed, itch.......   1        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111511 -        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                                                                                                                                                                                                                                                                                                                                                                               
111512 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111513 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111514 -   new  Veering left.................................   5         30  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111515 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111516 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111517 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111518 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111519 -        Wobbly disoriented staggering dizzy..........   3        100  took 2 Tramadol mile 00, and 0 Tramadol mile 10, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
111520 -        Wasted - very fatigued.......................   7        100  after mile 3 seemed to slow down, despite easy mostly flat trail, got worse, just plodding rest of hike                                                                                                                                                                                                                                                                                                                                                                                                                                      
111521 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111525 -  ..
111526 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111527 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111528 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111529 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111530 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111531 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111533 -  ..
111534 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111535 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111536 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111538 -  ..
111539 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111541 -  ..
111542 - Callus Injuries - today on 250411 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111543 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111544 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111545 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111546 - together is awkward - took 2 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111547 - pain relief.  Took 2 Naproxen to start.  Result: good - PL 2 for 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111548 - miles.  Took 2 more Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111550 -  ..
111551 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111552 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111553 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111555 -  ..
111556 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111557 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111558 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111559 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111560 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111563 -  ..
111564 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111565 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111566 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111567 - and also left hip.  Took 2 Naproxen 250 mg for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111568 - because out of Tramadol (ordered refill on 250403 0829. ref SDS 85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111569 - 4N6O) and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111570 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111571 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111572 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111573 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111574 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111575 - after EGD Dilation on 241126, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111576 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111577 - and margarine, and Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111578 - some avocado for HDL.  Just before starting hike took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111579 - per above. ref SDS 0 6I5F  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111580 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111581 - energy - see case study on 200101 0701. ref SDS 18 136K  No breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111582 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111583 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111584 - and atrial fibrillation (arrhythmia.  Feeling bloated today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111585 - arising from variable heart rate related to dysfunctional automatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111586 - nervous system - ANS) following 6th ablation on 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111587 - ref SDS 53 MC6F; see analysis by Microsoft AI on 250114 1202.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111588 - ref SDS 69 PQ5Y  Took backpack to carry stuff.  Did not apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111589 - Lidocaine (small amount) to left foot #1 and #5 for pain relief                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111590 - because only lasts an hour and causes side effects - e.g., rash, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111591 - occurred using Dyclofenac gel to left knee.  Instead applied bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111592 - scheme to calluses left foot #1 and #5, per above. ref SDS 0 YVQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111593 - This worked better than yesterday, and possibly because took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111594 - Naproxen starting hike.  Hiked Cuneo .25 mile, and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111595 - Treat.  Starting hike feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111596 - did not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111597 - peripheral neuropathy.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111598 - of both feet PL 0 with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111599 - #5, which have been major source of hiking pain past weeks.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111600 - through nose entire hike with no dyspnea, indicating good condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111601 - that reflects increased hiking past few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111602 - at 69, and reached 84.  East wind 11 mph and mostly 03 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111603 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111604 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111605 - uphill, and light traffic.  Did not hike across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111606 - and back today.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111607 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111608 - on asphalt road shoulder.  Having difficulty maintaining pace - just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111609 - seem to be slowing down.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111610 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111611 - complex.  Crossed Alberto Way at traffic light.  Continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111612 - sidewalk .5 miles.  Hiking slowing with temp nearing 70 that should be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111613 - perfect; but, for some reason low energy, and PL 1 in feet - conflicts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111614 - with taking magnesium and CoQ10, and taking 2 Naproxen 250 mg before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111615 - starting hike.  At mile 4, turned right hiking West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111616 - Road using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111617 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111618 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111619 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111620 - not stop at Union 76 Texaco Gas Station store mile 6, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111621 - Hiking on Ygnacio Valley Road; turned left and hiked 2.50 miles East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111622 - to end of Pine Hollow.  Stopped at mile 08 time 1438 temp 79 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111623 - 09 mph; EKG looks variable with no artifact.  Kardia reported HR 108,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111624 - Tachycardia - see below. ref SDS 0 PXTU  Bloating PL 4.  Both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111625 - 2, left foot #1 PL 2, #5 PL 2.  Left knee meniscus PL 0.  Took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111626 - Naproxen 250 MG.  Took (2nd) Magnesium complex 300 mg pill - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111627 - whole after EGD Dilation to 19.5 mm, 250408 1030, ref SDS 86 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111628 - avoids large capsule clogging LESV, as occurred last year on 240824,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111629 - see case study. ref SDS 36 YWSY  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111630 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111631 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111632 - avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111633 - energy to complete hike.  Temperature near 80 causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111634 - ejects electrolytes, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111635 - ref SDS 0 YYTR, ref SDS 0 PTUR  Turned around and hiked back 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111636 - miles.  Turned left onto Campus Drive heading West uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111637 - hiked 1 mile against wind 06 mph.  The road bends North.  On reaching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111638 - Ygnacio Valley Road turned around and hiked uphill .25 mile 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111639 - Hiking very slow despite having taken magnesium and CoQ10 at mile 08.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111640 - At mile 12, reached Visitor Parking at California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111641 - East Bay Concord Campus.  Hiked 2-loop around main buildings.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111642 - at training station and did half-pullups and half-pushups.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111643 - Visitor Parking, stopped at Administration Building mile 14 time 1635                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111644 - temp 83 and wind 07 mph; EKG looks variable with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111645 - reported HR 103, Unclassified - see below. ref SDS 0 PXUV  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111646 - 4.  Coughing PL 3.  Slow, disoriented PL 5.  Both feet PL 2, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111647 - #1 PL 3, #5 PL 2.  Left knee meniscus PL 0.  Took 0 Naproxen 250 MG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111648 - Took (3rd) Magnesium complex 300 mg pill - swallowed whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111649 - Dilation to 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111650 - capsule clogging LESV, as occurred last year on 240824, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111651 - study. ref SDS 36 YWSY  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111652 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111653 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111654 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111655 - to complete hike.  Since temperature above 80 causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111656 - ejects electrolytes, took Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111657 - ref SDS 0 PTUR  Too tired to do another loop through parking lots or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111658 - around main buildings.  Exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111659 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111660 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111661 - grade .5 miles against wind 04 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111662 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111663 - severe camber.  Turned left onto Cowell heading North very slow pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111664 - due to low energy, .25 mile using asphalt shoulder downhill 5% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111665 - then flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111666 - oncoming traffic.  Turned left onto Treat hiking West .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111667 - to Cuneo.  Ended hike mile 16 time 1749 temp 82, wind 07, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111668 - 3, both feet metatarsalgia PL 3, burning sensation PL 3, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111669 - PL 4, #5 PL 3.  Both ankles PL 0.  Left knee meniscus PL 1, EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111670 - uniform with no artifact, Kardia reported HR 112 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111671 - below. ref SDS 0 PXVW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111674 -  ..
111675 - After hike for about an hour had chest pain, similar to pain reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111676 - to Doctor Lee that led to treadmill stress test that identified 10 of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111677 - 11 nodes, leading to CABGx4, 15 years ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111679 -  ..
111680 - Possibly bloating was pressing on heart and lungs.  As bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111681 - declined, pressure went away.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111687 -  ..
111688 - Kardia recorded HR 066 at 0901 Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111689 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111690 - after hiking 16 miles temp 84 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111691 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111692 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111693 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111694 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111697 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111698 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250413-ecg-090116_mile_00_076_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111701 -  ..
111702 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111705 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250413-ecg-111752_mile_00_073_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111712 -  ..
111713 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111714 - hike 16 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111715 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111716 - ..
111717 -                                                                                                                                                                                                                                                                                                              x
111718 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111719 -                                          x      x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111720 -       Date          250413 250412 250411 250410 250409 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 250123 25012  
111721 -       Miles            16     20     26     17     16      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21     17  
111722 -       HR AVG          114    119    118    113    123     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124    130  
111723 -         MAX           127    134    137    140    146   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138    151  
111724 -         Min            77     49     72     52     59                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61     49  
111725 -       El Climb Ft     469    505    472    339    638                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520         
111726 -       Temp Max         82     73     78     54     80                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64         
111727 -       Wind Max          8     10     16     15     08                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07         
111728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111730 -              https://flow.polar.com/training/analysis2/8092969393                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111733 -               ..
111735 -   
111736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111739 -  ..
111740 - EKG at mile 08 time 1438 HR 108 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111741 - Tachycardia... heart rate looks variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111742 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111745 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111746 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250413-ecg-143852_mile_08_108_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111750 -  ..
111751 - EKG at mile 14 time 1635 HR 103 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111752 - Unclassified... heart rate mostly variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111753 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111756 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111757 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250413-ecg-163515_mile_14_103_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111761 -  ..
111762 - End hike EKG at mile 16, time 1749 HR 112 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111763 - Taxycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111764 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111767 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111768 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250413-ecg-174941_mile_16_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111772 -  ..
111773 - Post hike HR profile beginning 2128, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111774 - hiking 16 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111775 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111776 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111777 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111778 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111781 -        ..
111782 -       Date      250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131  250130    
111783 -       Time       2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920    1924     
111784 -       Hours        09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13      14     
111785 -       HR AVG       63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67      62     
111786 -       HR MAX      117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     110     
111787 -       HR Min       40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38      40     
111788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111791 -              https://flow.polar.com/training/analysis/8093252878                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111796 -   
111797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111800 -  ..
111801 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111802 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111803 - Dinner - eggs hamburger broccoli onion mushroom (Joe's Special from Original Joe's in SF) ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111805 -  ..
111806 - Vomiting: 0% - seems like bloating 4 - with cough, sneezing nose running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111838 -         ..
111839 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111840 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111841 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111842 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111843 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111844 -  104.  250414 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111845 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111846 -               0730....BP HR..................................................... 141  78  51  Kardia ECG reports HR status, see below. ref SDS 0 QSP3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111847 -               0735....BP HR..................................................... 157  76  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111848 -               0740....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111849 -               0745....80 447960 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111850 -               0000....10    30 Lisinopril Blood Pressure treatment - started 250407 - paused 250413 due to cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111851 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111852 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111853 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111854 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111855 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111856 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111857 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111858 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111859 -               1700... 40 122260 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                                                                                                                                                                                                                                                                                  
111860 -               1830............ 10 21330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111861 -               1830............ 10 21680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
111862 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111863 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111864 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111865 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111866 -               2250... 1000 2430000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111867 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111868 -               2330... 80 448040 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111869 -               2340... 40 96960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111871 -  ..
111872 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111873 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111875 -  ..
111876 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111877 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111878 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111879 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111880 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111882 -  ..
111883 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111884 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111886 -  ..
111887 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111888 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111892 -  ..
111893 - Kardia recorded HR 059 at 0636 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111894 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111895 - AFL after hiking 16 miles temp 84 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111896 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111897 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
111898 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111899 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111902 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111903 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250414-ecg-063638_mile_00_059_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111907 -  ..
111908 - Post hike HR profile beginning 2009, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111909 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
111910 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111911 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111912 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111913 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111916 -        ..
111917 -       Date      250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201  250131    
111918 -       Time       2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343    1920     
111919 -       Hours        11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9      13     
111920 -       HR AVG       69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73      67     
111921 -       HR MAX      123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     108     
111922 -       HR Min       46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46      38     
111923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111926 -              https://flow.polar.com/training/analysis/8093940883                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111931 -   
111932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111935 -  ..
111936 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
111937 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111938 - Dinner - tuna onioni broccoli mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111940 -  ..
111941 - Vomiting: 0% - seems like bloating 4 - less coughing/sneezing after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
111942 - stopping Lisinopril on 250412, per above. ref SDS 0 MG6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
111943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111975 -         ..
111976 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111977 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111978 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111979 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111980 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
111981 -  105.  250415 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111982 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111983 -               0710....BP HR..................................................... 145  74  51  Kardia ECG reports HR status, see below. ref SDS 0 G8S9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111984 -               0715....BP HR..................................................... 153  81  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
111985 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111986 -               0725....80 448120 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
111987 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111988 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
111989 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
111990 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
111991 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
111992 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
111993 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
111994 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
111995 -               1700... 40 122300 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                                                                                                                                                                                                                                                                                  
111996 -             1 0000............ 10 21330  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
111997 -             1 0000............ 10 21680  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
111998 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
111999 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112000 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112001 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112002 -               2250... 1000 2431000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112003 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112004 -               2330... 80 448200 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112005 -               2340... 40 97000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112007 -  ..
112008 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112009 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112011 -  ..
112012 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112013 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112014 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112015 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112016 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112018 -  ..
112019 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112020 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112022 -  ..
112023 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112024 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112028 -  ..
112029 - Kardia recorded HR 051 at 0909 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112030 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112031 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112032 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112033 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112034 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112035 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112038 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112039 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250415-ecg-090942_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112044 -  ..
112045 - Post hike HR profile beginning 2000, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112046 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112047 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112048 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112049 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112050 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112053 -        ..
112054 -       Date      250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202  250201    
112055 -       Time       2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947            2343     
112056 -       Hours         7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no       9     
112057 -       HR AVG       68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report    73     
112058 -       HR MAX      109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             105     
112059 -       HR Min       44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48              46     
112060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112063 -              https://flow.polar.com/training/analysis/8094557622                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112068 -   
112069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112072 -  ..
112073 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112074 - Lunch - sandwixh balogny onion pickle cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112075 - Dinner - hamburger rice broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112077 -  ..
112078 - Vomiting: 0% - seems like bloating 3 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112110 -         ..
112111 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112112 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112113 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112114 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112115 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112116 -  106.  250416 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112117 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112118 -               0720....BP HR..................................................... 150  78  66  Kardia ECG reports HR status, see below. ref SDS 0 8YPS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112119 -               0725....BP HR..................................................... 151  86  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112120 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112121 -               0735....80 448280 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112122 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112123 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112124 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112125 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112126 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112127 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112128 -               0000... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112129 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112130 -               1700... 40 122340 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                                                                                                                                                                                                                                                                                  
112131 -               1830............ 10 21340  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112132 -               1830............ 10 21690  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
112133 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112134 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112135 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112136 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112137 -               2250... 1000 2432000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112138 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112139 -               2330... 80 448360 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112140 -               2340... 40 97040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112142 -  ..
112143 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112144 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112146 -  ..
112147 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112148 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112149 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112150 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112151 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112153 -  ..
112154 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112155 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112157 -  ..
112158 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112159 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112163 -  ..
112164 - Kardia recorded HR 070 at 0720 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112165 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112166 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112167 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112168 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112169 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112170 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112173 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112174 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250416-ecg-072023_mile_00_070_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112179 -  ..
112180 - Post hike HR profile beginning 2032, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112181 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112182 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112183 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112184 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112185 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112188 -        ..
112189 -       Date      250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203  250202    
112190 -       Time       2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947             
112191 -       Hours        10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12      no     
112192 -       HR AVG       72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79    report   
112193 -       HR MAX      111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119             
112194 -       HR Min       49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48             
112195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112198 -              https://flow.polar.com/training/analysis/8095159919                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112203 -   
112204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112207 -  ..
112208 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112209 - Lunch - tuna avocado onion cottage cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112210 - Dinner - eggs hamburger broccoli cauliflower mushrooms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112212 -  ..
112213 - Vomiting: 0% - seems like bloating 3 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112244 -         ..
112245 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112246 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112247 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112248 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112249 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112250 -  107.  250417 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112251 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112252 -               0650....BP HR..................................................... 142  83  63  Kardia ECG reports HR status, see below. ref SDS 0 RPSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112253 -               0655....BP HR..................................................... 129  78  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112254 -               0700....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112255 -               0705....80 448440 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112256 -               0850....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112257 -               0850... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112258 -               0850....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112259 -               0850....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112260 -               0850....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112261 -               0850....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112262 -               0850... 20   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
112263 -  ..
112264 -               0927....miles...........  25.0  25.0  450   450 minutes  temp  64 wind 08  rain 10% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112265 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112266 -               1147....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112267 -               1147....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112268 -               1147... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
112269 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112270 -               1147... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112271 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112272 -               1439....mile 16 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112273 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112274 -               1439... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
112275 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112276 -               1439... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112277 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112278 -               1633....mile 20 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112279 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112280 -               1633... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
112281 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112282 -               1633... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112283 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112284 -               1810... Hike ends mile 25... ref SDS 0 RPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112285 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112286 -               1820....weight.................................... 171  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112287 -               1830....BP HR..................................................... 126  72  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112288 -               1835....BP HR..................................................... 122  75  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112289 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112290 -               1700... 40 122380 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                                                                                                                                                                                                                                                                                  
112291 -             1 0000............ 10 21340  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112292 -             1 0000............ 10 21690  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
112293 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112294 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112295 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112296 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112297 -               2250... 1000 2433000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112298 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112299 -               2330... 80 448520 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112300 -               2340... 40 97080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112302 -  ..
112303 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112304 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112306 -  ..
112307 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112308 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112309 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112310 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112311 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112313 -  ..
112314 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112315 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112317 -  ..
112318 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112319 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112322 -  ..
112323 - Today, hiked 25 miles - difficult hike with low energy after 3 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112324 - yet was able to increase speed and heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112325 - elevation (Hooray!!).  Feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112326 - heart rate causing dysfunctional autonomic nervous system (ANS).  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112327 - PL 2 before starting hike, after resting feet 3 days.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112328 - Tramadol.  Used Corn bandaging with "donut hole" to protect calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112329 - on left foot #1 and #5, which was mostly helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112330 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112331 - Had good energy starting hike until mile 3, then pace significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112332 - slowed.  Think this was feeling wobbly taking Tramadol first time in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112333 - several weeks.  Was able to increase speed at will, which could not do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112334 - last 2 hikes on Saturday and Sunday.  Continued on Ayers East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112335 - Clayton Road, Then South 1 mile and turned West 1 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112336 - Valley Road.  Hiked East 2.50 miles to end of Pine Hollow.  At mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112337 - hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112338 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112339 - loop through parking lots.  At mile 16, did EKG.  Took only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112340 - Tramadol, because still wobbly from 1st one.  Took another magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112341 - to dissipate lactate acid, and prevent inflammation to enable HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112342 - increase.  Took CoQ10 for energy.  Left college and hiked to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112343 - Ygnacio Valley Road mile 18, then 2 miles downhill to Oak Grove.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112344 - Mod Pizza did EKG.  All EKGs during hike reported Tachycardia and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112345 - showed sinus, rather than HRV.  Hiked Elk Grove to Treat then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112346 - Ended hike at mile 25.  Considered hiking few miles with neighbor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112347 - through residential streets - didn't do this.  Too tired and injuries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112348 - too severe.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112352 -         ..
112353 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112354 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112355 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
112356 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
112357 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112358 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112359 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112360 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112361 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112362 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112363 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112364 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
112365 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112366 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
112367 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112368 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
112369 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112370 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112371 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112372 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112373 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
112374 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112375 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112376 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112377 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112378 -        Knee right meniscus PRP 190816...............   2         30  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
112379 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112380 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112381 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112382 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112383 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112384 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112385 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112386 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
112387 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112388 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112389 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
112390 -        Metatarsalgia right foot..PRP 210705.........   6         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
112391 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
112392 -  new   Right foot #1 fractured fall on stairs.......   3         20  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
112393 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112394 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112395 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
112396 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
112397 -        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                                                                                                                                                                                                                                                                                                                           
112398 -        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                                                                                                                                                                                                                                                                                                                                                                                    
112399 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112400 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
112401 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
112402 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112403 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112404 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
112405 -        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                                                                                                                                                                                                                                                                                                                                           
112406 -        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                                                                                                                                                                                                                                                                                                                                           
112407 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112408 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
112409 -        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                                                                                                                                                                                                                                                                                                                                                                                        
112410 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
112411 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
112412 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112413 -        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                                                                                                                                                                                                                                                                                                                                                              
112414 -  new   Callus little toe #5 left foot...PRP 210705..   3         10  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
112415 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
112416 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112417 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112418 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
112419 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112420 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
112421 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
112422 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112423 -        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                                                                                                                                                                                                                                                                                                                                                                               
112424 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112425 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112426 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112427 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112428 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112429 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112430 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112431 -        Wobbly disoriented staggering dizzy..........   3         40  took 1 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
112432 -        Wasted - very fatigued.......................   5         15  very very slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112433 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112437 -  ..
112438 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112439 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112440 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112441 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112442 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112443 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112445 -  ..
112446 - Orthotic inserts - switched to old version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112447 - created by Doctor Hewittson on 221206 0900, ref SDS 27 HH7G, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112448 - explained in case study record on 200101 0701. ref SDS 18 WC8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112450 -  ..
112451 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112453 -  ..
112454 - Callus Injuries - today on 250411 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112455 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112456 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112457 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112458 - together is awkward - took 2 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112459 - pain relief.  Took 2 Naproxen to start.  Result: good - PL 2 for 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112460 - miles.  Took 2 more Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112462 -  ..
112463 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112464 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112465 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112467 -  ..
112468 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112469 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112470 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112471 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112472 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112475 -  ..
112476 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112477 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112478 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112479 - and also left hip.  Took 1 Tramadol 50 mg for knee pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112480 - metatarsalgia pain in feet PL 2 starting hike, and left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112481 - both calluses PL 2, treated by Doctor Tang at VAMCSF on 250410 0900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112482 - ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112483 - absorbing lactic acid, and reducing inflammation - enables HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112484 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112485 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112486 - EGD Dilation on 241126, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112487 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112488 - and Chia Seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112489 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112490 - ref SDS 0 6I5F  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112491 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112492 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112493 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112494 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112495 - fibrillation (arrhythmia.  Feeling bloated today, possibly arising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112496 - from variable heart rate related to dysfunctional automatic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112497 - system - ANS) following 6th ablation on 240611 0930, ref SDS 53 MC6F;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112498 - see analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112499 - backpack to carry stuff.  Applied bandaging scheme to calluses left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112500 - foot #1 and #5, per above. ref SDS 0 QX2X  This worked well for most                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112501 - of the route.  Hiked Cuneo .25 mile, and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112502 - Starting hike feet feeling swelled and like pins and needles - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112503 - feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112504 - peripheral neuropathy.  After about 1 mile feet calming down.  Bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112505 - of both feet PL 0 with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112506 - #5, which have been major source of hiking pain past weeks.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112507 - through nose entire hike with no dyspnea, indicating good condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112508 - that reflects increased hiking past few months.  Temperature started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112509 - at 56, and reached 65.  East wind 08 mph and mostly 04 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112510 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112511 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112512 - uphill, and light traffic.  Did not hike across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112513 - and back today.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112514 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112515 - on asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112516 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112517 - complex.  Like Sunday, 250413, had difficulty maintaining pace -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112518 - slowing down.  On Sunday, the problem seemed like low energy.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112519 - the problem seems more like reaction to taking Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112520 - management.  There seemed to be a disconect between mind and body,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112521 - very disconcerting.  Crossed Alberto Way at traffic light.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112522 - on concrete sidewalk .5 miles.  Suddenly hiking much slower with temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112523 - nearing 62 that should be perfect; but, for some reason low energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112524 - and PL 1 in feet - conflicts with taking magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112525 - Possibly slower pace occurred because Tramadol opioid drug affected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112526 - the body.  At mile 4, turned right hiking West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112527 - using concrete sidewalk .5 miles.  Bottom right forefoot PL 6 - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112528 - like electrical circuits for nervous system shifted exposing them to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112529 - body weight pressure against the ground with every step.  Fortunately,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112530 - this only lasted a few seconds.  The pain subsided, but recurred in 60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112531 - or seconds and this repeated for several miles.  Then seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112532 - electrical nervous system circuits shifted again, and pain did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112533 - recur.  Also after turning corner at mile 4 onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112534 - took Simethicone to reduce bloating.  Seemed like energy increased for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112535 - a mile, possibly as Simethicone reduced bloating; energy then declined                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112536 - as bloating recurred when Simethicone effects wained.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112537 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112538 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112539 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112540 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112541 - time ____.  Hiking on Ygnacio Valley Road; turned left and hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112542 - miles East to end of Pine Hollow.  Stopped at mile 08 time 1147 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112543 - 59 and wind 04 mph; EKG looks uniform with minor artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112544 - reported HR 110, Tachycardia - see below. ref SDS 0 RP7U  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112545 - 4.  Unusual today metatarsalgia left foot PL 1, right foot PL 6. left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112546 - foot #1 PL 1, #5 PL 1.  Left knee meniscus PL 0.  Took 1 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112547 - MG.  Took (2nd) Magnesium complex 300 mg pill - swallowed whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112548 - EGD Dilation to 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112549 - capsule clogging LESV, as occurred last year on 240824, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112550 - study. ref SDS 36 YWSY  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112551 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112552 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112553 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112554 - to complete hike.  Temperature near 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112555 - electrolytes, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112556 - ref SDS 0 QVYV  Turned around and hiked back 2.5 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112557 - onto Campus Drive heading West uphill 3% grade hiked 1 mile with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112558 - 02 mph.  The road bends North.  On reaching Ygnacio Valley Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112559 - around and hiked uphill .25 mile 5% grade.  Hiking slow despite having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112560 - taken magnesium and CoQ10 at mile 08.  However, this was faster than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112561 - on Sunday, 4 days ago.  Mile 12, reached Visitor Parking at California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112562 - State University East Bay Concord Campus.  Hiked 1-loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112563 - buildings.  Stopped at training station and did half-pullups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112564 - half-pushups.  Continued hiking 2-loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112565 - parking lots.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112566 - Building mile 16 time 1439 temp 63 and wind 06 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112567 - with some artifact.  Kardia reported HR 107, Tachycardis - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112568 - ref SDS 0 RPXV  Bloating PL 4.  Coughing PL 0.  Slow, disoriented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112569 - wobbly PL 3 - difference between today, and last Sunday, is that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112570 - today, was able to increase and maintain speed at will; last Sunday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112571 - could not increase speed.  Both feet PL 2, left foot #1 PL 3, #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112572 - Left knee meniscus PL 2, right knee PL 3.  Since already wobbly and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112573 - disoriented did not take another Tramadol 50 MG.  Took (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112574 - complex 300 mg pill - swallowed whole after EGD Dilation to 19.5 mm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112575 - 250408 1030, ref SDS 86 433O, avoids large capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112576 - occurred last year on 240824, see case study. ref SDS 36 YWSY  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112577 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112578 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112579 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112580 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112581 - temperature above 80 causes sweating that ejects electrolytes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112582 - temp is 63 did not take Nuun electrolyte pill, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112583 - QVYV  Did another loop around main buildings.  Exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112584 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112585 - Hiked West on flat grade .5 miles.  Continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112586 - uphill 3% grade .5 miles against wind 03 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112587 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112588 - to avoid severe camber.  Continued West .5 mile to summit.  At mile 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112589 - end of concrete traffic barrier, hiked West 2 miles downhill 3% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112590 - About halfway down noticed veering slightly left. crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112591 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112592 - Today, did not hike 1-mile loops around the block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112593 - complex.  Stopped at Mod Pizza mile 20, time 1633, temp 65 and wind 06                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112594 - mph; EKG mostly variable with some artifact, Kardia reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112595 - Tachycardia - see below. ref SDS 0 T1J3  Bloated PL 2.  Slow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112596 - disoriented wobbly PL 2.  Both feet PL 3, burning sensation PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112597 - foot #1 PL 4, #5 PL 1.  Since still wobbly, did not take another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112598 - Tramadol for pain.  Took 4th Magnesium to control pain by absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112599 - lactic acid in muscles, resolves inflammation which then enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112600 - to rise in the liver, increases energy for hiking.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112601 - carried from home for hydration, swallowing meds.  Did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112602 - nutrition.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to continue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112603 - hike, per above. ref SDS 0 QVYV  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112604 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112605 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112606 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112607 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112608 - sidewalk.  Noticed was not veering left or right, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112609 - hike - similar to prior condition when taking Tramadol and Gabapentin,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112610 - e.g., on 231111 in case study on 230101 0654. ref SDS 28 RVVY see line                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112611 - 172870; also see letter to Doctor Wiseman at VAMCSF on 230418 0949.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112612 - ref SDS 29 RS5F  At San Miguel continued .75 miles on Treat uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112613 - grade temp 70.  Did not handle this well - breathed through nose, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112614 - did not feel like stopping at any time due to weak legs, but was very,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112615 - very slow.  At summit, mile 24, hiked another mile to Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112616 - Ended hike mile 25 time 1810 temp 65, wind 08.  Bloated PL 3, fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112617 - PL 7, feet PL 3, burning sensation PL 2, left foot #1 PL 4, #5 PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112618 - EKG looks mostly uniform, with artifact, Kardia reported HR 100 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112619 - Sinus Rhythm - see below. ref SDS 0 RPYW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112630 -  ..
112631 - Kardia recorded HR 082 at 0647 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112632 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112633 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112634 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112635 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112636 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112637 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112640 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112641 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250417-ecg-064703_mile_00_082_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112647 -  ..
112648 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112649 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112650 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112651 - ..
112652 -                                                                                                                                                                                                                                                                                                              x
112653 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112654 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112655 -       Date          250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 250124 25012  
112656 -       Miles            25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7     21  
112657 -       HR AVG          113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121    124  
112658 -         MAX           128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131    138  
112659 -         Min            65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86     61  
112660 -       El Climb Ft     469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520    520  
112661 -       Temp Max         65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67     64  
112662 -       Wind Max          8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08     07  
112663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112665 -              https://flow.polar.com/training/analysis/8095468565                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112668 -               ..
112670 -   
112671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112674 -  ..
112675 - EKG at mile 08 time 1147 HR 110 temp 59, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112676 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112677 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112680 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112681 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250417-ecg-114701_mile_08_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112685 -  ..
112686 - EKG at mile 16 time 1439 HR 107 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112687 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112688 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112691 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112692 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250417-ecg-143931_mile_16_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112696 -  ..
112697 - EKG at mile 20 time 1633 HR 107 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112698 - Tachycardia... heart rate mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112699 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112702 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112703 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250417-ecg-163353_mile_20_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112707 -  ..
112708 - End hike EKG at mile 25, time 1810 HR 100 (due to 10 minute delay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112709 - doing EKG because of electrical interference) temp 65 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112710 - reported Normal Sinus Rhythm... looks mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112711 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112714 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112715 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250417-ecg-181022_mile_25_100_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112719 -  ..
112720 - Post hike HR profile beginning 2027, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112721 - hiking 25 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112722 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112723 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112724 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112725 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112728 -        ..
112729 -       Date      250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204  250203    
112730 -       Time       2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223    1947     
112731 -       Hours        12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9      12     
112732 -       HR AVG       65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71      79     
112733 -       HR MAX      130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     119     
112734 -       HR Min       41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45      48     
112735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112738 -              https://flow.polar.com/training/analysis/8095863688                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112741 -  ..
112742 - Looks like AF...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112745 -   
112746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112749 -  ..
112750 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112751 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112752 - Dinner - hamburger broccoli cauliflower mushrooms onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112754 -  ..
112755 - Vomiting: 0% - seems like bloating 3 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112789 -         ..
112790 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112791 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112792 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112793 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112794 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112795 -  108.  250418 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112796 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112797 -               0720....BP HR..................................................... 144  94  75  Kardia ECG reports HR status, see below. ref SDS 0 6RVA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112798 -               0725....BP HR..................................................... 147  84  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112799 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112800 -               0735....40 448560 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
112801 -               1150....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112802 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112803 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112804 -               1110....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112805 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112806 -               1110....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112807 -               1110... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
112808 -  ..
112809 -               1207....miles...........  23.0  46.0  402   952 minutes  temp  74 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112810 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112811 -               1309....mile 04 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112812 -               0000....Tramadol 50 mg took 1 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112813 -               1309... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
112814 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112815 -               1309... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112816 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112817 -               1537....mile 12 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112818 -               1537....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112819 -               1537... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
112820 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112821 -               1537... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112822 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112823 -               1741....mile 20 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112824 -               1741....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112825 -               1741... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
112826 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112827 -               1741... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
112828 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112829 -               1933... Hike ends mile 23... ref SDS 0 RSSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
112830 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112831 -               1945....weight.................................... 170  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112832 -               1950....BP HR..................................................... 115  70 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112833 -               1955....BP HR..................................................... 115  74  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112834 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112835 -               2010... 40 122420 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                                                                                                                                                                                                                                                                                  
112836 -               2050............ 10 21350  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
112837 -               2050............ 10 21700  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
112838 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112839 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112840 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112841 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112842 -               2250... 1000 2434000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112843 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112844 -               2330... 40 448600 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112845 -               2340... 40 97120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112848 -  ..
112849 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112850 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112852 -  ..
112853 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112854 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112855 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112856 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112857 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112859 -  ..
112860 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112861 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112863 -  ..
112864 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112865 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112868 -  ..
112869 - Today, hiked 23 miles - difficult hike with low energy after 3 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112870 - yet was able to increase speed and heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
112871 - elevation (Hooray!!).  Feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112872 - heart rate causing dysfunctional autonomic nervous system (ANS).  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112873 - PL 2 before starting hike, after resting feet 3 days.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112874 - Tramadol.  Used Corn bandaging with "donut hole" to protect calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112875 - on left foot #1 and #5, which was mostly helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112876 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112877 - Had good energy starting hike Was able to increase speed at will,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112878 - which could not do last 2 hikes on Saturday and Sunday. to Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112879 - Road.  At mile 4, then similar to prior 2 hikes, pace significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112880 - slowed.  Decided make this a hiking stop with EKG, pain and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112881 - meds.  Then South 1 mile and turned West 1 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112882 - Road.  Hiked East 0.75 on Pine Hollow.  At mile 6, turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112883 - hiked back to Ygnacio Valley Road.  Turned West onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112884 - heading uphill 1 mile 4% grade to Visitor Parking at College.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112885 - loop through parking lots.  At mile 14, did EKG.  Took only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112886 - Tramadol, because still wobbly from 1st one.  Took another magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112887 - to dissipate lactate acid, and prevent inflammation to enable HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112888 - increase.  Took CoQ10 for energy.  Left college and hiked to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112889 - Ygnacio Valley Road mile 16, then 2 miles downhill to Oak Grove.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112890 - Mod Pizza did EKG.  All EKGs during hike reported Tachycardia and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112891 - showed sinus, rather than HRV, possibly signalling hiking is training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112892 - heart to stabalize beating rate to prevent dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112893 - nervous system leading to recovery of related symptoms in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112894 - on 200101 0701. ref SDS 18 ZM8J  Hiked Elk Grove to Treat then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112895 - Ended hike at mile 23.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112899 -         ..
112900 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112901 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112902 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
112903 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
112904 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112905 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112906 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112907 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112908 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112909 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
112910 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112911 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
112912 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112913 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
112914 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112915 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
112916 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112917 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112918 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112919 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112920 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
112921 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112922 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112923 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
112924 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112925 -        Knee right meniscus PRP 190816...............   2         30  feeling right knee doing laps in college parking lots, subsided before taking Tramadol and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
112926 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
112927 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112928 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112929 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112930 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112931 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112932 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
112933 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
112934 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112935 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112936 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
112937 -        Metatarsalgia right foot..PRP 210705.........   0         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
112938 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
112939 -  new   Right foot #1 fractured fall on stairs.......   2         20  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
112940 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112941 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112942 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
112943 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
112944 -        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                                                                                                                                                                                                                                                                                                                           
112945 -        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                                                                                                                                                                                                                                                                                                                                                                                    
112946 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112947 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
112948 -        Callus big toe left foot...PRP 210705........   4         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
112949 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112950 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112951 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
112952 -        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                                                                                                                                                                                                                                                                                                                                           
112953 -        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                                                                                                                                                                                                                                                                                                                                           
112954 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112955 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
112956 -        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                                                                                                                                                                                                                                                                                                                                                                                        
112957 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
112958 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
112959 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112960 -        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                                                                                                                                                                                                                                                                                                                                                              
112961 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
112962 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
112963 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112964 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
112965 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
112966 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112967 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
112968 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
112969 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112970 -        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                                                                                                                                                                                                                                                                                                                                                                               
112971 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112972 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
112973 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112974 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112975 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112976 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112977 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112978 -        Wobbly disoriented staggering dizzy..........   3         40  took 1 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 16, and 0 Tramadol mile __ - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
112979 -        Wasted - very fatigued.......................   6         20  very very slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112980 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112984 -  ..
112985 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
112986 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
112987 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112988 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
112989 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
112990 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
112992 -  ..
112993 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
112994 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
112995 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
112997 -  ..
112998 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113000 -  ..
113001 - Callus Injuries - today on 250411 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113002 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113003 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113004 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113005 - together is awkward - took 2 tries to get positioning that yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113006 - pain relief.  Took 2 Naproxen to start.  Result: good - PL 2 for 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113007 - miles.  Took 2 more Naproxen.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113009 -  ..
113010 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113011 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113012 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113014 -  ..
113015 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113016 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113017 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113018 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113019 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113022 -  ..
113023 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113024 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113025 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113026 - and also left hip.  Tried reducing Famotidine taking only 1 40 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113027 - instead of 2 to aid digestion, and reduce side effects of causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113028 - bloating, explained in case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113029 - Took 1 Tramadol 50 mg for knee pain and metatarsalgia pain in feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113030 - 2 starting hike, and left foot #1 and #5 both calluses PL 2, treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113031 - by Doctor Tang at VAMCSF on 250410 0900. ref SDS 87 5Q5M  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113032 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113033 - reducing inflammation - enables HDL to increase that together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113034 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113035 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 241126,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113036 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113037 - Had small amount peanut butter and margarine, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113038 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113039 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 KQ9N  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113040 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113041 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113042 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113043 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113044 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113045 - Feeling bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113046 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113047 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113048 - on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113049 - Applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113050 - ref SDS 0 RPXR  This worked well for most of the route.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113051 - .25 mile, and turned left, onto Treat.  Starting hike feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113052 - swelled and like pins and needles - did not feel electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113053 - balls of feet this morning - due to peripheral neuropathy.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113054 - about 1 mile feet calming down.  Bottom of both feet PL 2 with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113055 - metatarsalgia pain, including left foot #1 and #5, which have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113056 - major source of hiking pain past weeks.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113057 - hike with no dyspnea, indicating good condition that reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113058 - increased hiking past few months.  Temperature started at 71, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113059 - reached 74.  East wind 12 mph and mostly 08 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113060 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113061 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113062 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113063 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113064 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113065 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113066 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113067 - complex.  Crossed Alberto Way at traffic light.  Today, like Sunday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113068 - 250413, had difficulty maintaining pace - body just kept slowing down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113069 - Seemed to be a disconect between mind and body, very disconcerting?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113070 - Decided to have full hiking maintenance stop at mile 4, instead of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113071 - waiting to mile 8 - 12. for increasing concentration of magneseum.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113072 - Went into Mountain Mike's pizza, and stopped at mile 04 time 1309 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113073 - 68 and wind 08 mph; EKG looks uniform with initial minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113074 - Kardia reported HR 114, Tachycardia - see below. ref SDS 0 RSPV  Issue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113075 - will be adverse consequences of higher concentration of magenseum?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113076 - Bloating PL 3.  Sent copy of letter to Doctor Pellegrini at UCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113077 - Medical School.  This bounced back indicating the mail record is full.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113078 - Metatarsalgia left foot PL 1, right foot PL 1. left foot #1 PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113079 - PL 1.  Left knee meniscus PL 0.  Took 0 Tramadol 50 MG.  Took (2nd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113080 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113081 - 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113082 - LESV, as occurred last year on 240824, see case study. ref SDS 36 YWSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113083 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113084 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113085 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113086 - bites.  Took sip Ubiquinol CoQ10 0.6 ml for increasing HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113087 - to continue hike.  Temperature near 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113088 - electrolytes, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113089 - ref SDS 0 QXXW  Continued on concrete sidewalk .5 miles with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113090 - energy, and PL 1 in feet - aligns with taking magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113091 - Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113092 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113093 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113094 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113095 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113096 - Texaco Gas Station store mile 5, time ____.  Hiking on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113097 - Road; turned left and hiked 0.50 miles East on Pine Hollow.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113098 - Discovery Way turned around and hiked back 2.5 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113099 - onto Campus Drive heading West uphill 3% grade hiked 1 mile with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113100 - 02 mph.  The road bends North.  On reaching Ygnacio Valley Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113101 - around and hiked uphill .25 mile 5% grade.  Hiking slow despite taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113102 - increased concentration of magnesium and CoQ10 at mile 04.  However,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113103 - this was faster than on Sunday, 4 days ago.  Mile 08, reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113104 - Parking at California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113105 - 1-loop around main buildings.  Stopped at training station and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113106 - half-pullups and half-pushups.  Continued hiking 2-loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113107 - Faculty and Student parking lots.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113108 - Administration Building mile 12 time 1537 temp 73 and wind 11 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113109 - looks uniform with some artifact.  Kardia reported HR 115, Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113110 - - see below. ref SDS 0 RSQW  Bloating PL 3.  Coughing PL 0.  Faster,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113111 - not disoriented nor wobbly PL 0 - difference between today, and last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113112 - Sunday, is that today, was able to increase and maintain speed at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113113 - will; last Sunday, could not increase speed.  Both feet PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113114 - foot #1 PL 5, #5 PL 4.  Left knee meniscus PL 1, right knee PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113115 - Took 2 Tramadol 50 MG.  Took (3rd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113116 - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113117 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113118 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113119 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113120 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113121 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113122 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113123 - above 80 causes sweating that ejects electrolytes, and temp is 73 did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113124 - not take Nuun electrolyte pill, per above. ref SDS 0 QXXW  Did another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113125 - loop around main buildings.  Exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113126 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113127 - flat grade .5 miles.  Continued past Crystal Ranch Road uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113128 - grade .5 miles against wind 03 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113129 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113130 - severe camber.  Continued West .5 mile to summit.  At mile 14 end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113131 - concrete traffic barrier and at break in traffic, crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113132 - South side Ygnacio Valley Road to use wider shoulder hiking West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113133 - miles downhill 3% grade.  Crossed Oak Grove at traffic light.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113134 - hiked 1-mile loop using asphalt path around the block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113135 - shopping complex.  Stopped at Mod Pizza mile 18, time 1741, temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113136 - and wind 12 mph; EKG mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113137 - HR 122 Tachycardia - see below. ref SDS 0 RSRX  Bloated PL 2.  Slow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113138 - disoriented wobbly PL 1.  Both feet PL 2, burning sensation PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113139 - foot #1 PL 5, #5 PL 5.  Despite being wobbly PL 1, took 2 Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113140 - avoid escalating moderate pain.  Took 4th Magnesium to control pain by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113141 - absorbing lactic acid in muscles, resolves inflammation which then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113142 - enables HDL to rise in the liver, increases energy for hiking.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113143 - softdrink carried from home for hydration, swallowing meds.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113144 - have nutrition.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113145 - continue hike, per above. ref SDS 0 QXXW  Continued hiking 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113146 - around the block - turned right onto path parallel to Via Monte hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113147 - North .25 miles, turned right onto Shadelands hiking .25 miles, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113148 - turned left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113149 - Crossed Treat at street light.  Hiked 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113150 - concrete sidewalk.  Noticed was not veering left or right, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113151 - last hike - similar to prior condition when taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113152 - Gabapentin, e.g., on 231111 in case study on 230101 0654. ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113153 - RVVY see line 172870; also see letter to Doctor Wiseman at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113154 - 230418 0949. ref SDS 29 RS5F  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113155 - Treat uphill 5% grade temp 66.  Handled this okay - breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113156 - nose, and did not feel like stopping at any time due to weak legs, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113157 - was very, very slow.  At summit, mile 22, hiked another mile to Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113158 - then home.  Ended hike mile 23 time 1933 temp 64, wind 08.  Bloated PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113159 - 1, fatigue PL 4, feet PL 4, burning sensation PL 3, left foot #1 PL 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113160 - #5 PL 3, neck/spine PL 8 momentarily turning head.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113161 - uniform, with artifact, Kardia reported HR 093 Normal Sinus Rhythm -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113162 - see below (after 10 minute delay doing EKG). ref SDS 0 R5SY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113173 -  ..
113174 - Kardia recorded HR 082 at 0946 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113175 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113176 - likely no AFL after hiking 25 miles temp 65 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113177 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113178 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113179 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113180 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113183 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113184 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250418-ecg-094619_mile_00_052_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113190 -  ..
113191 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113192 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113193 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113194 - ..
113195 -                                                                                                                                                                                                                                                                                                              x
113196 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113197 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113198 -       Date          250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 250125 25012  
113199 -       Miles            23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0      7  
113200 -       HR AVG          117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no    121  
113201 -         MAX           133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report report  131  
113202 -         Min            50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                          86  
113203 -       El Climb Ft     469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364    520  
113204 -       Temp Max         74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61     67  
113205 -       Wind Max         12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03     08  
113206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113208 -              https://flow.polar.com/training/analysis/8096067740                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113211 -               ..
113213 -   
113214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113217 -  ..
113218 - EKG at mile 04 time 1309, HR 110 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113219 - Tachycardia... heart rate looks uniform with initial artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113220 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113223 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113224 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250418-ecg-130913_mile_04_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113228 -  ..
113229 - EKG at mile 12 time 1537 HR 115 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113230 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113231 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113234 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113235 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250418-ecg-153725_mile_12_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113239 -  ..
113240 - EKG at mile 18 time 1741 HR 122 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113241 - Tachycardia... heart rate mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113242 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113245 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113246 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250418-ecg-174153_mile_18_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113250 -  ..
113251 - End hike EKG at mile 23, time 1933 HR 093 (due to 10 minute delay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113252 - doing EKG because of electrical interference) temp 64 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113253 - reported Normal Sinus Rhythm... looks mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113254 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113257 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113258 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250418-ecg-193347_mile_23_093_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113262 -  ..
113263 - Post hike HR profile beginning 0343, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113264 - hiking 23 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113265 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113266 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113267 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113268 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113271 -        ..
113272 -       Date      250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205  250204    
113273 -       Time       0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010    2223     
113274 -       Hours         6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13       9     
113275 -       HR AVG       60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66      71     
113276 -       HR MAX      114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     167     
113277 -       HR Min       39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42      45     
113278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113282 -              https://flow.polar.com/training/analysis/8096512087                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113284 -  ..
113285 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113288 -   
113289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113292 -  ..
113293 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113294 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113295 - Dinner - eggs hamburger rice broccoli cauliflower mushrooms onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113297 -  ..
113298 - Vomiting: 0% - seems like bloating 3 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113332 -         ..
113333 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113334 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113335 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113336 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113337 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113338 -  109.  250419 0910............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113339 -               0915....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113340 -               0920....BP HR..................................................... 148  90  78  Kardia ECG reports HR status, see below. ref SDS 0 RXP6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113341 -               0925....BP HR..................................................... 139  80  75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113342 -               0930....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113343 -               0935....40 448640 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
113344 -               1055....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113345 -               1050... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113346 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113347 -               1050....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113348 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113349 -               1050....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113350 -               1050... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
113351 -  ..
113352 -               1123....miles...........  28.0  74.0  475  1427 minutes  temp  71 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113353 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113354 -               1230... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113355 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113356 -               1338....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113357 -               1338....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113358 -               1338... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113359 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113360 -               1338... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113361 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113362 -               1600... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113363 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113364 -               1632....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113365 -               1632....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113366 -               1632... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113367 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113368 -               1632... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113369 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113370 -               1822....mile 23 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113371 -               1822....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113372 -               1822... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113373 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113374 -               1822... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113375 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113376 -               2013... Hike ends mile 28... ref SDS 0 R27R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113377 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113378 -               2030....weight.................................... 170  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113379 -               2040....BP HR..................................................... 119  72 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113380 -               2055....BP HR..................................................... 111  74  80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113381 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113382 -               2100... 40 122460 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                                                                                                                                                                                                                                                                                  
113383 -             1 0000............ 10 21350  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
113384 -             1 0000............ 10 21700  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
113385 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113386 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113387 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113388 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113389 -               2250... 1000 2435000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113390 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113391 -               2330... 40 448680 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113392 -               2340... 40 97160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113395 -  ..
113396 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113397 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113399 -  ..
113400 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113401 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113402 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113403 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113404 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113406 -  ..
113407 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113408 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113410 -  ..
113411 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113412 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113415 -  ..
113416 - Today, hiked 28 miles - better hike maintaining hiking pace taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113417 - more magnesium and CoQ10, and Tramadol.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113418 - elevation (Hooray!!).  Feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113419 - heart rate causing dysfunctional autonomic nervous system (ANS).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113420 - 2 Tramadol starting hike.  Used Corn bandaging with "donut hole" to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113421 - protect calluses on left foot #1 and #5, which was mostly helpful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113422 - Did 5 mile semi-loop through South Concord streets - Treat, Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113423 - Creek Road.  Had good energy starting hike Was able to increase speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113424 - at will, which could not do last 2 hikes on Saturday and Sunday. to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113425 - Clayton Road.  At mile 4, then similar to prior 2 hikes, pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113426 - significantly slowed.  Took extra magnesium, but did not make this a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113427 - hiking stop with EKG, pain and energy meds.  Then South 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113428 - turned West 1 mile on Ygnacio Valley Road.  Hiked East 2.50 on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113429 - Hollow.  At mile 8, took 2 more Tramadol and regular magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113430 - Turned around and hiked back to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113431 - Campus Drive heading uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113432 - College.  Hiked 2 loops through parking lots.  At mile 17, did EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113433 - Took 2 Tramadol.  Took another magnesium. to dissipate lactate acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113434 - and prevent inflammation to enable HDL to increase.  Took CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113435 - energy.  Left college and hiked to summit Ygnacio Valley Road mile 19,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113436 - then 2 miles downhill to Oak Grove.  At Mod Pizza did EKG.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113437 - experimented taking more Tramadol (opioids) and magnesium sufficient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113438 - to hike for training heart to stabalize beating rate to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113439 - dysfunctional autonomic nervous system leading to recovery of related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113440 - symptoms in case study on 200101 0701. ref SDS 18 ZM8J  Hiked Elk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113441 - Grove to Treat then home.  Ended hike at mile 28.  Time will tell if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113442 - strategy is effective or destructive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113446 -         ..
113447 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113448 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113449 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
113450 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
113451 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113452 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113453 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113454 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113455 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113456 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113457 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113458 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
113459 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113460 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
113461 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113462 -        Hip left.....................................   3         20  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
113463 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113464 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113465 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113466 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113467 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
113468 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113469 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113470 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113471 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113472 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
113473 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113474 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113475 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113476 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113477 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113478 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113479 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113480 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
113481 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113482 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113483 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
113484 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
113485 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
113486 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
113487 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113488 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113489 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
113490 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
113491 -        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                                                                                                                                                                                                                                                                                                                           
113492 -        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                                                                                                                                                                                                                                                                                                                                                                                    
113493 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113494 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
113495 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
113496 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113497 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113498 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
113499 -        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                                                                                                                                                                                                                                                                                                                                           
113500 -        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                                                                                                                                                                                                                                                                                                                                           
113501 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113502 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
113503 -        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                                                                                                                                                                                                                                                                                                                                                                                        
113504 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
113505 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
113506 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113507 -        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                                                                                                                                                                                                                                                                                                                                                              
113508 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
113509 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
113510 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113511 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113512 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
113513 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113514 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
113515 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
113516 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113517 -        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                                                                                                                                                                                                                                                                                                                                                                               
113518 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113519 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113520 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113521 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113522 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113523 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113524 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113525 -        Wobbly disoriented staggering dizzy..........   2         10  took 2 Tramadol mile 00, and 2 Tramadol mile 08, and 3 Tramadol mile 17, and 2 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
113526 -        Wasted - very fatigued.......................   2         10  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113527 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113531 -  ..
113532 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113533 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113534 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113535 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113536 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113537 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113539 -  ..
113540 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113541 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113542 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113544 -  ..
113545 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113547 -  ..
113548 - Callus Injuries - today on 250419 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113549 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113550 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113551 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113552 - together is awkward - took multiple tries to get positioning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113553 - yielded pain relief.  Took 2 Tramadol to start.  Result: good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113554 - for 10 miles.  Took 2 more Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113556 -  ..
113557 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113558 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113559 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113561 -  ..
113562 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113563 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113564 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113565 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113566 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113569 -  ..
113570 - Concord 28 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113571 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113572 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113573 - and also left hip.  Tried reducing Famotidine taking only 1 40 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113574 - instead of 2 to aid digestion, and reduce side effects of causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113575 - bloating, explained in case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113576 - Took 2 Tramadol 50 mg for knee pain and metatarsalgia pain in feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113577 - 2 starting hike, and left foot #1 and #5 both calluses PL 2, treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113578 - by Doctor Tang at VAMCSF on 250410 0900. ref SDS 87 5Q5M  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113579 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113580 - reducing inflammation - enables HDL to increase that together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113581 - EPCs regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113582 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 250408                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113583 - 1030, ref SDS 86 274L, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113584 - 240824. ref SDS 36 PPTU  Had small amount peanut butter and margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113585 - and Chia Seeds for electrolytes and energy, and had some avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113586 - HDL.  Just before starting hike took Ubiquinol CoQ10 per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113587 - ref SDS 0 3P4H  CoQ10 is an enzyme produced in the body that supports                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113588 - an electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113589 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113590 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113591 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113592 - fibrillation (arrhythmia).  Feeling bloated today, possibly arising                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113593 - from variable heart rate related to dysfunctional automatic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113594 - system - ANS) following 6th ablation on 240611 0930, ref SDS 53 MC6F;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113595 - see analysis by Microsoft AI on 250114 1202. ref SDS 69 PQ5Y  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113596 - backpack to carry stuff.  Applied bandaging scheme to calluses left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113597 - foot #1 and #5, per above. ref SDS 0 RVRY  This worked better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113598 - yesterday for most of the route.  Hiked Cuneo .25 mile, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113599 - left, onto Treat.  Starting hike feet feeling swelled and like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113600 - and needles - did not feel electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113601 - morning - due to peripheral neuropathy.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113602 - calming down.  Bottom of both feet metatarsalgia PL 2, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113603 - foot #1 and #5, which have been major source of hiking pain past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113604 - weeks.  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113605 - good condition that reflects increased hiking past few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113606 - Temperature started at 64, and reached 71.  East wind 15 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113607 - mostly 06 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113608 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113609 - flat grade, some places 3% uphill, and light traffic.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113610 - across Newhall Community park and back today.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113611 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113612 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113613 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113614 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113615 - traffic light.  Today, like Sunday, 250413, had difficulty again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113616 - maintaining pace - body slowed down, but less so than prior 2 days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113617 - Decided not to stop at Mountain Mike's Pizza shop for full hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113618 - maintenance at mile 4.  Took another magnesium capsule with sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113619 - softdrink and sip of CoQ10 to experiment increasing energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113620 - maintain hiking speed.  Continued on concrete sidewalk .5 miles with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113622 -             ..
113623 -            [On 290428 1000 lab test reported ferritin 28.9 below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113624 -            target range. ref SDS 88 VP5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113626 -             ..
113627 -            [On 250430 2137 research with Microsoft AI reported low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113628 -            ferritin levels can significantly impact exercise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113629 -            performance, especially for endurance activities.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113630 -            ref SDS 89 GW9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113632 -  ..
113633 - PL 1 in feet.  Turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113634 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113635 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113636 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113637 - Continued West past Stop Light at Michigan Boulevard.  Did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113638 - Union 76 Texaco Gas Station store mile 5, time ____.  Hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113639 - Ygnacio Valley Road; turned left and hiked 2.50 miles East to end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113640 - Pine Hollow.  Stopped at mile 08 time 1338 temp 70 and wind 04 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113641 - EKG looks variable with minor artifact.  Kardia reported HR 100,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113642 - Unclassified - see below. ref SDS 0 RXTY  Bloating PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113643 - Metatarsalgia both feet PL 3, left foot #1 PL 4, #5 PL 3.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113644 - meniscus PL 2, left hip PL 3.  Took 2 Tramadol 50 MG.  Took (2nd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113645 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113646 - 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113647 - LESV, as occurred last year on 240824, see case study. ref SDS 36 YWSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113648 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113649 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113650 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113651 - bites.  Took sip Ubiquinol CoQ10 0.6 ml for increasing HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113652 - to continue hike.  Temperature near 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113653 - electrolytes, did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113654 - ref SDS 0 RTSQ  Turned around and hiked back 2.5 miles.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113655 - onto Campus Drive heading West uphill 3% grade hiked 1 mile against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113656 - wind 10 mph.  The road bends North.  On reaching Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113657 - turned around and hiked uphill .25 mile 5% grade.  Hiking slow despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113658 - taking increased concentration of magnesium and CoQ10 at mile 04.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113659 - However, this was faster than on Sunday, 4 days ago.  Mile 12, reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113660 - Visitor Parking at California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113661 - Campus.  Hiked 1-loop around main buildings.  Stopped at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113662 - station and did half-pullups and half-pushups.  Continued hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113663 - 2-loops through Faculty and Student parking lots.  After 1st loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113664 - slowing down; took another (4th) magnesium capsule with sips of CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113665 - After 2nd loop and back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113666 - Building mile 17 time 1632 temp 70 and wind 12 mph; EKG looks variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113667 - with some artifact.  Kardia reported HR 087, Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113668 - ref SDS 0 RXVP  Bloating PL 3.  Both feet metatarsalgia PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113669 - foot #1 PL 4, #5 PL 3.  Left knee meniscus PL 1, right knee PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113670 - Took 2 Tramadol 50 MG.  Took (5th) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113671 - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113672 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113673 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113674 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113675 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113676 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113677 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113678 - above 80 causes sweating that ejects electrolytes, and temp is 71 did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113679 - not take Nuun electrolyte pill, per above. ref SDS 0 RTSQ  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113680 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113681 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113682 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113683 - wind 09 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113684 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113685 - Continued West .5 mile to summit.  At mile 19 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113686 - barrier and at break in traffic, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113687 - Valley Road to use wider shoulder hiking West 2 miles downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113688 - grade.  Crossed Oak Grove at traffic light.  Today, hiked 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113689 - using asphalt path around the block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113690 - Stopped at Mod Pizza mile 23, time 1822, temp 68 and wind 17 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113691 - mostly uniform with no artifact, Kardia reported HR 105 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113692 - see below. ref SDS 0 RXWQ  Bloated PL 2.  Not slow, disoriented nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113693 - wobbly PL 0, likely due to increased magnesium and CoQ10 today.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113694 - feet PL 3, burning sensation PL 1, left foot #1 PL 5, #5 PL 5.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113695 - Tramadol to avoid escalating moderate pain.  Took 5th Magnesium to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113696 - control pain by absorbing lactic acid in muscles, resolves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113697 - inflammation which then enables HDL to rise in the liver, increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113698 - energy for hiking.  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113699 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113700 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113701 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113702 - complete hike.  Since temperature above 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113703 - electrolytes, and temp is 68 did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113704 - above. ref SDS 0 RTSQ  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113705 - to continue hike, per above. ref SDS 0 RTSQ  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113706 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113707 - hiking North .25 miles, turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113708 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113709 - shoulder.  Crossed Treat at street light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113710 - grade concrete sidewalk.  Noticed was not veering left or right, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113711 - occurred prior hike - similar to prior condition when taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113712 - and Gabapentin, e.g., on 231111 in case study on 230101 0654.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113713 - ref SDS 28 RVVY see line 172870; also see letter to Doctor Wiseman at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113714 - VAMCSF on 230418 0949. ref SDS 29 RS5F  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113715 - miles on Treat uphill 5% grade temp 66.  Handled this okay - breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113716 - through nose, and did not feel like stopping at any time due to weak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113717 - legs; actually, seemed faster today, after taking more magnesium.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113718 - summit, mile 26, hiked another mile to Cuneo then to Kaski at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113719 - block and finally home.  Ended hike mile 28 time 2013 temp 63, wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113720 - 04.  Bloated PL 3, fatigue PL 2, feet PL 3, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113721 - left foot #1 PL 5, #5 PL 4, neck/spine PL 8 momentarily turning head.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113722 - EKG looks mostly uniform, with artifact, Kardia reported HR 100 Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113723 - Sinus Rhythm - see below. ref SDS 0 R27R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113734 -  ..
113735 - Kardia recorded HR 082 at 0951 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113736 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113737 - AFL after hiking 23 miles temp 73 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113738 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113739 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113740 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113741 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113744 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113745 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250419-ecg-095137_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113751 -  ..
113752 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113753 - hike 28 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113754 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113755 - ..
113756 -                                                                                                                                                                                                                                                                                                              x
113757 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113758 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113759 -       Date          250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 250126 25012  
113760 -       Miles            28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0      0  
113761 -       HR AVG          110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no     no  
113762 -         MAX           127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report report repo  
113763 -         Min            44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                       
113764 -       El Climb Ft     489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                  364  
113765 -       Temp Max         71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                   61  
113766 -       Wind Max         15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                   03  
113767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113769 -              https://flow.polar.com/training/analysis/8096651053                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113772 -               ..
113774 -   
113775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113778 -  ..
113779 - EKG at mile 08 time 1338, HR 100 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113780 - Unclassified... heart rate looks variable with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113781 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113784 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113785 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250419-ecg-133822_mile_08_100_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113789 -  ..
113790 - EKG at mile 17 time 1632 HR 087 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113791 - Unclassified... heart rate mostly variable with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113792 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113795 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113796 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250419-ecg-163200_mile_17_087_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113800 -  ..
113801 - EKG at mile 23 time 1822 HR 105 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113802 - Tachycardia... heart rate mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113803 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113806 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113807 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250419-ecg-182212_mile_23_105_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113811 -  ..
113812 - End hike EKG at mile 28, time 2013 HR 100 temp 63 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113813 - Normal Sinus Rhythm... looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113814 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113817 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113818 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250419-ecg-201355_mile_28_100_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113822 -  ..
113823 - Post hike HR profile beginning 0013, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113824 - hiking 28 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113825 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113826 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113827 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113828 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113831 -        ..
113832 -       Date      250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206  250205    
113833 -       Time       0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902    2010     
113834 -       Hours         7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6      13     
113835 -       HR AVG       63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77      66     
113836 -       HR MAX      125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     119     
113837 -       HR Min       39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44      42     
113838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113842 -              https://flow.polar.com/training/analysis/8097110755                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113845 -  ..
113846 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113849 -   
113850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113853 -  ..
113854 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113855 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113856 - Dinner - eggs hamburger rice broccoli cauliflower mushrooms onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
113858 -  ..
113859 - Vomiting: 0% - seems like bloating 3 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113896 -         ..
113897 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113898 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113899 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113900 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113901 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113902 -  110.  250420 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113903 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113904 -               0720....BP HR..................................................... 158  91  53  Kardia ECG reports HR status, see below. ref SDS 0 SAV7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113905 -               0725....BP HR..................................................... 143  78  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113906 -               0730....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113907 -               0735....40 448720 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
113908 -               1055....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113909 -               1050... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113910 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113911 -               1050....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113912 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113913 -               1050....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113914 -               1050... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
113915 -  ..
113916 -               1153....miles...........  22.0  98.0  377  1704 minutes  temp  74 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113917 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113918 -               1340... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113919 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113920 -               1440....mile 09 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113921 -               1440....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113922 -               1440... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113923 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113924 -               1440... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113925 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113926 -               1550... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113927 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113928 -               1658....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113929 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113930 -               1658... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
113931 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113932 -               1658... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
113933 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113934 -               1852... Hike ends mile 22... ref SDS 0 STSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
113935 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113936 -               1930....weight.................................... 169  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
113937 -               1940....BP HR..................................................... 118  84  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113938 -               1955....BP HR..................................................... 125  76  83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
113939 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113940 -               2100... 40 122500 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                                                                                                                                                                                                                                                                                  
113941 -               1830............ 10 21360  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
113942 -               1830............ 10 21710  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
113943 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113944 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113945 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113946 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113947 -               2250... 1000 2436000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113948 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
113949 -               2330... 40 448760 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113950 -               2340... 40 97200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
113952 -  ..
113953 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113954 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113956 -  ..
113957 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113958 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113959 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113960 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113961 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113963 -  ..
113964 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113965 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113967 -  ..
113968 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113969 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113972 -  ..
113973 - Today, hiked 22 miles - better hike maintaining hiking pace taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113974 - more magnesium and CoQ10, and Tramadol.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113975 - elevation (Hooray!!).  Feeling bloated possibly related to variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113976 - heart rate causing dysfunctional autonomic nervous system (ANS).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113977 - 2 Tramadol starting hike.  Used Corn bandaging with "donut hole" to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113978 - protect calluses on left foot #1 and #5, which was mostly helpful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113979 - Need to improve this somehow.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113980 - Concord streets - Treat, Turtle Creek Road.  Had good energy starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113981 - hike Was able to increase speed at will, which could not do last 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113982 - hikes on Saturday and Sunday. to Clayton Road.  At mile 4, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
113983 - similar to prior 2 hikes, pace significantly slowed.  Took extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113984 - magnesium, but did not make this a hiking stop with EKG, pain and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113985 - energy meds.  Then West 1 mile on Ygnacio Valley Road.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113986 - 0.75 on Pine Hollow.  Turned around at Rolling Woods Way.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113987 - and turned West onto Campus Drive heading uphill 1 mile 4% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
113988 - Visitor Parking at College.  Hiked loop through parking lots.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
113989 - 09, did EKG.  Took 2 Tramadol.  Took another magnesium. to dissipate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113990 - lactate acid, and prevent inflammation to enable HDL to increase.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
113991 - Took CoQ10 for energy.  Left college but took another magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
113992 - Hiked to summit Ygnacio Valley Road mile 13, then 2 miles downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
113993 - Oak Grove.  At Mod Pizza did EKG.  Did not take more Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
113994 - (opioids).  Took another magnesium sufficient to hike for training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113995 - heart to stabalize beating rate to prevent dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113996 - nervous system leading to recovery of related symptoms in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
113997 - on 200101 0701. ref SDS 18 ZM8J  Hiked Elk Grove to Treat then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
113998 - Ended hike at mile 22.  Time will tell if strategy is effective or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
113999 - destructive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114003 -         ..
114004 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114005 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114006 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
114007 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
114008 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114009 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114010 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114011 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114012 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114013 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114014 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114015 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
114016 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114017 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
114018 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114019 -        Hip left.....................................   0         20  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
114020 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114021 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114022 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114023 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114024 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
114025 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114026 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114027 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114028 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114029 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
114030 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114031 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114032 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114033 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114034 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114035 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114036 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114037 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
114038 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114039 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114040 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
114041 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
114042 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
114043 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
114044 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114045 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114046 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
114047 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
114048 -        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                                                                                                                                                                                                                                                                                                                           
114049 -        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                                                                                                                                                                                                                                                                                                                                                                                    
114050 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114051 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
114052 -        Callus big toe left foot...PRP 210705........   4         30  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
114053 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114054 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114055 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
114056 -        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                                                                                                                                                                                                                                                                                                                                           
114057 -        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                                                                                                                                                                                                                                                                                                                                           
114058 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114059 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
114060 -        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                                                                                                                                                                                                                                                                                                                                                                                        
114061 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
114062 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
114063 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114064 -        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                                                                                                                                                                                                                                                                                                                                                              
114065 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
114066 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
114067 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114068 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114069 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
114070 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114071 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
114072 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
114073 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114074 -        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                                                                                                                                                                                                                                                                                                                                                                               
114075 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114076 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114077 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114078 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114079 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114080 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114081 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114082 -        Wobbly disoriented staggering dizzy..........   1         10  took 2 Tramadol mile 00, and 2 Tramadol mile 09, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
114083 -        Wasted - very fatigued.......................   1         10  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114084 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114088 -  ..
114089 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114090 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114091 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114092 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114093 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114094 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114096 -  ..
114097 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114098 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114099 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114101 -  ..
114102 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114104 -  ..
114105 - Callus Injuries - today on 250419 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114106 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114107 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114108 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114109 - together is awkward - took multiple tries to get positioning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114110 - yielded pain relief.  Took 2 Tramadol to start.  Result: good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114111 - for 10 miles.  Took 2 more Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114113 -  ..
114114 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114115 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114116 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114118 -  ..
114119 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114120 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114121 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114122 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114123 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114126 -  ..
114127 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114128 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114129 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114130 - and also left hip.  Continue reducing Famotidine started on 250418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114131 - taking only 1 40 mg pill morning and night instead of 2 pills to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114132 - digestion, and reduce side effects of bloating, explained in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114133 - study on 200101 0701. ref SDS 18 O33H  Took 2 Tramadol 50 mg for knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114134 - pain and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114135 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114136 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114137 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114138 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114139 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114140 - after EGD Dilation on 250408 1030, ref SDS 86 274L, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114141 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114142 - amount peanut butter and margarine and Mayonnaise, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114143 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114144 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 4G9I  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114145 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114146 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114147 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114148 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114149 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114150 - Feeling bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114151 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114152 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114153 - on 250114 1202. ref SDS 69 PQ5Y  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114154 - Applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114155 - ref SDS 0 RVRY  This worked better than yesterday for most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114156 - route.  Hiked Cuneo .25 mile, and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114157 - hike feet feeling swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114158 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114159 - neuropathy.  After about 1 mile feet calming down.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114160 - feet metatarsalgia PL 2, including left foot #1 and #5, which have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114161 - been major source of hiking pain past weeks.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114162 - entire hike with no dyspnea, indicating good condition that reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114163 - increased hiking past few months.  Temperature started at 64, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114164 - reached 71.  East wind 15 mph and mostly 06 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114165 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114166 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114167 - light traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114168 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114169 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114170 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114171 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114172 - Crossed Alberto Way at traffic light.  Today, like Sunday, 250413, had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114173 - difficulty again maintaining pace - body slowed down, but less so than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114174 - prior 2 days.  Decided not to stop at Mountain Mike's Pizza shop for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114175 - full hiking maintenance at mile 4.  About time 1340, took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114176 - magnesium capsule with sips softdrink to experiment increasing energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114177 - and maintain hiking speed, per above. ref SDS 0 RYXR  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114178 - concrete sidewalk .5 miles with PL 1 in feet.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114179 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114180 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114181 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114182 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114183 - at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas Station                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114184 - store mile 5, time ____.  Hiking on Ygnacio Valley Road; turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114185 - and hiked 1.00 miles East.  Turned around at Rolling Woods Way and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114186 - hiked back 1 mile.  Turned left onto Campus Drive heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114187 - 3% grade hiked 1 mile against wind 08 mph.  The road bends North.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114188 - reaching Ygnacio Valley Road turned around and hiked uphill .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114189 - 5% grade.  Hiking mostly normal after taking increased concentration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114190 - of magnesium and CoQ10 at mile 04.  Mile 07, reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114191 - at California State University East Bay Concord Campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114192 - around main buildings.  Stopped at training station and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114193 - half-pullups and half-pushups.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114194 - Administration Building mile 09 time 1440 temp 74 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114195 - looks variable with some artifact.  Kardia reported HR 107, Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114196 - Atrial Fibrillation - see below. ref SDS 0 STPU  Bloating PL 3.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114197 - feet metatarsalgia PL 4, left foot #1 PL 4, #5 PL 4.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114198 - meniscus PL 1, right knee PL 0.  Took 2 Tramadol 50 MG.  Took (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114199 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114200 - 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114201 - LESV, as occurred last year on 240824, see case study. ref SDS 36 YWSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114202 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114203 - nutrition - peanut butter, margarine and Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114204 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114205 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114206 - complete hike.  Since temperature above 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114207 - electrolytes, and temp is 71 did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114208 - above. ref SDS 0 RYXR  Continued hiking 1 loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114209 - Student parking lots.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114210 - Drive.  Halfway down, took 3rd magnesium capsule about mile 11, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114211 - 1550, per above. ref SDS 0 RYXR  Continued down Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114212 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114213 - mile 12, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114214 - against wind 12 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114215 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114216 - camber.  Continued West .5 mile to summit.  At mile 14 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114217 - traffic barrier and at break in traffic, crossed back to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114218 - Ygnacio Valley Road to use wider shoulder hiking West 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114219 - 3% grade.  Crossed Oak Grove at traffic light.  Today, hiked 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114220 - loop using asphalt path around the block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114222 -  ..
114223 - Stopped at Mod Pizza mile 17, time 1658, temp 73 and wind 13 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114224 - mostly uniform with initial artifact, Kardia reported HR 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114225 - Tachycardia - see below. ref SDS 0 STQV  Bloated PL 2.  Not slow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114226 - disoriented nor wobbly PL 0, likely due to increased magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114227 - CoQ10 today.  Both feet PL 4, burning sensation PL 2, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114228 - 4, #5 PL 4; right foot Tailor's bunion PL 2.  Took 2 Tramadol to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114229 - escalating pain.  Took 5th Magnesium to control pain by absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114230 - lactic acid in muscles, resolves inflammation which then enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114231 - to rise in the liver, increases energy for hiking.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114232 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114233 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114234 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114235 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114236 - above 80 causes sweating that ejects electrolytes, and temp is 73 did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114237 - not take Nuun electrolyte pill, per above. ref SDS 0 RYXR  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114238 - hiking 2 more 1-mile loops around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114239 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114240 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114241 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114242 - 1 mile East on flat grade concrete sidewalk.  Noticed was not veering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114243 - left or right, as occurred prior hike - similar to prior condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114244 - when taking Tramadol and Gabapentin, e.g., on 231111 in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114245 - 230101 0654. ref SDS 28 RVVY see line 172870; also see letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114246 - Doctor Wiseman at VAMCSF on 230418 0949. ref SDS 29 RS5F  At San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114247 - Miguel continued .75 miles on Treat uphill 5% grade temp 66.  Handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114248 - this okay - breathed through nose.  Did not feel like stopping at any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114249 - time due to weak legs; actually, seemed faster today, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114250 - more magnesium.  At summit, mile 21, hiked another mile to Cuneo then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114251 - home.  Ended hike mile 22 time 1658 temp 74, wind 12.  Bloated PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114252 - fatigue PL 2, feet PL 5, burning sensation PL 2, left foot #1 PL 4, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114253 - PL 6, neck/spine PL 8 momentarily turning head.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114254 - uniform, with artifact, Kardia reported HR 109 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114255 - below. ref SDS 0 STSX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114266 -  ..
114267 - Kardia recorded HR 060 at 0751 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114268 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114269 - likely no AFL after hiking 28 miles temp 71 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114270 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114271 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114272 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114273 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114276 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114277 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250420-ecg-075141_mile_00_060_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114283 -  ..
114284 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114285 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114286 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114287 - ..
114288 -                                                                                                                                                                                                                                                                                                              x
114289 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114290 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114291 -       Date          250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 250127 25012  
114292 -       Miles            22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0      0  
114293 -       HR AVG          114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no     no  
114294 -         MAX           131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   report repo  
114295 -         Min            53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56                
114296 -       El Climb Ft     489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512                
114297 -       Temp Max         74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60                
114298 -       Wind Max         12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07                
114299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114301 -              https://flow.polar.com/training/analysis/8097219993                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114305 -               ..
114307 -   
114308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114311 -  ..
114312 - EKG at mile 09 time 1440, HR 107 temp 74, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114313 - Atrial Fibrillation...  heart rate looks variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114314 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114317 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114318 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250420-ecg-144039_mile_09_107_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114322 -  ..
114323 - EKG at mile 17 time 1658 HR 114 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114324 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114325 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114328 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114329 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250420-ecg-165854_mile_17_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114333 -  ..
114334 - End hike EKG at mile 22, time 1852 HR 109 temp 74 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114335 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114336 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114339 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114340 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250420-ecg-185233_mile_22_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114344 -  ..
114345 - Post hike HR profile beginning 2308, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114346 - hiking 22 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114347 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114348 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114349 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114350 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114353 -        ..
114354 -       Date      250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207  250206    
114355 -       Time       2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926    1902     
114356 -       Hours         9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12       6     
114357 -       HR AVG       59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73      77     
114358 -       HR MAX      120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     118     
114359 -       HR Min       38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49      44     
114360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114364 -              https://flow.polar.com/training/analysis/8097741909                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114367 -  ..
114368 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114371 -   
114372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114375 -  ..
114376 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114377 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114378 - Dinner - macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114380 -  ..
114381 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114417 -         ..
114418 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114419 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114420 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114421 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114422 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114423 -  111.  250421 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114424 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114425 -               0720....BP HR..................................................... 146  81  50  Kardia ECG reports HR status, see below. ref SDS 0 SXWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114426 -               0725....BP HR..................................................... 149  89  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114427 -               0730....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114428 -               0735....40 448800 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
114429 -               1200....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114430 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114431 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114432 -               1200....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114433 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114434 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114435 -               1200... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
114436 -  ..
114437 -               1212....miles...........  26.0  26.0  444   444 minutes  temp  82 wind 09  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114438 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114439 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114440 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114441 -               1423....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114442 -               1423....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114443 -               1423... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
114444 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114445 -               1423... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114446 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114447 -               1550... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
114448 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114449 -               1652....mile 16 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114450 -               1652....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114451 -               1652... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
114452 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114453 -               1652... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114454 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114455 -               1852... Hike ends mile 26... ref SDS 0 SYUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114456 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114457 -               1916....weight.................................... 168  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114458 -               1920....BP HR..................................................... 108  74 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114459 -               1925....BP HR..................................................... 102  69 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114460 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114461 -               2100... 40 122540 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                                                                                                                                                                                                                                                                                  
114462 -             1 0000............ 10 21360  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
114463 -             1 0000............ 10 21710  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
114464 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114465 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114466 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114467 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114468 -               2250... 1000 2437000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114469 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114470 -               2330... 40 448840 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114471 -               2340... 40 97240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114474 -  ..
114475 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114476 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114478 -  ..
114479 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114480 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114481 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114482 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114483 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114485 -  ..
114486 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114487 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114489 -  ..
114490 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114491 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114494 -  ..
114495 - Today, hiked 26 miles - better maintaining pace without taking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114496 - magnesium between normal stops.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114497 - elevation.  Seemed increased fatigued about mile 21.  Experimented                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114498 - taking 2 magnesium - increased energy with no evident side effects.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114499 - Feeling less bloated entire hike possibly related to variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114500 - rate causing dysfunctional autonomic nervous system (ANS).  Used Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114501 - bandaging with "donut hole" to protect calluses on left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114502 - #5, which was mostly helpful.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114503 - Concord streets - Treat, Turtle Creek Road.  Had good energy starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114504 - hike Was able to increase speed at will, which could not do last 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114505 - hikes on Friday, Saturday and Sunday. to Clayton Road.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114506 - then unlike prior 2 hikes, pace did not slow significantly, so did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114507 - take extra magnesium, Then South 1 mile and turned West 1 mile on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114508 - Ygnacio Valley Road.  Hiked East 2.50 on Pine Hollow.  At mile 8, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114509 - 2 more Tramadol and regular magnesium.  Turned around and hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114510 - to Ygnacio Valley Road.  Turned West onto Campus Drive heading uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114511 - 1 mile 4% grade to Visitor Parking at College.  Hiked 2 loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114512 - parking lots.  At mile 17, did EKG.  Took 2 Tramadol.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114513 - magnesium. to dissipate lactate acid, and prevent inflammation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114514 - enable HDL to increase.  Took CoQ10 for energy.  Left college and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114515 - hiked to summit Ygnacio Valley Road mile 19, then 2 miles downhill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114516 - Oak Grove.  At Mod Pizza did EKG.  Today, experimented taking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114517 - Tramadol (opioids) and magnesium sufficient to hike for training heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114518 - to stabalize beating rate to prevent dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114519 - system leading to recovery of related symptoms in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114520 - 0701. ref SDS 18 ZM8J  Hiked Elk Grove to Treat then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114521 - at mile 28.  Time will tell if strategy is effective or destructive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114525 -         ..
114526 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114527 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114528 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
114529 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
114530 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114531 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114532 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114533 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114534 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114535 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114536 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114537 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
114538 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114539 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
114540 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114541 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
114542 -        Back.........................................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114543 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114544 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114545 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114546 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
114547 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114548 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114549 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114550 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114551 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
114552 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114553 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114554 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114555 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114556 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114557 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114558 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114559 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
114560 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114561 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114562 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
114563 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
114564 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
114565 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
114566 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114567 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114568 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
114569 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
114570 -        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                                                                                                                                                                                                                                                                                                                           
114571 -        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                                                                                                                                                                                                                                                                                                                                                                                    
114572 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114573 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
114574 -        Callus big toe left foot...PRP 210705........   4         30  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
114575 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114576 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114577 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
114578 -        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                                                                                                                                                                                                                                                                                                                                           
114579 -        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                                                                                                                                                                                                                                                                                                                                           
114580 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114581 -  **    Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
114582 -        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                                                                                                                                                                                                                                                                                                                                                                                        
114583 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
114584 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
114585 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114586 -        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                                                                                                                                                                                                                                                                                                                                                              
114587 -  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 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
114588 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
114589 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114590 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114591 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
114592 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114593 -        Burning sensation both feet..................   3         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
114594 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
114595 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114596 -        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                                                                                                                                                                                                                                                                                                                                                                               
114597 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114598 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114599 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114600 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114601 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114602 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114603 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114604 -        Wobbly disoriented staggering dizzy..........   2         10  took 2 Tramadol mile 00, and 2 Tramadol mile 08, and 3 Tramadol mile 17, and 2 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
114605 -        Wasted - very fatigued.......................   2         10  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114606 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114610 -  ..
114611 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114612 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114613 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114614 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114615 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114616 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114618 -  ..
114619 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114620 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114621 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114623 -  ..
114624 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114626 -  ..
114627 - Callus Injuries - today on 250419 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114628 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114629 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114630 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114631 - together is awkward - took multiple tries to get positioning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114632 - yielded pain relief.  Took 2 Tramadol to start.  Result: good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114633 - for 10 miles.  Took 2 more Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114635 -  ..
114636 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114637 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114638 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114640 -  ..
114641 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114642 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114643 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114644 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114645 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114648 -  ..
114649 - Concord 26 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114650 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114651 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114652 - and also left hip.  Continue reducing Famotidine started on 250418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114653 - taking only 1 40 mg pill morning and night instead of 2 pills to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114654 - digestion, and reduce side effects of bloating, explained in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114655 - study on 200101 0701. ref SDS 18 O33H  Took 2 Tramadol 50 mg for knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114656 - pain and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114657 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114658 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114659 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114660 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114661 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114662 - after EGD Dilation on 250408 1030, ref SDS 86 274L, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114663 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114664 - amount peanut butter and margarine and Mayonnaise, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114665 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114666 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 NP6J  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114667 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114668 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114669 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114670 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114671 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114672 - Feeling less bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114673 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114674 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114675 - on 250114 1202. ref SDS 69 PQ5Y  Feeling less bloated may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114676 - Doctor Pellegrini's prescription to increase hiking, reported in her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114677 - letter on 250115 1023. ref SDS 70 H480  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114678 - Applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114679 - ref SDS 0 RVRY  This worked better than yesterday for most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114680 - route.  There were some times when acute pain on left foot #1, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114681 - more severe today.  Hiked Cuneo .25 mile, and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114682 - Starting hike feet feeling swelled and like pins and needles - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114683 - electrical shocks off and on in balls of feet this morning about 1%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114684 - total hike - due to peripheral neuropathy.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114685 - calming down.  Bottom of both feet metatarsalgia PL 2, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114686 - foot #1 and #5, which have been major source of hiking pain past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114687 - weeks.  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114688 - good condition that reflects increased hiking past few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114689 - Temperature started at 76, and reached 82.  East wind 09 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114690 - mostly 04 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114691 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114692 - flat grade, some places 3% uphill, and light traffic.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114693 - across Newhall Community park and back today.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114694 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114695 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114696 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114697 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114698 - traffic light.  Today, finally - did not have difficulty maintaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114699 - pace - body did not slow down, as occurred past 3 days.  Decided not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114700 - to stop at Mountain Mike's Pizza shop to take another magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114701 - capsule with sips softdrink to experiment increasing energy and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114702 - maintain hiking speed, because not needed, per above. ref SDS 0 SUQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114703 - Continued on concrete sidewalk .5 miles with PL 1 in feet.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114704 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114705 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114706 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114707 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114708 - Stop Light at Michigan Boulevard.  Did not stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114709 - Station store mile 5, time ____.  Hiking on Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114710 - turned left and hiked 2.50 miles East.  At the end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114711 - stopped at mile 08 time 1423 temp 79 and wind 05 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114712 - variable with minor artifact.  Kardia reported HR 112, Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114713 - Fibrillation - see below. ref SDS 0 SYQW  Bloating PL 1.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114714 - metatarsalgia PL 4, left foot #1 PL 5, #5 PL 2.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114715 - 1, right knee PL 0.  Took 2 Tramadol 50 MG.  Took (3rd) Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114716 - complex 300 mg pill - swallowed whole after EGD Dilation to 19.5 mm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114717 - 250408 1030, ref SDS 86 433O, avoids large capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114718 - occurred last year on 240824, see case study. ref SDS 36 YWSY  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114719 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114720 - - peanut butter, margarine and Mayonnaise, and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114721 - water/Coca Cola/orange juice) for energy, and avocado for HDL - few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114722 - bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114723 - hike.  Since temperature above 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114724 - electrolytes, and temp is 79 did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114725 - above. ref SDS 0 SUQS  Turned around and hiked back 2.5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114726 - left onto Campus Drive heading West uphill 3% grade hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114727 - against wind 06 mph.  The road bends North.  On reaching Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114728 - Valley Road turned around and hiked uphill 0.25 mile 5% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114729 - Reached Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114730 - Concord Campus.  Hiked 1-loop around main buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114731 - training station and did half-pullups and half-pushups.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114732 - Visitor Parking, continued hiking 2 loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114733 - parking lots.  Stopped at Administration Building mile 16 time 1652                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114734 - temp 82 and wind 07 mph; EKG looks variable with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114735 - Kardia reported HR 115, Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114736 - ref SDS 0 SYRX  Bloating PL 2.  Both feet metatarsalgia PL 4, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114737 - foot #1 PL 3, #5 PL 3.  Left knee meniscus PL 0, right knee PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114738 - Took 1 Tramadol 50 MG.  Took (3rd) Magnesium complex 300 mg pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114739 - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114740 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114741 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114742 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114743 - butter, margarine and Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114744 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114745 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114746 - temperature above 80 causes sweating that ejects electrolytes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114747 - temp is 82, should have taken Nuun electrolyte pill, but forgot it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114748 - today, per above. ref SDS 0 SUQS  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114749 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114750 - Hiked West on flat grade .5 miles.  At mile 17, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114751 - Ranch Road uphill 3% grade .5 miles against wind 12 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114752 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114753 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114754 - summit.  At mile 18 end of concrete traffic barrier and at break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114755 - traffic, crossed back to South side Ygnacio Valley Road to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114756 - shoulder hiking West 2 miles downhill 3% grade.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114757 - traffic light.  Today, hiked 1-mile loop using asphalt path around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114758 - block at Safeway shopping complex.  Stopped at Mod Pizza mile 21, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114759 - 1838, temp 79 and wind 09 mph; EKG mostly uniform with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114760 - Kardia reported HR 119 Unclassified - see below. ref SDS 0 SYSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114761 - Bloated PL 2.  Not slow, disoriented nor wobbly PL 0, likely due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114762 - increased magnesium and CoQ10 today.  Both feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114763 - sensation PL 2, left foot #1 PL 8, #5 PL 3; right foot Tailor's bunion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114764 - PL 0.  Took 2 Tramadol to avoid escalating pain.  Fatigue PL 6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114765 - Experimented taking 2 - 7th and 8th - Magnesium capsules to recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114766 - from fatigue, and to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114767 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114768 - increases energy for hiking.  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114769 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114770 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114771 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114772 - to complete hike.  Since temperature above 80 causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114773 - ejects electrolytes, and temp is 79, could, but forgot to take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114774 - electrolyte pill, per above.  Continued hiking 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114775 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114776 - miles, turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114777 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114778 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114779 - sidewalk.  Noticed was not veering left or right, as occurred prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114780 - hikes - similar to prior condition when taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114781 - Gabapentin, e.g., on 231111 in case study on 230101 0654. ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114782 - RVVY see line 172870; also see letter to Doctor Wiseman at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114783 - 230418 0949. ref SDS 29 RS5F  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114784 - Treat uphill 5% grade temp 66.  Handled this well - breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114785 - nose.  Did not feel like stopping at any time due to weak legs;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114786 - actually, seemed faster today, after taking more magnesium.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114787 - summit, mile 25, hiked another mile to Cuneo then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114788 - mile 26 time 2020 temp 70, wind 07.  Bloated PL 2, fatigue PL 2, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114789 - PL 4, burning sensation PL 2, left foot #1 PL 3, #5 PL 3, neck/spine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114790 - PL 8 momentarily turning head, mid-level back PL 4.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114791 - variable, with artifact, Kardia reported HR 106 Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114792 - Fibrillation - see below. ref SDS 0 SYUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114803 -  ..
114804 - Kardia recorded HR 060 at 0751 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114805 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114806 - likely no AFL after hiking 28 miles temp 71 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114807 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114808 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114809 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114810 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114813 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114814 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250421-ecg-102353_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114820 -  ..
114821 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114822 - hike 26 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114823 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114824 - ..
114825 -                                                                                                                                                                                                                                                                                                              x
114826 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114827 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114828 -       Date          250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 250128 25012  
114829 -       Miles            26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22      0  
114830 -       HR AVG          119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120     no  
114831 -         MAX           135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139   repo  
114832 -         Min            60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56         
114833 -       El Climb Ft     489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512         
114834 -       Temp Max         82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60         
114835 -       Wind Max          9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07         
114836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114838 -              https://flow.polar.com/training/analysis/8097911181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114842 -               ..
114844 -   
114845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114848 -  ..
114849 - EKG at mile 08 time 1423, HR 112 temp 79, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114850 - Atrial Fibrillation...  heart rate looks variable with minor artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114851 - - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114854 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114855 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250421-ecg-142310_mile_08_112_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114859 -  ..
114860 - EKG at mile 16 time 1652 HR 115 temp 82, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114861 - Atrial Fibrillation... heart rate mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114862 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114865 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114866 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250421-ecg-165226_mile_16_115_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114870 -  ..
114871 - EKG at mile 21 time 1838 HR 119 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
114872 - Unclassified... heart rate mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114873 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114876 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114877 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250421-ecg-183827_mile_21_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114881 -  ..
114882 - End hike EKG at mile 26, time 2020 HR 106 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
114883 - Possible Atrial Fibrillation... looks mostly variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114884 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114887 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114888 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250421-ecg-202007_mile_26_106_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114892 -  ..
114893 - Post hike HR profile beginning 2350, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114894 - hiking 26 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114895 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
114896 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114897 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114898 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114901 -        ..
114902 -       Date      250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208  250207    
114903 -       Time       2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123    1926     
114904 -       Hours         9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11      12     
114905 -       HR AVG       67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65      73     
114906 -       HR MAX      159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     119     
114907 -       HR Min       35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39      49     
114908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114912 -              https://flow.polar.com/training/analysis/8098253254                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114915 -  ..
114916 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114919 -   
114920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114923 -  ..
114924 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114925 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
114926 - Dinner - macaroni cheese hamburger broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114928 -  ..
114929 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
114965 -         ..
114966 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114967 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114968 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114969 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114970 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
114971 -  112.  250422 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114972 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114973 -               0720....BP HR..................................................... 159  83  53  Kardia ECG reports HR status, see below. ref SDS 0 4TSN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114974 -               0725....BP HR..................................................... 148  75  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114975 -               0730....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114976 -               0735....40 448880 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
114977 -               1200....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114978 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
114979 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
114980 -               1200....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
114981 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
114982 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114983 -               1200... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
114984 -  ..
114985 -               0948....miles...........  20.0  46.0  368   812 minutes  temp  77 wind 21  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
114986 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114987 -               1100... Magnesium 300 mg 1 Pill Bioemblem Triple Complex -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
114988 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114989 -               1215....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114990 -               1215....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
114991 -               1215... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
114992 -               1215... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114993 -               1215... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
114994 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
114995 -               1456....mile 16 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
114996 -               1456....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114997 -               1456... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
114998 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
114999 -               1456... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115000 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115001 -               1852... Hike ends mile 20... ref SDS 0 SYUP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115002 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115003 -               1715....weight.................................... 168  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115004 -               1720....BP HR..................................................... 115  75 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115005 -               1725....BP HR..................................................... 115  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115006 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115007 -               1700... 40 122580 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                                                                                                                                                                                                                                                                                  
115008 -               1830............ 10 21370  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115009 -               1830............ 10 21720  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115010 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115011 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115012 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115013 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115014 -               2250... 1000 2438000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115015 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115016 -               2330... 40 448920 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115017 -               2340... 40 97280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115020 -  ..
115021 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115022 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115024 -  ..
115025 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115026 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115027 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115028 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115029 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115031 -  ..
115032 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115033 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115035 -  ..
115036 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115037 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115040 -  ..
115041 - Today, hiked 20 miles - could not maintain pace, even while taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115042 - more magnesium between normal stops.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115043 - elevation.  Seemed increased fatigued about mile 21.  Should have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115044 - experimented taking 2 magnesium at once.  Will try remembering this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115045 - tomorrow. related to variable heart rate causing dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115046 - autonomic nervous system (ANS).  Used Corn bandaging with "donut hole"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115047 - to protect calluses on left foot #1 and #5, which was only partially                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115048 - helpful.  Did 5 mile semi-loop through South Concord streets - Treat,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115049 - Turtle Creek Road.  Had good energy starting hike Was able to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115050 - speed at will, which could not do last 3 hikes on Friday, Saturday and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115051 - Sunday. to Clayton Road.  At mile 4, then unlike hike yesterday, pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115052 - slowed significantly, so took extra magnesium, Then South 1 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115053 - turned West 1 mile on Ygnacio Valley Road.  Hiked East 2.50 on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115054 - Hollow.  At mile 8, took 2 more Tramadol and regular magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115055 - Turned around and hiked back to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115056 - Campus Drive heading uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115057 - College.  Hiked 2 loops through parking lots.  At mile 17, did EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115058 - Took 2 Tramadol.  Took another magnesium. to dissipate lactate acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115059 - and prevent inflammation to enable HDL to increase.  Took CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115060 - energy.  However, it did not improve.  Left college and hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115061 - summit Ygnacio Valley Road mile 19.  Instead of continuing 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115062 - downhill to Oak Grove, turned around and hiked back to Cowell then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115063 - home.  At this time, recovery from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115064 - system leading to recovery of related symptoms (mostly bloating and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115065 - fatigue) in case study on 200101 0701, ref SDS 18 ZM8J, remains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115066 - elusive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115070 -         ..
115071 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115072 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115073 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
115074 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
115075 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115076 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115077 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115078 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115079 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115080 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115081 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115082 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
115083 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115084 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
115085 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115086 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
115087 -        Back.........................................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115088 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115089 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115090 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115091 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
115092 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115093 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115094 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115095 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115096 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
115097 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115098 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115099 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115100 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115101 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115102 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115103 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115104 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
115105 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115106 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115107 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
115108 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
115109 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
115110 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
115111 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115112 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115113 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
115114 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
115115 -        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                                                                                                                                                                                                                                                                                                                           
115116 -        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                                                                                                                                                                                                                                                                                                                                                                                    
115117 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115118 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
115119 -        Callus big toe left foot...PRP 210705........   4         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
115120 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115121 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115122 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
115123 -        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                                                                                                                                                                                                                                                                                                                                           
115124 -        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                                                                                                                                                                                                                                                                                                                                           
115125 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115126 -  new   Callus little toe right foot..top of toe.....   4         30  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
115127 -        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                                                                                                                                                                                                                                                                                                                                                                                        
115128 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
115129 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
115130 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115131 -        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                                                                                                                                                                                                                                                                                                                                                              
115132 -  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 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
115133 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
115134 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115135 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115136 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
115137 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115138 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
115139 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
115140 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115141 -        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                                                                                                                                                                                                                                                                                                                                                                               
115142 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115143 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115144 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115145 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115146 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115147 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115148 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115149 -        Wobbly disoriented staggering dizzy..........   2         10  took 2 Tramadol mile 00, and 2 Tramadol mile 08, and 3 Tramadol mile 17, and 2 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
115150 -        Wasted - very fatigued.......................   2         10  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115151 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115155 -  ..
115156 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115157 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115158 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115159 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115160 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115161 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115163 -  ..
115164 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115165 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115166 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115168 -  ..
115169 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115171 -  ..
115172 - Callus Injuries - today on 250419 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115173 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115174 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115175 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115176 - together is awkward - took multiple tries to get positioning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115177 - yielded pain relief.  Took 2 Tramadol to start.  Result: good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115178 - for 10 miles.  Took 2 more Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115180 -  ..
115181 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115182 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115183 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115185 -  ..
115186 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115187 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115188 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115189 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115190 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115193 -  ..
115194 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115195 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115196 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115197 - and also left hip.  Continue reducing Famotidine started on 250418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115198 - taking only 1 40 mg pill morning and night instead of 2 pills to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115199 - digestion, and reduce side effects of bloating, explained in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115200 - study on 200101 0701. ref SDS 18 O33H  Took 2 Tramadol 50 mg for knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115201 - pain and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115202 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115203 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115204 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115205 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115206 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115207 - after EGD Dilation on 250408 1030, ref SDS 86 274L, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115208 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115209 - amount peanut butter and margarine and Mayonnaise, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115210 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115211 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 NP6J  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115212 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115213 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115214 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115215 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115216 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115217 - Feeling less bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115218 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115219 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115220 - on 250114 1202. ref SDS 69 PQ5Y  Feeling less bloated may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115221 - Doctor Pellegrini's prescription to increase hiking, reported in her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115222 - letter on 250115 1023. ref SDS 70 H480  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115223 - Applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115224 - ref SDS 0 RVRY  This worked better than yesterday for most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115225 - route.  There were some times when acute pain on left foot #1, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115226 - more severe today.  Hiked Cuneo .25 mile, and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115227 - Starting hike feet feeling swelled and like pins and needles - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115228 - feel electrical shocks off and on in balls of feet this morning about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115229 - 0% total hike - due to peripheral neuropathy.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115230 - calming down.  Bottom of both feet metatarsalgia PL 2, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115231 - foot #1 and #5, which have been major source of hiking pain past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115232 - weeks.  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115233 - good condition that reflects increased hiking past few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115234 - Temperature started at 76, and reached 82.  East wind 21 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115235 - mostly 12 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115236 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115237 - flat grade, some places 3% uphill, and light traffic.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115238 - across Newhall Community park and back today.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115239 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115240 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115241 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115242 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115243 - traffic light.  Today, after 3 miles had difficulty again maintaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115244 - pace - body kept slowing down, as occurred previously.  Near Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115245 - Mike's Pizza shop time 1100 about mile 4, took another magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115246 - capsule with sips softdrink, per above, ref SDS 0 TPVQ, to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115247 - increasing energy and maintain hiking speed.  Continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115248 - sidewalk .5 miles with PL 1 in feet.  Turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115249 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115250 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115251 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115252 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115253 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115254 - time ____.  On Ygnacio Valley Road; turned left onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115255 - hiked 2.50 miles East.  At the end of Pine Hollow stopped at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115256 - time 1215 temp 74 and wind 09 mph; EKG looks uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115257 - artifact.  Kardia reported HR 099, Normal Sinus Rhythm - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115258 - ref SDS 0 7GXR  Bloating PL 1.  Both feet metatarsalgia PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115259 - foot #1 PL 6, #5 PL 3.  Left knee meniscus PL 0, right knee PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115260 - Took 2 Tramadol 50 MG.  Took another (3rd) Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115261 - pill - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115262 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115263 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115264 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115265 - butter, margarine and Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115266 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115267 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115268 - temperature near 80 causes sweating that ejects electrolytes, and temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115269 - is 74, took Nuun electrolyte pill, per above. ref SDS 0 TPVQ  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115270 - around and hiked back 2.5 miles.  Pace slow despite having taken                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115271 - another magnesium capsule and more CoQ10 at mile 08.  About mile 10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115272 - Lisa passed, while returning dogs she walked earlier this morning at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115273 - the college.  Turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115274 - grade hiked 1 mile against wind 21 mph.  The road bends North.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115275 - reaching Ygnacio Valley Road turned around and hiked uphill 0.25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115276 - 5% grade.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115277 - Bay Concord Campus.  Hiked 1-loop around main buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115278 - training station and did half-pullups and half-pushups.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115279 - Visitor Parking, continued hiking 1 loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115280 - parking lots.  Stopped at Administration Building mile 16 time 1456                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115281 - temp 77 and wind 16 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115282 - reported HR 102, Tachycardia see below. ref SDS 0 TD2J  Bloating PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115283 - Both feet metatarsalgia PL 4, left foot #1 PL 7, #5 PL 4.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115284 - meniscus PL 0, right knee PL 0.  Took 1 Tramadol 50 MG.  Took (3rd)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115285 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115286 - 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115287 - LESV, as occurred last year on 240824, see case study. ref SDS 36 YWSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115288 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115289 - nutrition - peanut butter, margarine and Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115290 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115291 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115292 - complete hike.  Since temperature above 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115293 - electrolytes, and temp is 74, did not take another Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115294 - pill, already taken at mile 8, per above. ref SDS 0 TPVQ   Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115295 - another loop around main buildings.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115296 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115297 - Hiked West on flat grade .5 miles.  At mile 17, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115298 - Ranch Road uphill 3% grade .5 miles against wind 12 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115299 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115300 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115301 - summit.  At mile 18 end of concrete traffic barrier turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115302 - hiked back.  Turned left onto Cowell heading North very slow pace due                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115303 - to low energy, .25 mile using asphalt shoulder downhill 5% grade, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115304 - flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115305 - oncoming traffic.  Turned left onto Treat hiking West .25 miles back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115306 - to Cuneo.  Ended hike mile 21 time 1651 temp 73, wind 16, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115307 - 2, both feet metatarsalgia PL 2, burning sensation PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115308 - PL 4, #5 PL 4.  Both ankles PL 0.  Left knee meniscus PL 1, EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115309 - uniform with minor artifact, Kardia reported HR 100 Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115310 - Rhythm - see below. ref SDS 0 GW6M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115321 -  ..
115322 - Kardia recorded HR 047 at 0821 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115323 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115324 - 26 miles temp 82 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115325 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115326 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115327 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115328 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115331 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115332 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250422-ecg-082152_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115337 -  ..
115338 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115339 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115340 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115341 - ..
115342 -                                                                                                                                                                                                                                                                                                              x
115343 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115344 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115345 -       Date          250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 250129 25012  
115346 -       Miles            20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19     22  
115347 -       HR AVG          104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121    120  
115348 -         MAX           120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159    139  
115349 -         Min            69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75     56  
115350 -       El Climb Ft     489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497    512  
115351 -       Temp Max         77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58     60  
115352 -       Wind Max         21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09     07  
115353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115355 -              https://flow.polar.com/training/analysis/8098554902                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115358 -               ..
115360 -   
115361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115365 -  ..
115366 - EKG at mile 08 time 1215, HR 099 temp 74, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115367 - Rhythm... heart rate looks variable with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115368 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115371 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115372 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250422-ecg-121559_mile_08_099_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115376 -  ..
115377 - EKG at mile 16 time 1456 HR 102 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115378 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115379 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115382 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115383 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250422-ecg-145655_mile_16_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115387 -  ..
115388 - End hike EKG at mile 21, time 1651 HR 100 temp 73 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115389 - Normal Sinus Rhythm... looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115390 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115393 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115394 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250422-ecg-165153_mile_21_100_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115398 -  ..
115399 - Post hike HR profile beginning 1944, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115400 - hiking 20 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115401 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115402 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115403 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115404 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115407 -        ..
115408 -       Date      250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209  250208    
115409 -       Time       1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001    2123     
115410 -       Hours        11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13      11     
115411 -       HR AVG       63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74      65     
115412 -       HR MAX      135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     117     
115413 -       HR Min       38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39      39     
115414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115418 -              https://flow.polar.com/training/analysis/8098845518                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115421 -  ..
115422 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115425 -   
115426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115429 -  ..
115430 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115431 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115432 - Dinner - macaroni cheese hamburger broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115434 -  ..
115435 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115471 -         ..
115472 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115473 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115474 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115475 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115476 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115477 -  113.  250423 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115478 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115479 -               0720....BP HR..................................................... 159  83  53  Kardia ECG reports HR status, see below. ref SDS 0 TYQS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115480 -               0725....BP HR..................................................... 143  78  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115481 -               0730....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115482 -               0735....40 448960 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
115483 -               1040....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115484 -               1040... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115485 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115486 -               1040....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115487 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115488 -               1040....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115489 -               1040... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
115490 -  ..
115491 -               1107....miles...........  25.0  71.0  449  1261 minutes  temp  67 wind 21  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115492 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115493 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115494 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115495 -               1329....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115496 -               1329....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115497 -               1329... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
115498 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115499 -               1329... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115500 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115501 -               1616....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115502 -               1616....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115503 -               1616... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
115504 -               1619... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115505 -               1619... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
115506 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115507 -               1930... Hike ends mile 25... ref SDS 0 G2MF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115508 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115509 -               1945....weight.................................... 168  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115510 -               1950....BP HR..................................................... 112  65  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115511 -               1955....BP HR..................................................... 114  70  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115512 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115513 -               2000... 40 122620 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                                                                                                                                                                                                                                                                                  
115514 -             1 0000............ 10 21370  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
115515 -             1 0000............ 10 21720  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
115516 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115517 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115518 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115519 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115520 -               2250... 1000 2439000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115521 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115522 -               2330... 40 449000 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115523 -               2340... 40 97320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115526 -  ..
115527 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115528 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115530 -  ..
115531 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115532 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115533 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115534 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115535 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115537 -  ..
115538 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115539 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115541 -  ..
115542 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115543 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115546 -  ..
115547 - Today, hiked 25 miles - maintained pace better while taking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115548 - magnesium between normal stops.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115549 - elevation.  Seemed increased fatigued about mile 21.  Used Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115550 - bandaging with "donut hole" to protect calluses on left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115551 - #5, which was only partially helpful.  Did 5 mile semi-loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115552 - South Concord streets - Treat, Turtle Creek Road.  Had good energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115553 - starting hike Was able to increase speed at will, which could not do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115554 - last 3 hikes on Friday, Saturday and Sunday. to Clayton Road.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115555 - 4, then unlike hike yesterday, pace slowed significantly, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115556 - extra magnesium, Then South 1 mile and turned West 1 mile on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115557 - Valley Road.  Hiked East 2.50 on Pine Hollow.  At mile 8, took 2 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115558 - Tramadol and regular magnesium.  Turned around and hiked back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115559 - Ygnacio Valley Road.  Turned West onto Campus Drive heading uphill 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115560 - mile 4% grade to Visitor Parking at College.  Hiked 2 loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115561 - parking lots.  At mile 17, did EKG.  Took 1 Tramadol.  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115562 - magnesium. to dissipate lactate acid, and prevent inflammation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115563 - enable HDL to increase.  Took CoQ10 for energy.  However, it did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115564 - improve.  Left college and hiked to summit Ygnacio Valley Road mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115565 - 19.  Instead of continuing 2 miles downhill to Oak Grove, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115566 - around and hiked back to Cowell then home.  At this time, recovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115567 - from dysfunctional autonomic nervous system leading to recovery of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115568 - related symptoms (mostly bloating and fatigue) in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115569 - 0701, ref SDS 18 ZM8J, remains elusive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115573 -         ..
115574 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115575 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115576 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
115577 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
115578 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115579 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115580 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115581 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115582 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115583 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115584 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115585 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
115586 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115587 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
115588 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115589 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
115590 -        Back.........................................   3         10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115591 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115592 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115593 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115594 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
115595 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115596 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115597 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115598 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115599 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
115600 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115601 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115602 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115603 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115604 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115605 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115606 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115607 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
115608 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115609 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115610 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
115611 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
115612 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
115613 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
115614 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115615 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115616 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
115617 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
115618 -        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                                                                                                                                                                                                                                                                                                                           
115619 -        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                                                                                                                                                                                                                                                                                                                                                                                    
115620 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115621 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
115622 -        Callus big toe left foot...PRP 210705........   4         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
115623 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115624 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115625 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
115626 -        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                                                                                                                                                                                                                                                                                                                                           
115627 -        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                                                                                                                                                                                                                                                                                                                                           
115628 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115629 -  new   Callus little toe right foot..top of toe.....   4         30  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
115630 -        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                                                                                                                                                                                                                                                                                                                                                                                        
115631 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
115632 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
115633 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115634 -        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                                                                                                                                                                                                                                                                                                                                                              
115635 -  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 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
115636 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
115637 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115638 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115639 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
115640 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115641 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
115642 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
115643 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115644 -        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                                                                                                                                                                                                                                                                                                                                                                               
115645 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115646 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115647 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115648 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115649 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115650 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115651 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115652 -        Wobbly disoriented staggering dizzy..........   2         10  took 2 Tramadol mile 00, and 2 Tramadol mile 08, and 3 Tramadol mile 17, and 2 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
115653 -        Wasted - very fatigued.......................   2         10  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115654 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115658 -  ..
115659 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115660 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115661 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115662 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115663 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115664 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115666 -  ..
115667 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115668 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115669 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115671 -  ..
115672 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115674 -  ..
115675 - Callus Injuries - today on 250419 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115676 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115677 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115678 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115679 - together is awkward - took multiple tries to get positioning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115680 - yielded pain relief.  Took 2 Tramadol to start.  Result: good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115681 - for 10 miles.  Took 2 more Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115683 -  ..
115684 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115685 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115686 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115688 -  ..
115689 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115690 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115691 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115692 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115693 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115696 -  ..
115697 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115698 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115699 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115700 - and also left hip.  Continue reducing Famotidine started on 250418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115701 - taking only 1 40 mg pill morning and night instead of 2 pills to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115702 - digestion, and reduce side effects of bloating, explained in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115703 - study on 200101 0701. ref SDS 18 O33H  Took 2 Tramadol 50 mg for knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115704 - pain and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115705 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115706 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115707 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115708 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115709 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115710 - after EGD Dilation on 250408 1030, ref SDS 86 274L, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115711 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115712 - amount peanut butter and margarine and Mayonnaise, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115713 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115714 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 LO3N  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115715 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115716 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115717 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115718 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115719 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115720 - Feeling less bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115721 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115722 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115723 - on 250114 1202. ref SDS 69 PQ5Y  Feeling less bloated may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115724 - Doctor Pellegrini's prescription to increase hiking, reported in her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115725 - letter on 250115 1023. ref SDS 70 H480  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115726 - Applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115727 - ref SDS 0 TWVP  This worked worse than yesterday for most of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115728 - route.  Hiked Cuneo .25 mile, and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115729 - hike feet feeling swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115730 - electrical shocks off and on in balls of feet this morning about 0%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115731 - total hike - due to peripheral neuropathy.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115732 - calming down.  Bottom of both feet metatarsalgia PL 2, including left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115733 - foot #1 and #5, which have been major source of hiking pain past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115734 - weeks.  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115735 - good condition that reflects increased hiking past few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115736 - Temperature started at 58, and reached 65.  East wind 21 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115737 - mostly 14 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115738 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115739 - flat grade, some places 3% uphill, and light traffic.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115740 - across Newhall Community park and back today.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115741 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115742 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115743 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115744 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115745 - traffic light.  Today, after 3 miles had difficulty again maintaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115746 - pace - body kept slowing down, as occurred previously.  Near Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115747 - Mike's Pizza shop time 1200 about mile 4, took another magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115748 - capsule with sips softdrink, per above, ref SDS 0 TUVW, to experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115749 - increasing energy and maintain hiking speed.  Continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115750 - sidewalk .5 miles with PL 1 in feet.  Turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115751 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115752 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115753 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115754 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
115755 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115756 - time ____.  On Ygnacio Valley Road; turned left onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115757 - hiked 2.50 miles East.  At the end of Pine Hollow stopped at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115758 - time 1329 temp 64 and wind 17 mph; EKG looks variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115759 - artifact.  Kardia reported HR 090, Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115760 - ref SDS 0 TYUW  Bloating PL 3.  Both feet metatarsalgia PL 2, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115761 - foot #1 PL 4, #5 PL 4.  Right foot #5 PL 3.  Back PL 3 (may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115762 - stretched back lifting cases of Coca Cola from back of car to garage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115763 - floor).  Left knee meniscus PL 1, right knee PL 0.  Took 1 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115764 - MG.  Took another (2nd) Magnesium complex 300 mg pill - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115765 - whole after EGD Dilation to 19.5 mm, 250408 1030, ref SDS 86 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115766 - avoids large capsule clogging LESV, as occurred last year on 240824,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115767 - see case study. ref SDS 36 YWSY  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115768 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115769 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115770 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115771 - ml for HDL and energy to complete hike.  Since temperature near 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115772 - causes sweating that ejects electrolytes, and temp is 64, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115773 - Nuun electrolyte pill, per above. ref SDS 0 TUVW  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115774 - hiked back 2.5 miles.  Pace normal after having taken another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
115775 - magnesium capsule and more CoQ10 at mile 08.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115776 - Drive heading West uphill 3% grade hiked 1 mile against wind 21 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115777 - The road bends North.  On reaching Ygnacio Valley Road turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115778 - and hiked uphill 0.25 mile 5% grade.  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115779 - California State University East Bay Concord Campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115780 - around main buildings.  Stopped at training station and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115781 - half-pullups and half-pushups.  Back at Visitor Parking, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115782 - hiking 2 loops through Faculty and Student parking lots.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115783 - Administration Building mile 17 time 1619 temp 65 and wind 17 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115784 - looks uniform with no artifact.  Kardia reported HR 102, Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115785 - see below. ref SDS 0 TYVX  Bloating PL 3.  Both feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115786 - 4, left foot #1 PL 4, #5 PL 4.  Left knee meniscus PL 2, right knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115787 - 0.  Back PL 2.  Took 1 Tramadol 50 MG.  Took (3rd) Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115788 - 300 mg pill - swallowed whole after EGD Dilation to 19.5 mm, 250408                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115789 - 1030, ref SDS 86 433O, avoids large capsule clogging LESV, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115790 - last year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115791 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115792 - butter, margarine and Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115793 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115794 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115795 - though temperature below 80 causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115796 - and temp is 65, took Nuun electrolyte pill, per above. ref SDS 0 TUVW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115797 - Hiked another loop around main buildings.  Exited college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115798 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115799 - Hiked West on flat grade .5 miles.  At mile 18, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115800 - Ranch Road uphill 3% grade .5 miles against wind 15 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115801 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115802 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115803 - summit.  At mile 18 end of concrete traffic barrier and at break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115804 - commute traffic, crossed back to South side Ygnacio Valley Road to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115805 - wider shoulder hiking West 2 miles downhill 3% grade.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115806 - Grove at traffic light.  Today, hiked 1-mile loop using asphalt path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115807 - around the block at Safeway shopping complex.  Did not stop at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115808 - Pizza for pain meds, hydration and nutrition.  Turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115809 - Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115810 - street light.  Stopped at Shell gas station mile 23 time 1840 temp 59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115811 - and wind 15 mph; EKG looks uniform with artifact.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115812 - 101, Tachycardia see below. ref SDS 0 TYWY  Bloating PL 3.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115813 - metatarsalgia PL 4, left foot #1 PL 4, #5 PL 4.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115814 - 2, right knee PL 0.  Back PL 2.  Took 1 Tramadol 50 MG.  Took (5th)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115815 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115816 - 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115817 - LESV, as occurred last year on 240824, see case study. ref SDS 36 YWSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
115818 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115819 - nutrition - peanut butter, margarine and Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115820 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115821 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115822 - complete hike.  Continued 1 mile East on Treat flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115823 - sidewalk.  Noticed was not veering left or right, as occurred prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115824 - hikes - similar to prior condition when taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115825 - Gabapentin, e.g., on 231111 in case study on 230101 0654. ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115826 - RVVY see line 172870; also see letter to Doctor Wiseman at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115827 - 230418 0949. ref SDS 29 RS5F  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115828 - Treat uphill 5% grade temp 66.  Handled this well - breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115829 - nose.  Did not feel like stopping at any time due to weak legs;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115830 - actually, seemed faster today, after taking more magnesium.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115831 - summit, mile 24, hiked another mile to Cuneo then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115832 - mile 25 time 1930 temp 57, wind 18.  Bloated PL 4, fatigue PL 2, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115833 - PL 4, burning sensation PL 2, left foot #1 PL 5, #5 PL 4, neck/spine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115834 - PL 8 momentarily turning head, mid-level back PL 4.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115835 - uniform, with artifact, Kardia reported HR 094 Normal Sinus Rhythm -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115836 - see below. ref SDS 0 G2MF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115848 -  ..
115849 - Kardia recorded HR 052 at 1006 Unclassified, looks mostly variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115850 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115851 - 20 miles temp 76 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115852 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115853 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115854 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115855 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115858 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115859 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250423-ecg-100652_mile_00_052_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115864 -  ..
115865 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115866 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
115867 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115868 - ..
115869 -                                                                                                                                                                                                                                                                                                              x
115870 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115871 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115872 -       Date          250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 250130 25012  
115873 -       Miles            25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0     19  
115874 -       HR AVG          108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no    121  
115875 -         MAX           159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report report  159  
115876 -         Min            41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                             75  
115877 -       El Climb Ft     489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                            497  
115878 -       Temp Max         65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                             58  
115879 -       Wind Max         21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                             09  
115880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115882 -              https://flow.polar.com/training/analysis/8099224048                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115885 -               ..
115887 -   
115888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115892 -  ..
115893 - EKG at mile 08 time 1329, HR 090 temp 64, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115894 - Unclassified... heart rate looks variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115895 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115898 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115899 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250423-ecg-132930_mile_08_090_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115903 -  ..
115904 - EKG at mile 17 time 1619 HR 102 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115905 - Tachycardia... heart rate mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115906 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115909 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115910 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250423-ecg-161948_mile_17_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115914 -  ..
115915 - EKG at mile 23, time 1840 HR 101 temp 59 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115916 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115917 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115920 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115921 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250423-ecg-184018_mile_23_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115925 -  ..
115926 - End hike EKG at mile 25, time 1930 HR 094 temp 57 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115927 - Normal Sinus Rhythm... looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
115928 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
115929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115931 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115932 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250423-ecg-193015_mile_25_094_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
115933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115936 -  ..
115937 - Post hike HR profile beginning 2209, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115938 - hiking 25 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
115939 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
115940 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115941 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
115942 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
115943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115945 -        ..
115946 -       Date      250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210  250209    
115947 -       Time       2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941    2001     
115948 -       Hours         7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9      13     
115949 -       HR AVG       61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65      74     
115950 -       HR MAX      122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     156     
115951 -       HR Min       39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45      39     
115952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115955 -              https://flow.polar.com/training/analysis/8099513814                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115958 -  ..
115959 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
115960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115962 -   
115963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115966 -  ..
115967 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
115968 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
115969 - Dinner - macaroni cheese hamburger broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
115971 -  ..
115972 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
115999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116009 -         ..
116010 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116011 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116012 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116013 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116014 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116015 -  114.  250424 0635............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116016 -               0635....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116017 -               0640....BP HR..................................................... 145  79  53  Kardia ECG reports HR status, see below. ref SDS 0 UTWR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116018 -               0645....BP HR..................................................... 160  83  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116019 -               0650....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116020 -               0650....40 449040 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
116021 -               1200....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116022 -               1200... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116023 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116024 -               1200....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116025 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116026 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116027 -               1200... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
116028 -  ..
116029 -           *   0951....miles...........  21.0  93.0  385  1646 minutes  temp  62 wind 18  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116030 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116031 -               1110... Magnesium 300 mg 1 Pill Bioemblem Triple Complex -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116032 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116033 -               1224....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116034 -               1224....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116035 -               1224... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
116036 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116037 -               1224... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116038 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116039 -               1533....mile 18 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116040 -               1533....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116041 -               1533... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
116042 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116043 -               1533... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116044 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116045 -               1657... Hike ends mile 22... ref SDS 0 KRD3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116046 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116047 -               1715....weight.................................... 169  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116048 -               1720....BP HR..................................................... 107  65 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116049 -               1730....BP HR..................................................... 111  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116050 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116051 -               1740... 40 122660 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                                                                                                                                                                                                                                                                                  
116052 -               1850............ 10 21380  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116053 -               1850............ 10 21730  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116054 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116055 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116056 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116057 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116058 -               2250... 1000 2440000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116059 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116060 -               2330... 40 449080 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116061 -               2340... 40 97360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116063 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116064 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116065 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116066 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116067 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116068 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116069 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116070 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116073 -  ..
116074 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116075 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116077 -  ..
116078 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116079 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116080 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116081 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116082 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116084 -  ..
116085 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116086 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116088 -  ..
116089 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116090 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116093 -  ..
116094 - Today, hiked 21 miles - maintained pace better while taking more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116095 - magnesium between normal stops.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116096 - elevation.  Used Corn bandaging with "donut hole" to protect calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116097 - on left foot #1 and #5, which was only partially helpful.  Did 5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116098 - semi-loop through South Concord streets - Treat, Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116099 - Had good energy starting hike Was able to increase speed at will, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116100 - Clayton Road.  At mile 4, like hike yesterday, pace slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116101 - significantly, so took extra magnesium, Then South 1 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116102 - West 1 mile on Ygnacio Valley Road.  Hiked East 2.50 miles on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116103 - Hollow.  At mile 8, took 1 more Tramadol and regular magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116104 - Turned around and hiked back to Ygnacio Valley Road.  Turned West onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116105 - Campus Drive heading uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116106 - College.  Hiked loops around main buildings and through parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116107 - At mile 18, did EKG.  Took 1 Tramadol.  Took another magnesium. to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116108 - dissipate lactate acid, and prevent inflammation to enable HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116109 - increase.  Took CoQ10 for energy.  Left college and hiked to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116110 - Ygnacio Valley Road mile 20.  Instead of continuing 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116111 - to Oak Grove, turned around and hiked back to Cowell then home.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116112 - this time, recovery from dysfunctional autonomic nervous system                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116113 - leading to recovery of related symptoms (mostly bloating and fatigue)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116114 - in case study on 200101 0701, ref SDS 18 ZM8J, may be improving.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116118 -         ..
116119 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116120 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116121 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
116122 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
116123 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116124 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116125 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116126 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116127 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116128 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116129 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116130 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
116131 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116132 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
116133 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116134 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
116135 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116136 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116137 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116138 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116139 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
116140 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116141 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116142 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116143 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116144 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
116145 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116146 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116147 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116148 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116149 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116150 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116151 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116152 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
116153 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116154 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116155 -        Metatarsalgia left foot...PRP 210705.........   3         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
116156 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
116157 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
116158 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
116159 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116160 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116161 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
116162 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
116163 -        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                                                                                                                                                                                                                                                                                                                           
116164 -        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                                                                                                                                                                                                                                                                                                                                                                                    
116165 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116166 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
116167 -        Callus big toe left foot...PRP 210705........   5         40  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
116168 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116169 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116170 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
116171 -        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                                                                                                                                                                                                                                                                                                                                           
116172 -        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                                                                                                                                                                                                                                                                                                                                           
116173 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116174 -  new   Callus little toe right foot..top of toe.....   5         30  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
116175 -        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                                                                                                                                                                                                                                                                                                                                                                                        
116176 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
116177 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
116178 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116179 -        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                                                                                                                                                                                                                                                                                                                                                              
116180 -  new   Callus little toe #5 left foot...PRP 210705..   5         30  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
116181 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
116182 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116183 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116184 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
116185 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116186 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
116187 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
116188 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116189 -        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                                                                                                                                                                                                                                                                                                                                                                               
116190 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116191 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116192 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116193 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116194 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116195 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116196 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116197 -        Wobbly disoriented staggering dizzy..........   2         10  took 2 Tramadol mile 00, and 1 Tramadol mile 08, and 1 Tramadol mile 18, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
116198 -        Wasted - very fatigued.......................   2         10  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116199 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116203 -  ..
116204 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116205 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116206 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116207 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116208 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116209 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116211 -  ..
116212 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116213 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116214 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116216 -  ..
116217 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116219 -  ..
116220 - Callus Injuries - today on 250419 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116221 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116222 - VAMcSF on 250410 0900. ref SDS 87 T49H  This is difficult to do alone,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116223 - because reaching the location and positioning the bandage and tape                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116224 - together is awkward - took multiple tries to get positioning that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116225 - yielded pain relief.  Took 2 Tramadol to start.  Result: good - PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116226 - for 10 miles.  Took 2 more Tramadol.  Last 5 miles PL 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116228 -  ..
116229 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116230 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116231 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116233 -  ..
116234 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116235 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116236 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116237 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116238 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116241 -  ..
116242 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116243 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116244 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116245 - and also left hip.  Continue reducing Famotidine started on 250418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116246 - taking only 1 40 mg pill morning and night instead of 2 pills to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116247 - digestion, and reduce side effects of bloating, explained in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116248 - study on 200101 0701. ref SDS 18 O33H  Took 2 Tramadol 50 mg for knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116249 - pain and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116250 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116251 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116252 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116253 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116254 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116255 - after EGD Dilation on 250408 1030, ref SDS 86 274L, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116256 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116257 - amount peanut butter and margarine and Mayonnaise, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116258 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116259 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 935L  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116260 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116261 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116262 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116263 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116264 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116265 - Feeling less bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116266 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116267 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116268 - on 250114 1202. ref SDS 69 PQ5Y  Feeling less bloated may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116269 - Doctor Pellegrini's prescription to increase hiking, reported in her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116270 - letter on 250115 1023. ref SDS 70 H480  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116271 - Applied bandaging scheme to calluses left foot #1 and #5, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116272 - ref SDS 0 URYU  This worked about same as yesterday.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116273 - mile, and turned left, onto Treat.  Starting hike feet feeling swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116274 - and like pins and needles - did not feel electrical shocks off and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116275 - in balls of feet this morning about 0% total hike - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116276 - neuropathy.  After about 1 mile feet calming down.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116277 - feet metatarsalgia PL 2, including left foot #1 and #5, which have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116278 - been major source of hiking pain past weeks.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116279 - entire hike with no dyspnea, indicating good condition that reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116280 - increased hiking past few weeks.  Temperature started at 56, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116281 - reached 62.  East wind 18 mph and mostly 14 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116282 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116283 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116284 - light traffic.  Hiked across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116285 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116286 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116287 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116288 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116289 - Crossed Alberto Way at traffic light.  Today, after 3 miles had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116290 - difficulty again maintaining pace - body kept slowing down, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116291 - occurred previously.  Near Mountain Mike's Pizza shop time 1110 about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116292 - mile 4, took another magnesium capsule with sips softdrink, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116293 - ref SDS 0 UQPU, to experiment increasing energy and maintain hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116294 - speed.  Continued on concrete sidewalk .5 miles with PL 2 in feet.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116295 - Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116296 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116297 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116298 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116299 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116300 - Texaco Gas Station store mile 5, time ____.  On Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116301 - turned left onto Pine Hollow and hiked 2.50 miles East.  At the end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116302 - Pine Hollow stopped at mile 08 time 1224 temp 60 and wind 17 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116303 - looks uniform with no artifact.  Kardia reported HR 095, Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116304 - Rhythm - see below. ref SDS 0 3UQV  Bloating PL 3.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116305 - metatarsalgia PL 3, left foot #1 PL 4, #5 PL 4.  Right foot #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116306 - Back PL 0.  Left knee meniscus PL 1, right knee PL 0.  Took 1 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116307 - 50 MG.  Took another (3rd) Magnesium complex 300 mg pill - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116308 - whole after EGD Dilation to 19.5 mm, 250408 1030, ref SDS 86 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116309 - avoids large capsule clogging LESV, as occurred last year on 240824,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116310 - see case study. ref SDS 36 YWSY  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116311 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116312 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116313 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116314 - ml for HDL and energy to complete hike.  Since temperature near 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116315 - causes sweating that ejects electrolytes, and temp is 64, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116316 - Nuun electrolyte pill, per above. ref SDS 0 UQPU  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116317 - hiked back 2.5 miles.  Pace normal after having taken another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116318 - magnesium capsule and more CoQ10 at mile 08.  Turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116319 - Drive heading West uphill 3% grade hiked 1 mile against wind 16 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116320 - The road bends North.  On reaching Ygnacio Valley Road turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116321 - and hiked uphill 0.25 mile 5% grade.  Reached Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116322 - California State University East Bay Concord Campus.  Hiked 1-loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116323 - around main buildings.  Stopped at training station and did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116324 - half-pullups and half-pushups.  Back at Visitor Parking, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116325 - hiking 2 loops through Faculty and Student parking lots.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116326 - Administration Building mile 18 time 1533 temp 61 and wind 15 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116327 - looks uniform with minor artifact.  Kardia reported HR 095, Normal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116328 - Sinus Rhythm - see below. ref SDS 0 U8R2  Bloating PL 3.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116329 - metatarsalgia PL 3, left foot #1 PL 5, #5 PL 6.  Left knee meniscus PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116330 - 0, right knee PL 0.  Back PL 0.  Took 1 Tramadol 50 MG.  Took (4th)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116331 - Magnesium complex 300 mg pill - swallowed whole after EGD Dilation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116332 - 19.5 mm, 250408 1030, ref SDS 86 433O, avoids large capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116333 - LESV, as occurred last year on 240824, see case study. ref SDS 36 YWSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116334 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116335 - nutrition - peanut butter, margarine and Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116336 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116337 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116338 - complete hike.  Temperature below 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116339 - electrolytes, and temp is 61, did not take Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116340 - above. ref SDS 0 UQPU  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116341 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116342 - grade .5 miles.  At mile 19, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116343 - 3% grade .5 miles against wind 15 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116344 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116345 - avoid severe camber.  Continued West .5 mile to summit.  At mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116346 - end of concrete traffic barrier turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116347 - left onto Cowell heading North .25 mile using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116348 - downhill 5% grade, then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116349 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116350 - hiking West .25 miles back to Cuneo.  Ended hike mile 22 time 1657                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116351 - temp 61, wind 16, bloating PL 4, both feet metatarsalgia PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116352 - sensation PL 2, left foot #1 PL 6, #5 PL 5.  Both ankles PL 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116353 - knee meniscus PL 2, EKG mostly uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116354 - reported HR 100 Normal Sinus Rhythm - see below. ref SDS 0 KRD3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116366 -  ..
116367 - Kardia recorded HR 044 at 0646 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116368 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116369 - 25 miles temp 65 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116370 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116371 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116372 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116373 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116376 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116377 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250424-ecg-064651_mile_00_044_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116382 -  ..
116383 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116384 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116385 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116386 - ..
116387 -                                                                                                                                                                                                                                                                                                              x
116388 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116389 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116390 -       Date          250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 250202 250201 250131 25013  
116391 -       Miles            22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0      0      0      0  
116392 -       HR AVG          102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no     no     no     no  
116393 -         MAX           119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report report report report repo  
116394 -         Min            57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                                          
116395 -       El Climb Ft     489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                                          
116396 -       Temp Max         63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                                          
116397 -       Wind Max         18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                                          
116398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116400 -              https://flow.polar.com/training/analysis/8099819119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116403 -               ..
116405 -   
116406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116410 -  ..
116411 - EKG at mile 08 time 1224, HR 095 temp 60, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116412 - Rhythm... heart rate looks uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116413 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116416 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116417 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250424-ecg-122426_mile_08_095_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116421 -  ..
116422 - EKG at mile 18 time 1533 HR 095 temp 61, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116423 - Rhythm... heart rate uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116424 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116427 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116428 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250424-ecg-153351_mile_18_095_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116432 -  ..
116433 - End hike EKG at mile 22, time 1657 HR 100 temp 61 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116434 - Normal Sinus Rhythm... looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116435 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116438 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116439 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250424-ecg-165713_mile_22_100_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116443 -  ..
116444 - Post hike HR profile beginning 1935, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116445 - hiking 22 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116446 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116447 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116448 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116449 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116451 -  ..
116452 - Exceptionally low HR overnight profile...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116454 -        ..
116455 -       Date      250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211  250210    
116456 -       Time       1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141    1941     
116457 -       Hours        12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7       9     
116458 -       HR AVG       54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81      65     
116459 -       HR MAX      115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     151     
116460 -       HR Min       37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61      45     
116461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116464 -              https://flow.polar.com/training/analysis/8100253869                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116467 -  ..
116468 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116471 -   
116472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116475 -  ..
116476 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116477 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116478 - Dinner - macaroni cheese hamburger broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116480 -  ..
116481 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116518 -         ..
116519 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116520 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116521 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116522 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116523 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116524 -  115.  250425 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116525 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116526 -               0710....BP HR..................................................... 147  79  50  Kardia ECG reports HR status, see below. ref SDS 0 6YTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116527 -               0715....BP HR..................................................... 142  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116528 -               0720....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116529 -               0720....40 449120 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
116530 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116531 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116532 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116533 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116534 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116535 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116536 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116537 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116538 -               1700... 40 122700 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                                                                                                                                                                                                                                                                                  
116539 -             1 0000............ 10 21380  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116540 -             1 0000............ 10 21730  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116541 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116542 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116543 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116544 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116545 -               2250... 1000 2441000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116546 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116547 -               2330... 40 449160 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116548 -               2340... 40 97400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116550 -  ..
116551 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116552 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116554 -  ..
116555 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116556 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116557 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116558 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116559 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116561 -  ..
116562 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116563 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116565 -  ..
116566 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116567 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116571 -  ..
116572 - Kardia recorded HR 043 at 0810 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116573 - beat lengths with p-waves and significant initial artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116574 - AFL after hiking 22 miles temp 62 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116575 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116576 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116577 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116578 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116581 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116582 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250425-ecg-081054_mile_00_043_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116586 -  ..
116587 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116590 -               ..
116591 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250425-ecg-081405_mile_00_041_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116595 -  ..
116596 - Post hike HR profile beginning 2008, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116597 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116598 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116599 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116600 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116601 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116603 -  ..
116604 - Exceptionally low HR overnight profile...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116606 -        ..
116607 -       Date      250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212  250211    
116608 -       Time       2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955    2141     
116609 -       Hours        12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13       7     
116610 -       HR AVG       65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74      81     
116611 -       HR MAX      122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     125     
116612 -       HR Min       40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42      61     
116613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116616 -              https://flow.polar.com/training/analysis/8100888765                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116619 -  ..
116620 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116623 -   
116624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116627 -  ..
116628 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116629 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116630 - Dinner - hamburger fries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116632 -  ..
116633 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116668 -         ..
116669 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116670 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116671 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116672 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116673 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116674 -  116.  250426 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116675 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116676 -               0720....BP HR..................................................... 137  80  51  Kardia ECG reports HR status, see below. ref SDS 0 VT2U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116677 -               0725....BP HR..................................................... 138  81  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116678 -               0730....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116679 -               0730....40 449200 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
116680 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116681 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116682 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116683 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116684 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116685 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116686 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116687 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116688 -               1700... 40 122740 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                                                                                                                                                                                                                                                                                  
116689 -               1830............ 10 21390  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116690 -               1830............ 10 21740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116691 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116692 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116693 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116694 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116695 -               2250... 1000 2442000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116696 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116697 -               2330... 40 449240 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116698 -               2340... 40 97440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116700 -  ..
116701 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116702 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116704 -  ..
116705 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116706 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116707 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116708 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116709 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116711 -  ..
116712 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116713 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116715 -  ..
116716 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116717 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116722 -  ..
116723 - Kardia recorded HR 051 at 1447 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116724 - mostly variable heart beat lengths with p-waves and significant initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116725 - artifact, likely no AFL after hiking 00 miles temp __ yesterday, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116726 - diagnosed ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116727 - arising from dysfuncational ANS following 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116728 - reviewed with Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116729 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116732 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116733 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250426-ecg-144723_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116738 -  ..
116739 - Post hike HR profile beginning 1949, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116740 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116741 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116742 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116743 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116744 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116747 -        ..
116748 -       Date      250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213  250212    
116749 -       Time       1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226    1955     
116750 -       Hours        15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9      13     
116751 -       HR AVG       63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70      74     
116752 -       HR MAX      126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     127     
116753 -       HR Min       42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44      42     
116754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116757 -              https://flow.polar.com/training/analysis/8101570493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116760 -  ..
116761 - Increased HRV after not hiking 2 days and frequent urination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116764 -   
116765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116768 -  ..
116769 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116770 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116771 - Dinner - eggs macaroni cheese hamburger broccoli asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116773 -  ..
116774 - Vomiting: 0% - seems like bloating 2 - no cough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116809 -         ..
116810 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116811 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116812 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116813 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116814 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116815 -  117.  250427 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116816 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116817 -               0710....BP HR..................................................... 151  85  64  Kardia ECG reports HR status, see below. ref SDS 0 8EQS                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116818 -               0715....BP HR..................................................... 146  84  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116819 -               0720....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116820 -               0720....40 449280 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
116821 -               1200....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116822 -               1200... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116823 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116824 -               1200....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116825 -               1200....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116826 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116827 -               1200... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
116828 -  ..
116829 -           *   1258....miles...........  22.0 115.0  400  2046 minutes  temp  65 wind 08  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116830 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116831 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116832 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116833 -               1510....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116834 -               1510....Tramadol 50 mg took 3 pills - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116835 -               1510... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
116836 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116837 -               1510... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116838 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116839 -               1715....mile 12 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116840 -               1715....Tramadol 50 mg took 3 pills - 8 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116841 -               1715... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
116842 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116843 -               1715... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
116844 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116845 -               2051... Hike ends mile 22... ref SDS 0 JVYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116846 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116847 -               2110....weight.................................... 168  lost  1#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116848 -               2145....BP HR..................................................... 105  73  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116849 -               2157....BP HR..................................................... 102  68  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116850 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116851 -               1700... 40 122780 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                                                                                                                                                                                                                                                                                  
116852 -             1 0000............ 10 21390  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
116853 -             1 0000............ 10 21740  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
116854 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116855 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116856 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116857 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116858 -               2250... 1000 2443000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116859 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116860 -               2330... 40 449320 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116861 -               2340... 40 97480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116863 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116864 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116865 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116866 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116867 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
116868 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116869 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116870 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
116871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116873 -  ..
116874 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116875 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116877 -  ..
116878 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116879 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116880 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116881 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116882 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116884 -  ..
116885 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116886 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116888 -  ..
116889 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116890 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116893 -  ..
116894 - Today, hiked 22 miles - maintained pace better while taking no "extra"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116895 - magnesium between normal stops.  Heart rate tracked changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116896 - elevation.  Experimented using double Corn bandaging with "donut hole"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116897 - to protect calluses on left foot #1 and #5 - not successful, at mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116898 - had to remove all bandaging.  Did 5 mile semi-loop through South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
116899 - Concord streets - Treat, Turtle Creek Road.  Had good energy starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116900 - hike Was able to increase speed at will, which could not do last 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116901 - hikes on Friday, Saturday and Sunday. to Clayton Road.  At mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116902 - then unlike hike yesterday, pace did not slow, so did not need extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116903 - magnesium, Then South 1 mile and turned West 1 mile on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116904 - Road.  Hiked East 2.50 on Pine Hollow.  At mile 8, took 3 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116905 - Tramadol and 2 more magnesium.  Turned around but could only hike a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116906 - hundred yards or so.  Had to remove bandaging on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116907 - Continued hike.  In only 0.5 mile, had to stop again and remove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116908 - bandage on left foot #1, thereon continuing next 14 miles without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116909 - bandagin.  Hiked 2 miles back to Ygnacio Valley Road.  Turned West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116910 - onto Campus Drive heading uphill 1 mile 4% grade to Visitor Parking at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116911 - College.  Hiked 2 loops through parking lots.  At mile 12, did EKG.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116912 - Took 3 more Tramadol.  Took 2 more magnesium pills to dissipate lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116913 - acid, and dissipate inflammation to enable HDL to increase.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116914 - CoQ10 for energy.  Left college and hiked to summit Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116915 - Road mile 19.  Instead of continuing 2 miles downhill to Oak Grove,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116916 - turned around and hiked back to Cowell then 3 miles through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116917 - residential streets and home.  At this time, recovery from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116918 - dysfunctional autonomic nervous system leading to recovery of related                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116919 - symptoms (mostly bloating and fatigue) in case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116920 - ref SDS 18 ZM8J, seems possible with hiking.  Record shows when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
116921 - hiking HRV subsides, bloating declines.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116925 -         ..
116926 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116927 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116928 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
116929 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
116930 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116931 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116932 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116933 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116934 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116935 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
116936 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116937 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
116938 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116939 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
116940 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116941 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
116942 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116943 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116944 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116945 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116946 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
116947 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116948 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
116949 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
116950 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116951 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
116952 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
116953 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116954 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116955 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116956 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
116957 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116958 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
116959 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
116960 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116961 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116962 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
116963 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
116964 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
116965 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
116966 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116967 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116968 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
116969 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
116970 -        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                                                                                                                                                                                                                                                                                                                           
116971 -        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                                                                                                                                                                                                                                                                                                                                                                                    
116972 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116973 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
116974 -        Callus big toe left foot...PRP 210705........   7         60  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
116975 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
116976 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116977 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
116978 -        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                                                                                                                                                                                                                                                                                                                                           
116979 -        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                                                                                                                                                                                                                                                                                                                                           
116980 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116981 -  new   Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
116982 -        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                                                                                                                                                                                                                                                                                                                                                                                        
116983 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
116984 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
116985 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
116986 -        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                                                                                                                                                                                                                                                                                                                                                              
116987 -  new   Callus little toe #5 left foot...PRP 210705..   7         60  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
116988 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
116989 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116990 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
116991 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
116992 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
116993 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
116994 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
116995 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
116996 -        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                                                                                                                                                                                                                                                                                                                                                                               
116997 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116998 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
116999 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117000 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117001 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117002 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117003 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117004 -        Wobbly disoriented staggering dizzy..........   4         60  took 2 Tramadol mile 00, and 3 Tramadol mile 08, and 3 Tramadol mile 15, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
117005 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117006 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117010 -  ..
117011 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117012 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117013 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117014 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117015 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117016 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117018 -  ..
117019 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117020 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117021 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117023 -  ..
117024 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117026 -  ..
117027 - Callus Injuries - today on 250427 applied large round corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117028 - with center relief, like a donut, and received from Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117029 - VAMcSF on 250410 0900. ref SDS 87 T49H  Changed design by stacking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117030 - bandages attempting to prevent lateral pressure on calluses.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117031 - difficult to apply alone, because reaching the location and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117032 - positioning the bandage and tape together is awkward - took multiple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117033 - tries to get positioning that yielded pain relief.  Took 2 Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117034 - start.  Result: terrible - after 3 miles with PL 0, quickly increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117035 - to PL 6 for 05 miles.  At mile 8, took 3 more Tramadol.  Had to remove                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117036 - bandages on #1 and #5.  Hiked next 14 miles without any bandaging to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117037 - reduce PL.  Took 4 more Tramadol.  Last 14 miles PL 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117039 -  ..
117040 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 1 pair                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117041 - Smartwool socks.  Did not change socks today.  Works better to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117042 - feet pain, but takes time to change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117044 -  ..
117045 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117046 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117047 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117048 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117049 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117052 -  ..
117053 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117054 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117055 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117056 - and also left hip.  Continue reducing Famotidine started on 250418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117057 - taking only 1 40 mg pill morning and night instead of 2 pills to aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117058 - digestion, and reduce side effects of bloating, explained in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117059 - study on 200101 0701. ref SDS 18 O33H  Took 2 Tramadol 50 mg for knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117060 - pain and metatarsalgia pain in feet PL 2 starting hike, and left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117061 - #1 and #5 both calluses PL 2, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117062 - 250410 0900. ref SDS 87 5Q5M  Took Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117063 - energy, absorbing lactic acid, and reducing inflammation - enables HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117064 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117065 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117066 - after EGD Dilation on 250408 1030, ref SDS 86 274L, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117067 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117068 - amount peanut butter and margarine and Mayonnaise, and Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117069 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117070 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 AP8J  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117071 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117072 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117073 - ref SDS 18 136K  No breakfast reduces bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117074 - from ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117075 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117076 - Feeling less bloated today, possibly arising from variable heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117077 - related to dysfunctional automatic nervous system - ANS) following 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117078 - ablation on 240611 0930, ref SDS 53 MC6F; see analysis by Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117079 - on 250114 1202. ref SDS 69 PQ5Y  Feeling less bloated may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117080 - Doctor Pellegrini's prescription to increase hiking, reported in her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117081 - letter on 250115 1023. ref SDS 70 H480  Took backpack to carry stuff.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117082 - Tried different bandaging scheme for calluses left foot #1 and #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117083 - This was not effective. per above. ref SDS 0 URYU  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117084 - mile, and turned left, onto Treat.  Starting hike feet feeling swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117085 - and like pins and needles - did not feel electrical shocks off and on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117086 - in balls of feet this morning about 0% total hike - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117087 - neuropathy.  After about 1 mile feet calming down.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117088 - feet metatarsalgia PL 2, including left foot #1 and #5, which have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117089 - been major source of hiking pain past weeks.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117090 - entire hike with no dyspnea, indicating good condition that reflects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117091 - increased hiking past few weeks.  Temperature started at 56, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117092 - reached 62.  East wind 18 mph and mostly 14 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117093 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117094 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117095 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117096 - today.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117097 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117098 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117099 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117100 - complex.  Crossed Alberto Way at traffic light.  Today, after 3 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117101 - did not have difficulty maintaining pace.  Near Mountain Mike's Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117102 - shop about mile 4, did not take another magnesium capsule with sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117103 - softdrink, per above, ref SDS 0 VRWS, and as occurred to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117104 - speed during previous hike on 250424 at time 1110, see above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117105 - ref SDS 0 UQPU  Continued on concrete sidewalk .5 miles with PL 2 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117106 - feet.  Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117107 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117108 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117109 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117110 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117111 - Texaco Gas Station store mile 5, time ____.  On Ygnacio Valley Road;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117112 - turned left onto Pine Hollow.  Hiked 2.50 miles East to end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117113 - Hollow.  Stopped at mile 08 time 1510 temp 61 and wind 06 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117114 - looks uniform with no artifact.  Kardia reported HR 130, Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117115 - see below. ref SDS 0 FM3Z  Bloating PL 2.  Both feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117116 - 2, left foot #1 PL 7, #5 PL 8.  Right foot #5 PL 0.  Back PL 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117117 - knee meniscus PL 2, right knee PL 0.  ** experiment ** took 3 (5th)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117118 - Tramadol 50 MG, and 2 (3rd) Magnesium complex 300 mg pill - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117119 - whole after EGD Dilation to 19.5 mm, 250408 1030, ref SDS 86 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117120 - avoids large capsule clogging LESV, as occurred last year on 240824,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117121 - see case study. ref SDS 36 YWSY  Sips softdrink carried from home and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117122 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117123 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117124 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117125 - ml for HDL and energy to complete hike.  Since temperature near 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117126 - causes sweating that ejects electrolytes, and temp is 61, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117127 - Nuun electrolyte pill, per above. ref SDS 0 VRWS  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117128 - hiked back.  After only 60 yards, left foot #1 and #5 still PL 6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117129 - Stopped and removed left shoe and sock.  Removed bandaging on #5 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117130 - order to reduce pressure from shoe.  Continued hike.  After only .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117131 - mile at Pine Hollow and Tiffin Drive across the street from Mount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117132 - Diablo elementry school, stopped and removed left foot shoe and sock                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117133 - again.  Removed bandaing from #1, as done with #5 minutes earlier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117134 - Did rest of hike without bandaging to protect against lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117135 - on calluses, and relying solely on pain relief medication, today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117136 - Tramadol.  While stopped for 5 minutes, a woman walking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117137 - Tiffin Drive crossed Pine Hollow.  She stopped and asked how far I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117138 - hike.  She related seeing me hiking on occassinos when she is driving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117139 - on Ygnacio Valley road and other routes.  The lady has been hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117140 - about 5 miles a day on a local route nearby.  Sounded like one of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117141 - routes Millie guided us hiking from behind the Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117142 - complex at Ygnacio Valley Road and Clayton Road, and extending South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117143 - beyond the Clayton Library.  Discussed benefits of daily 5-mile hikes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117144 - that elevates HDL and EPCs to regress plaque in blood vessels.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117145 - is much more therapeutic than statin medications, which only slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117146 - advance of atherosclerotic plaque.  She has not yet suffered medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117147 - problems, and has annual physical examinations that may include blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117148 - draws for analysis (labs).  Look for HDL in the Lipid panel.  Women                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117149 - who hike 5 miles per day, may see HDL rise from mid-50s to mid-60s or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117150 - higher.  HDL >/= 60, is an easy target to assess hiking is at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117151 - therapeutic levels, toward deciding to increase hiking distance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117152 - Wished her good hiking.  Continued West on Pine Hollow about 2 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117153 - Pace normal after having taken 2 more magnesium capsules, more CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117154 - and 3 Tramadol at mile 08, per above. ref SDS 0 VRWS  Near Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117155 - Valley road turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117156 - grade.  Hiked 1 mile against wind 3 mph.  The road bends North.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117157 - reaching Ygnacio Valley Road turned around and hiked uphill 0.25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117158 - 5% grade.  Reached Visitor Parking at California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117159 - Bay Concord Campus.  Hiked 2 0.5-mile loops around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117160 - Stopped both times at training station and did half-pullups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117161 - half-pushups.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117162 - Building mile 12 time 1715 temp 63 and wind 05 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117163 - with minor artifact.  Kardia reported HR 129, Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117164 - ref SDS 0 8SWY  Bloating PL 2.  Both feet metatarsalgia PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117165 - foot #1 PL 4, #5 PL 6.  Left knee meniscus PL 2, right knee PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117166 - Back PL 0.  Took 2 Tramadol 50 MG.  Took 1 (5th) Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117167 - mg pill - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117168 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117169 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117170 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117171 - butter, margarine and Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117172 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117173 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117174 - Temperature below 80 causes sweating that ejects electrolytes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117175 - temp is 63, did not take Nuun electrolyte pill, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117176 - VRWS  Hiked 2 1.5-mile loops through Faculty and Student parking lots.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117177 - Back at Administration building and Visitor Parking, took 2 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117178 - Tramadol and 1 more magnesiam pill, per above. ref SDS 0 VRWS  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117179 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117180 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 16,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117181 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117182 - wind 02 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117183 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117184 - Continued West .5 mile to summit.  At mile 17 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117185 - barrier turned around and hiked back.  Turned left onto Cowell heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117186 - North .25 mile using asphalt shoulder downhill 5% grade, then flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117187 - grade .25 miles, then .5 miles in narrow shoulder against oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117188 - commute traffic.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117189 - Cuneo.  Hiked 3 miles through residential streets (Kaski, Hitchcock,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117190 - Cuneo).  Ended hike mile 22 time 2051 temp 58, wind 06, bloating PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117191 - both feet metatarsalgia PL 2, burning sensation PL 2, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117192 - 4, #5 PL 4.  Right foot PL 2, #5 PL 0.  Both ankles PL 0.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117193 - meniscus PL 2, EKG mostly uniform with artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117194 - 110 Tachycardia - see below. ref SDS 0 JVYP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117206 -  ..
117207 - Kardia recorded HR 071 at 1104 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117208 - heart beat lengths with p-waves and significant initial artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117209 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117210 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117211 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117212 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117213 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117216 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117217 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250427-ecg-110409_mile_00_071_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117222 -  ..
117223 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117224 - hike 22 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117225 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117226 - ..
117227 -                                                                                                                                                                                                                                                                                                              x
117228 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117229 -                                                 x             z      yyt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117230 -       Date          250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 250213 250212 250211 250210 250209 250208 250207 250206 250205 250204 250203 25020  
117231 -       Miles            22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0      0      0      0     20      0     14      0      0      0      0      0  
117232 -       HR AVG          119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no     no     no     no    130     no    124     no     no     no     no     no  
117233 -         MAX           141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report report report report report  147   report  150   report report report report repo  
117234 -         Min            58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                                        70            51                                     
117235 -       El Climb Ft     489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                                       582           343                                     
117236 -       Temp Max         65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                                        60            52                                     
117237 -       Wind Max         08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                                         5            13                                     
117238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117240 -              https://flow.polar.com/training/analysis/8099819119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117243 -               ..
117245 -   
117246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117250 -  ..
117251 - EKG at mile 08 time 1510, HR 130 temp 61, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117252 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117253 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117256 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117257 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250427-ecg-151055_mile_08_130_tcy_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117261 -  ..
117262 - EKG at mile 12 time 1715 HR 129 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117263 - Tachycardia... heart rate uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117264 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117267 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117268 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250427-ecg-171550_mile_12_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117272 -  ..
117273 - End hike EKG at mile 22, time 2051 HR 110 temp 58 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117274 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
117275 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117278 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117279 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250427-ecg-205119_mile_22_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117283 -  ..
117284 - Post hike HR profile beginning 2326, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117285 - hiking 22 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117286 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117287 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117288 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117289 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117292 -        ..
117293 -       Date      250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215  250214  250213    
117294 -       Time       2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025    2025    2226     
117295 -       Hours         5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11      11       9     
117296 -       HR AVG       62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64      64      70     
117297 -       HR MAX      115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     116     113     
117298 -       HR Min       42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43      43      44     
117299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117302 -              https://flow.polar.com/training/analysis/8101899940                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117305 -  ..
117306 - HRV after hiking 22 miles, then no HRV several hours, then HRV again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117309 -   
117310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117313 -  ..
117314 - Breakfast - NPO for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117315 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117316 - Dinner - eggs broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117318 -  ..
117319 - Vomiting: 0% - seems like bloating 3 after getting up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117353 -         ..
117354 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117355 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117356 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117357 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117358 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117359 -  118.  250428 0415............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117360 -               0415....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117361 -               0420....BP HR..................................................... 151  85  64  Kardia ECG reports HR status, see below. ref SDS 0 VXP5                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117362 -               0425....BP HR..................................................... 143  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117363 -               0430....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117364 -               0430....40 449360 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
117365 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117366 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117367 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117368 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117369 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117370 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117371 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117372 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117373 -               1700... 40 122820 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                                                                                                                                                                                                                                                                                  
117374 -               1830............ 10 21400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117375 -               1830............ 10 21750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117376 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117377 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117378 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117379 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117380 -               2250... 1000 2444000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117381 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117382 -               2330... 40 449400 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117383 -               2340... 40 97520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117385 -  ..
117386 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117387 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117389 -  ..
117390 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117391 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117392 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117393 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117394 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117396 -  ..
117397 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117398 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117400 -  ..
117401 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117402 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117406 -  ..
117407 - Kardia recorded HR 051 at 0402 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117408 - heart beat lengths with p-waves and significant initial artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117409 - likely no AFL after hiking 22 miles temp 65 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117410 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117411 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117412 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117413 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117416 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117417 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250428-ecg-040239_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117421 -  ..
117422 - Post hike ...over night...  HR profile not recorded today..                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117425 -  ..
117426 - Breakfast - NPO for lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117427 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117428 - Dinner - eggs broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117430 -  ..
117431 - Vomiting: 0% - seems like bloating 3 after getting up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117465 -         ..
117466 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117467 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117468 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117469 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117470 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
117471 -  119.  250429 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117472 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117473 -               0720....BP HR..................................................... 149  79  53  Kardia ECG reports HR status, see below. ref SDS 0 WSTT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117474 -               0725....BP HR..................................................... 146  82  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117475 -               0730....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117476 -               0730....40 449440 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
117477 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117478 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117479 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117480 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117481 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117482 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117483 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117484 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117485 -               1700... 40 122860 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                                                                                                                                                                                                                                                                                  
117486 -             1 0000............ 10 21400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117487 -             1 0000............ 10 21750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117488 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117489 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117490 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117491 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117492 -               2250... 1000 2445000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117493 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117494 -               2330... 40 449480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117495 -               2340... 40 97560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117497 -  ..
117498 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117499 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117501 -  ..
117502 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117503 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117504 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117505 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117506 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117508 -  ..
117509 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117510 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117512 -  ..
117513 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117514 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117519 -  ..
117520 - Kardia recorded HR 050 at 1020 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117521 - mostly variable heart beat lengths with p-waves and significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117522 - initial artifact, likely no AFL after hiking 00 miles temp __                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117523 - yesterday, and diagnosed ischemic colitis on 200612 0700, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117524 - LY3G, likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117525 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 69 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117526 - Medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117529 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117530 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250429-ecg-102036_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117535 -  ..
117536 - Post hike HR profile beginning 2017, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117537 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117538 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117539 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117540 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117541 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117544 -        ..
117545 -       Date      250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216  250215    
117546 -       Time       2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303    2025     
117547 -       Hours        14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4      11     
117548 -       HR AVG       71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60      64     
117549 -       HR MAX      115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     116     
117550 -       HR Min       45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36      43     
117551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117554 -              https://flow.polar.com/training/analysis/8103426628                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117559 -   
117560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117562 -  ..
117563 - Breakfast - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117564 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117565 - Dinner - eggs hamburger broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117567 -  ..
117568 - Vomiting: 0% - seems like bloating 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117604 -         ..
117605 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117606 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117607 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117608 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117609 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117610 -  120.  250430 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117611 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117612 -               0730....BP HR..................................................... 147  77  48  Kardia ECG reports HR status, see below. ref SDS 0 WTUV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117613 -               0735....BP HR..................................................... 141  64  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117614 -               0740....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117615 -               0740....40 449440 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
117616 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117617 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117618 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117619 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117620 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117621 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117622 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117623 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117624 -               1700... 40 122860 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                                                                                                                                                                                                                                                                                  
117625 -               1830............ 10 21400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117626 -               1830............ 10 21750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117627 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117628 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117629 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117630 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117631 -               2250... 1000 2445000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117632 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117633 -               2330... 40 449480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117634 -               2340... 40 97560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117636 -  ..
117637 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117638 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117640 -  ..
117641 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117642 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117643 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117644 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117645 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117647 -  ..
117648 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117649 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117651 -  ..
117652 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117653 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117657 -  ..
117658 - Kardia recorded HR 050 at 1010 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117659 - mostly variable heart beat lengths with p-waves and significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117660 - initial artifact, likely no AFL after hiking 00 miles temp __                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117661 - yesterday, and diagnosed ischemic colitis on 200612 0700, ref SDS 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117662 - LY3G, likely arising from dysfuncational ANS following 6th ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117663 - 240611, reviewed with Microsoft AI on 250114 1202. ref SDS 69 NA4H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
117664 - Medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117667 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117668 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250430-ecg-101031_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117672 -  ..
117673 - Post hike HR profile beginning 2110, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117674 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117675 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117676 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117677 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117678 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117681 -        ..
117682 -       Date      250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217  250216    
117683 -       Time       2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925    0303     
117684 -       Hours        10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11       4     
117685 -       HR AVG       80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71      60     
117686 -       HR MAX      123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     121     
117687 -       HR Min       49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43      36     
117688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117691 -              https://flow.polar.com/training/analysis/8104082578                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117696 -   
117697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117700 -  ..
117701 - Breakfast - cream of wheat with rasins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117702 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117703 - Dinner - eggs hamburger broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117705 -  ..
117706 - Vomiting: 0% - seems like bloating 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117741 -         ..
117742 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117743 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117744 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117745 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117746 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117747 -  121.  250501 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117748 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117749 -               0710....BP HR..................................................... 144  73  62  Kardia ECG reports HR status, see below. ref SDS 0 XP4Q                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117750 -               0715....BP HR..................................................... 149  75  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117751 -               0720....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117752 -               0720....40 449520 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
117753 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117754 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117755 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117756 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117757 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117758 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117759 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117760 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117761 -               1700... 40 122900 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                                                                                                                                                                                                                                                                                  
117762 -             1 0000............ 10 21400  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117763 -             1 0000............ 10 21750  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117764 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117765 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117766 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117767 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117768 -               2250... 1000 2446000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117769 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117770 -               2330... 40 449560 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117771 -               2340... 40 97600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117773 -  ..
117774 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117775 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117777 -  ..
117778 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117779 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117780 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117781 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117782 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117784 -  ..
117785 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117786 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117788 -  ..
117789 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117790 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117794 -  ..
117795 - Kardia recorded HR 065 at 1006 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117796 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117797 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117798 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117799 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117800 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117801 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117804 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117805 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250501-ecg-100600_mile_00_065_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117808 -  ..
117809 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117811 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250501-ecg-103145_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117815 -  ..
117816 - Post hike HR profile beginning 2033, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117817 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117818 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117819 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117820 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117821 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117824 -        ..
117825 -       Date      250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218  250217    
117826 -       Time       2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047    1925     
117827 -       Hours        10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11      11     
117828 -       HR AVG       78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67      71     
117829 -       HR MAX      116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     122     
117830 -       HR Min       48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43      43     
117831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117834 -              https://flow.polar.com/training/analysis/8104714294                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117839 -   
117840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117843 -  ..
117844 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117845 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117846 - Dinner - eggs hamburger broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117848 -  ..
117849 - Vomiting: 0% - seems like bloating 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117884 -         ..
117885 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117886 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117887 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117888 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117889 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117890 -  122.  250502 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117891 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117892 -               0720....BP HR..................................................... 146  76  72  Kardia ECG reports HR status, see below. ref SDS 0 8WDR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117893 -               0725....BP HR..................................................... 147  76  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
117894 -               0730....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117895 -               0730....40 449600 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
117896 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117897 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117898 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117899 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117900 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117901 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
117902 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117903 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117904 -               1700... 40 122940 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                                                                                                                                                                                                                                                                                  
117905 -               1830............ 10 21410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
117906 -               1830............ 10 21760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
117907 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117908 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117909 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117910 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117911 -               2250... 1000 2447000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117912 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117913 -               2330... 40 449640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117914 -               2340... 40 97640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117916 -  ..
117917 - Frequent urination possible dysfunctional ANS, and/or diabetes symptom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117918 - and/or reaction to Pantoprazole, see case study on 200101. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
117919 - TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117921 -  ..
117922 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117923 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117924 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117925 - and look less blistered, and itch less severely tonight after pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117926 - hiking to recover from feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117928 -  ..
117929 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117930 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117932 -  ..
117933 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117934 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117940 -  ..
117941 - Kardia recorded HR 051 at 0851 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
117942 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117943 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117944 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117945 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117946 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117947 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117950 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117951 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250502-ecg-085136_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117953 -  ..
117954 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
117955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117957 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250502-ecg-085533_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117962 -  ..
117963 - Post hike HR profile beginning 2223, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
117964 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
117965 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
117966 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117967 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117968 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117971 -        ..
117972 -       Date      250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219  250218    
117973 -       Time       2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157    2047     
117974 -       Hours        10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9      11     
117975 -       HR AVG       65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69      67     
117976 -       HR MAX      128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     117     
117977 -       HR Min       48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47      43     
117978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117981 -              https://flow.polar.com/training/analysis/8105330624                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117986 -   
117987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117990 -  ..
117991 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
117992 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
117993 - Dinner - eggs pancake                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
117995 -  ..
117996 - Vomiting: 0% - seems like bloating 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
117997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
117999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118032 -         ..
118033 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118034 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118035 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118036 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118037 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118038 -  123.  250503 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118039 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118040 -               0700....BP HR..................................................... 152  84  53  Kardia ECG reports HR status, see below. ref SDS 0 W3LT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118041 -               0705....BP HR..................................................... 148  79  84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118042 -               0710....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118043 -               0710....40 449680 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
118044 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118045 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118046 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118047 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118048 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118049 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118050 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118051 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118052 -               1700... 40 122980 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                                                                                                                                                                                                                                                                                  
118053 -             1 0000............ 10 21410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118054 -             1 0000............ 10 21760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118055 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118056 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118057 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118058 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118059 -               2250... 1000 2448000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118060 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118061 -               2330... 40 449720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118062 -               2340... 40 97720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118064 -  ..
118065 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118066 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118068 -  ..
118069 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118070 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118071 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118072 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118073 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118075 -  ..
118076 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118077 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118079 -  ..
118080 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118081 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118084 -  ..
118085 - Kardia recorded HR 080 at 0822 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118086 - mostly variable heart beat lengths with p-waves and artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118087 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118088 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118089 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118090 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118091 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118094 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118095 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250503-ecg-082225_mile_00_080_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118097 -  ..
118098 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118101 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250503-ecg-082653_mile_00_074_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118105 -  ..
118106 - Post hike HR profile beginning 2023, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118107 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118108 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118109 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118110 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118111 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118114 -        ..
118115 -       Date      250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220  250219    
118116 -       Time       2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125    2157     
118117 -       Hours        10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10       9     
118118 -       HR AVG       69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69      69     
118119 -       HR MAX      106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     119     
118120 -       HR Min       46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45      47     
118121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118124 -              https://flow.polar.com/training/analysis/8105912003                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118129 -   
118130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118133 -  ..
118134 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118135 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118136 - Dinner - eggs hamburger broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118138 -  ..
118139 - Vomiting: 0% - seems like bloating 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118175 -         ..
118176 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118177 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118178 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118179 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118180 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118181 -  124.  250504 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118182 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118183 -               0700....BP HR..................................................... 158  87  84  Kardia ECG reports HR status, see below. ref SDS 0 XPTR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118184 -               0705....BP HR..................................................... 159  86  85                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118185 -               0710....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118186 -               0710....40 449680 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
118187 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118188 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118189 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118190 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118191 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118192 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118193 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118194 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118195 -               1700... 40 122980 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                                                                                                                                                                                                                                                                                  
118196 -               1830............ 10 21410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118197 -               1830............ 10 21760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118198 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118199 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118200 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118201 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118202 -               2250... 1000 2448000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118203 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118204 -               2330... 40 449720 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118205 -               2340... 40 97720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118208 -  ..
118209 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118210 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118212 -  ..
118213 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118214 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118215 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118216 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118217 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118219 -  ..
118220 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118221 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118223 -  ..
118224 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118225 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118230 -  ..
118231 - Kardia recorded HR 060 at 0714 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118232 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118233 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118234 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118235 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118236 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118237 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118240 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118241 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250504-ecg-071453_mile_00_060_nsf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118243 -  ..
118244 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118247 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250504-ecg-072239_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118251 -  ..
118252 - Post hike HR profile beginning 1943, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118253 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118254 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118255 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118256 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118257 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118260 -        ..
118261 -       Date      250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221  250220    
118262 -       Time       1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000    2125     
118263 -       Hours        11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11      10     
118264 -       HR AVG       77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60      69     
118265 -       HR MAX      119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     125     
118266 -       HR Min       47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40      45     
118267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118270 -              https://flow.polar.com/training/analysis/8106524813                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118275 -   
118276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118279 -  ..
118280 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118281 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118282 - Dinner - eggs hamburger broccoli asparagus onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118284 -  ..
118285 - Vomiting: 0% - seems like bloating 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118320 -         ..
118321 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118322 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118323 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118324 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118325 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118326 -  125.  250505 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118327 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118328 -               0710....BP HR..................................................... 139  82  53  Kardia ECG reports HR status, see below. ref SDS 0 7QXT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118329 -               0715....BP HR..................................................... 144  84  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118330 -               0720....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118331 -               0720....40 449760 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
118332 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118333 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118334 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118335 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118336 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118337 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118338 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118339 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118340 -               1700... 40 123060 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                                                                                                                                                                                                                                                                                  
118341 -             1 0000............ 10 21410  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118342 -             1 0000............ 10 21760  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118343 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118344 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118345 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118346 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118347 -               2250... 1000 2449000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118348 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118349 -               2330... 40 449800 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118350 -               2340... 40 97760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118352 -  ..
118353 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118354 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118356 -  ..
118357 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118358 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118359 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118360 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118361 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118363 -  ..
118364 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118365 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118367 -  ..
118368 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118369 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118373 -  ..
118374 - Kardia recorded HR 068 at 0814 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118375 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118376 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118377 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118378 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118379 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118380 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118383 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118384 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250505-ecg-081417_mile_00_068_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118386 -  ..
118387 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118390 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250505-ecg-085608_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118394 -  ..
118395 - Post hike HR profile beginning 2111, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118396 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118397 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118398 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118399 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118400 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118403 -        ..
118404 -       Date      250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222  250221    
118405 -       Time       2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036    2000     
118406 -       Hours        10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12      11     
118407 -       HR AVG       70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58      60     
118408 -       HR MAX      117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     117     
118409 -       HR Min       45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40      40     
118410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118413 -              https://flow.polar.com/training/analysis/8107130718                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118418 -   
118419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118422 -  ..
118423 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118424 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118425 - Dinner - eggs hamburger broccoli asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118427 -  ..
118428 - Vomiting: 0% - seems like bloating 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118462 -         ..
118463 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118464 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118465 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118466 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118467 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118468 -  126.  250506 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118469 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118470 -               0710....BP HR..................................................... 147  80  66  Kardia ECG reports HR status, see below. ref SDS 0 7QXT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118471 -               0715....BP HR..................................................... 141  81  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118472 -               0720....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118473 -               0720....40 449840 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
118474 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118475 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118476 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118477 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118478 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118479 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118480 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118481 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118482 -               1700... 40 123100 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                                                                                                                                                                                                                                                                                  
118483 -               1830............ 10 21420  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118484 -               1830............ 10 21770  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118485 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118486 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118487 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118488 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118489 -               2250... 1000 2450000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118490 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118491 -               2330... 40 449880 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118492 -               2340... 40 97800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118495 -  ..
118496 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118497 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118499 -  ..
118500 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118501 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118502 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118503 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118504 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118506 -  ..
118507 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118508 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118510 -  ..
118511 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118512 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118516 -  ..
118517 - Kardia recorded HR 067 at 0753 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118518 - mostly variable heart beat lengths with p-waves and artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118519 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118520 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118521 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118522 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118523 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118526 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118527 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250506-ecg-075319_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118529 -  ..
118530 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118533 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250506-ecg-080235_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118537 -  ..
118538 - Post hike HR profile beginning 0049, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118539 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118540 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118541 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118542 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118543 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118546 -        ..
118547 -       Date      250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223  250222    
118548 -       Time    ND 0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934    2036     
118549 -       Hours         7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11      12     
118550 -       HR AVG       68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69      58     
118551 -       HR MAX      107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     115     
118552 -       HR Min       45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47      40     
118553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118556 -              https://flow.polar.com/training/analysis/8107838164                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118559 -  ..
118560 - HRV seems less severe, and is illustrated by contrast normal HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118561 - tracing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118565 -   
118566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118569 -  ..
118570 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118571 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118572 - Dinner - eggs hamburger broccoli asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118574 -  ..
118575 - Vomiting: 0% - seems like bloating 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118609 -         ..
118610 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118611 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118612 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118613 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118614 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118615 -  127.  250507 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118616 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118617 -               0710....BP HR..................................................... 133  72  81  Kardia ECG reports HR status, see below. ref SDS 0 DTWK                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118618 -               0715....BP HR..................................................... 126  73  86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118619 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118620 -               0720....40 449920 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
118621 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118622 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118623 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118624 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118625 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118626 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118627 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118628 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118629 -               1700... 40 123140 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                                                                                                                                                                                                                                                                                  
118630 -             1 0000............ 10 21420  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118631 -             1 0000............ 10 21770  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118632 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118633 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118634 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118635 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118636 -               2250... 1000 2451000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118637 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118638 -               2330... 40 459980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118639 -               2340... 40 97840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118642 -  ..
118643 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118644 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118646 -  ..
118647 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118648 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118649 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118650 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118651 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118653 -  ..
118654 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118655 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118657 -  ..
118658 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118659 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118663 -  ..
118664 - Kardia recorded HR 074 at 0917 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118665 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118666 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118667 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118668 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118669 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118670 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118673 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118674 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250507-ecg-091704_mile_00_074_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118676 -  ..
118677 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118680 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250507-ecg-093436_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118683 -  ..
118684 - Post hike HR profile beginning 1833, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118685 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118686 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118687 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118688 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118689 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118692 -        ..
118693 -       Date      250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224  250223    
118694 -       Time       1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049    1934     
118695 -       Hours         7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11      11     
118696 -       HR AVG       79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69      69     
118697 -       HR MAX      112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     119     
118698 -       HR Min       51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41      47     
118699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118701 -              https://flow.polar.com/training/analysis/8108302384                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118704 -  ..
118705 - HRV seems less severe, and is illustrated by contrast normal HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118706 - tracing, and alighs with less bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118710 -   
118711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118714 -  ..
118715 - Breakfast - cream of wheat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118716 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118717 - Dinner - hot dogs broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118719 -  ..
118720 - Vomiting: 0% - seems like bloating 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118764 -         ..
118765 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118766 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118767 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118768 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118769 -        Thursdayy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118770 -  128.  250508 0210............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118771 -               0215....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118772 -               0220....BP HR..................................................... 144  89  88  Kardia ECG reports HR status, see below. ref SDS 0 RVBP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118773 -               0225....BP HR..................................................... 140  75  77                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118774 -               0230....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118775 -               0230....40 460020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
118776 -               0410....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118777 -               0410... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118778 -               0410....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118779 -               0410....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118780 -               0410....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118781 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118782 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
118783 -  ..
118784 -           *   0418....miles...........  12.0  12.0  206   206 minutes  temp  50 wind 00  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118785 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118786 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118787 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118788 -               0604....mile 06 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118789 -               0000....Tramadol 50 mg took 3 pills - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118790 -               0604... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
118791 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118792 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118793 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118794 -               0000....mile 18 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118795 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118796 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
118797 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118798 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
118799 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118800 -               0757... Hike ends mile 12... ref SDS 0 5VA2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118801 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118802 -               0810....weight.................................... 172  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118803 -               0815....BP HR..................................................... 105  73  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118804 -               0820....BP HR..................................................... 102  68  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118805 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118806 -               1700... 40 123180 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                                                                                                                                                                                                                                                                                  
118807 -               1830............ 10 21430  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
118808 -               1830............ 10 21780  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
118809 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118810 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118811 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118812 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118813 -               2250... 1000 2452000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118814 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118815 -               2330... 40 460060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118816 -               2340... 40 97880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118818 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118819 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118820 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118821 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118822 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118823 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118824 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118825 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
118826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118828 -  ..
118829 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118830 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118832 -  ..
118833 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118834 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118835 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118836 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118837 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118839 -  ..
118840 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118841 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118843 -  ..
118844 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118845 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118848 -  ..
118849 - Today, hiked 12 miles from VAMCSF through Golden Gate Park and back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118850 - Took 2 Tramadol to start hike; forgot to bring CoQ10.  Took magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118851 - to start, and at halfway about mile 6.  Maintained pace while taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118852 - less magnesium.  Heart rate in sinus all the way tracking changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118853 - elevation.  Noticed fatigue about mile 5.  Did not use Corn bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118854 - with "donut hole" nor any bandaging to protect calluses on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118855 - #1 and #5.  Had PL 0 all the way, indicating some healing has occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118856 - while hiking paused the past 10 days.  Just a few twinges of momentary                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118857 - pain.  Weather started slightly misty and in total darkness.  No wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118858 - entire hike, and mist stopped after 30 minutes.  Hiked from hospital                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118859 - to Point Lobo down to Cliff House then South on Great Highway.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118860 - onto JFK and continued through the park.  Stopped at mile 6 between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118861 - Conservatory and Stanyon, instead of usual mile 7 at end of Paramount,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118862 - because started late and needed time to write up the record, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118863 - prepare agenda for meeting in Podiatry at 0930.  Hiking West on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118864 - way back increased pace to keep up with another hiker who passed me.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118865 - Did not keep up, but increasing pace for several miles felt good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118866 - Still had energy to complete hike.  Stomach bloated slightly causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118867 - only few burps starting hike - seemed less so at the end back at the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118868 - VA mile 12.  Needed no more pain meds, indicating new orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118869 - made by Doctor Hewitson are very good, per below. ref SDS 0 XTSR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118870 - Hiked uphill for 2 miles without stopping to rest from Great Highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118871 - along Ocean Beach to Cliff House then on Point Lobos to 42nd and the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118872 - hospital, all without breathing through mouth, though very slow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118873 - because did not take CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118877 -         ..
118878 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118879 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118880 -        Stomach pain ischemic colitis bloating.......   2        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 20 miles                                                                                                                                                                                                                                                                                                                                                                       
118881 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
118882 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118883 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118884 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118885 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118886 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118887 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
118888 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118889 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
118890 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118891 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
118892 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118893 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
118894 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118895 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118896 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118897 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118898 -        Knee left meniscus...PRP 231121..............   1        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Tramadol mile 11 and 1 Tramadol mile 16                                                                                                                                                                                                                                                                                                                                                                                               
118899 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118900 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118901 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
118902 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118903 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
118904 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
118905 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118906 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118907 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118908 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118909 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118910 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
118911 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
118912 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118913 -        Electric shocks middle 3 toes right foot.....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118914 -        Metatarsalgia left foot...PRP 210705.........   1        100  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
118915 -        Metatarsalgia right foot..PRP 210705.........   1        100  Doctor Tang shaved calluses 250207 and switched to old orthotic inserts on 241105 - these helped - took 2 Tramadol and 0 Gabapentin at mile 11 and 1 Tramadol at mile 16 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
118916 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
118917 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
118918 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118919 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118920 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
118921 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
118922 -        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                                                                                                                                                                                                                                                                                                                           
118923 -        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                                                                                                                                                                                                                                                                                                                                                                                    
118924 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118925 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
118926 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 250207 - shaving on 241017 seemed to help before, but difficult to shave now because near bone - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes and 2 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                
118927 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118928 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118929 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
118930 -        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                                                                                                                                                                                                                                                                                                                                           
118931 -        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                                                                                                                                                                                                                                                                                                                                           
118932 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118933 -  new   Callus little toe right foot..top of toe.....   0        100  shaved callus before hike today - took 2 Tramadol and 0 Gabapentin mile 00 and again at mile 13                                                                                                                                                                                                                                                                                                                                                                                                                                              
118934 -        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                                                                                                                                                                                                                                                                                                                                                                                        
118935 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
118936 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
118937 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118938 -        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                                                                                                                                                                                                                                                                                                                                                              
118939 -  new   Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang cut out core of callus again on 240926 - took 2 Tramadol and 0 Gabapentin mile 11 and 1 Tramadol at mile 16 wore old Hoka Bondi 6 wide shoes 1 pair double layer socks - before starting hike applied Lidocaine gel for initial pain management - eased pain 10 miles                                                                                                                                                                                                                                                            
118940 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
118941 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118942 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
118943 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
118944 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118945 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
118946 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
118947 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118948 -        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                                                                                                                                                                                                                                                                                                                                                                               
118949 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118950 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118951 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118952 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118953 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118954 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118955 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118956 -        Wobbly disoriented staggering dizzy..........   2          5  took 2 Tramadol mile 00, and 0 Tramadol mile 08, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                                  
118957 -        Wasted - very fatigued.......................   2          5  slow on last hill Treat, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118958 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118962 -  ..
118963 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118964 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118965 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118966 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118967 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118968 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118970 -  ..
118971 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118972 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118973 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118975 -  ..
118976 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118978 -  ..
118979 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118980 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118981 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
118983 -  ..
118984 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118985 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
118986 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
118987 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
118989 -  ..
118990 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
118991 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
118992 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118993 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
118994 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
118995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
118997 -  ..
118998 - San Francisco 13 mile route, reported on 170519, ref SDS 8 WTRS - took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
118999 - Glucosamine Chondroitin for OA protection, mainly left knee treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119000 - with PRP intra articular injection 13 times, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119001 - 0701, ref SDS 18 TTPV, and also left hip.  At the hospital, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119002 - starting the hike, took 2 Tramadol for pain management, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119003 - metatarsalgia and other feet injuries, per above. ref SDS 0 XSSY  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119004 - Magnesium Complex 300 mg pill for energy; and to absorb lactic acid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119005 - for pain management, and resolve inflammation to enable HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119006 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119007 - research on 200101 0701, ref SDS 18 QP6L - was able to swallow pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119008 - whole after EGD dilated LESV on 250408 1030, ref SDS 86 433O; this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119009 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119010 - Had small amount peanut butter and margarine, and Mayonnaise, and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119011 - seeds for electrolytes and energy, and had some avocado for HDL,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119012 - ...and did not take 5 ml liquid Ubiquinol CoQ10, because forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119013 - bring it from home - all per above. ref SDS 0 2X5N  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119014 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119015 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119016 - 136K  No breakfast reduces bloating feeling, but still bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119017 - starting hike today, from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119018 - and other drugs, also symptomatic of diabetes, and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119019 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119020 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119021 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119022 - stuff.  Temperature mild 50 and wind 00 mph.  Slightly misty, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119023 - ended within 20 minutes.  Departed VAMCSF campus in dark at 0418.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119024 - Hiked slowly downhill on 42nd Street to warm up.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119025 - heading downhill West on Point Lobos to Cliff House at mile 1.  Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119026 - bends and changes to "Great Highway" going South along ocean beach.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119027 - Pace picked up as CoQ10 and magnesium was digested and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119028 - strength.  At mile 2 turned onto John F Kennedy (JFK) Drive entering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119029 - Golden Gate Park.  Maintained pace going slightly uphill into the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119030 - for .5 miles.  Did not encounter early morning jogger going West -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119031 - normally this pass occurs nearer to the Highway 1 bridge, but today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119032 - did not cross paths.  Since this hasn't happened for several months,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119033 - he may have stopped.  Turned corner and continued East on JFK.  Dark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119034 - and with few widely spaced street lights, cannot see the road.  Passed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119035 - Buffalo compound, then Spreckles Lake.  Hiked past Lindley Meadow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119036 - Encountered a few bikers passing Helman Hollow.  Both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119037 - 1.  Hiked under bridge at Crossover Drive (part of highway 1 that goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119038 - to Golden Gate Bridge). - JFK is blocked to vehicle traffic the rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119039 - of the way through the park to Stanyon, limiting attendance to keep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119040 - people separated that minimizes spreading coronavirus.  Now that the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119041 - epidemic has been declared over, the park continues to deny access to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119042 - drivers on JFK.  At mile 5, hiked past De Young Museum.  Encountering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119043 - more hikers and bikers heading in both directions.  Past Conservatory                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119044 - near Nancy Pelosi Way stopped before reaching Stanyon at mile 6, time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119045 - 0604, temp 50, wind 00; EKG mostly uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119046 - Kardia reported HR 113 Tachycardia - see below. ref SDS 0 V4LS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119047 - Bloating PL 0.  Both feet PL 1, burning sensation PL 0, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119048 - PL 0 and #5 PL 0 - very good result wearing new orthotic inserts. left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119049 - knee PL 1, and left hamstring PL 0.  Took 0 Tramadol.  Took Magnesium.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119050 - Sips softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119051 - nutrition - peanut butter, margarine, Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119052 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119053 - HDL, did not take Nuun electrolyte pill.  Did not take 5 ml Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119054 - liquid CoQ10, because forgot to bring it from home, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119055 - ref SDS 0 XRTW  Where I stopped for the EKG, a group of about 15 also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119056 - stopped and did some calisthenics including 3 sets of 12 pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119057 - These were mostly men age 30 - 40+ and 1 girl.  She did pushups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119058 - differently.  On leaving gave them a thumbs up and said:  "Doing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119059 - Great!!"  Hiked back on JFK heading West toward the Ocean.  Stayed on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119060 - South side against traffic (no actual vehicle traffic in park).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119061 - Increased pace with endorphins rising.  Past DeYoung Museum.  A woman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119062 - passed my hiking.  Thought I could keep up, so increased pace.  She                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119063 - continued to pull ahead, while I maintained faster pace.  Seem to have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119064 - lost a step not hiking the past 10 days.  The Waterfall not running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119065 - this morning at 0650, before hiking under Crossover Road bridge at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119066 - highway 1.  Hiked past Hellman Hollow then Lindley Meadow, where 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119067 - years ago, a truck backed up because missed a turn, and struck Kathy's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119068 - car; this got her a new car, reported on 150729 0942. ref SDS 6 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119069 - Continued hiking past Spreckles Lake, then saw 20 Buffalo or so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119070 - grazing in North-West area of compound.  Crossed to North side of JFK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119071 - going with traffic.  Turned corner and headed toward the ocean.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119072 - past the Soccor fields then turned North onto Great Highway.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119073 - parallel to ocean toward the Cliff House and hospital.  Halfway to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119074 - Cliff House could not have liquid CoQ10 for energy.  Slowed pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119075 - hiking up steep hill - 5% - 6% grade - did not stop, and maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119076 - breathing without dyspnea today, i.e., did not breath through mouth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119077 - last mile uphill to the hospital, similar to hike on 240829,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119078 - ref SDS 36 QTSP  Indicates condition still okay after not hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119079 - 10 days in order to heal feet injuries.  At the Cliff House, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119080 - onto Point Lobos Avenue going East; hiked uphill for 1 mile.  Had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119081 - slow pace by 40%, but continued hiking without stopping to rest.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119082 - Turned onto 42nd street and maintained pace going up final hill to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119083 - VA campus.  Ended hike mile 12, time 0757 temp 54, wind 00, bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119084 - PL 2, both feet metatarsalgia PL 1, burning sensation PL 0, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119085 - #1 PL 1, #5 PL 1.  Right foot PL 0, #5 PL 0.  Both ankles PL 0.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119086 - knee meniscus PL 0 - best hike in a year.  EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119087 - mild artifact, Kardia reported HR 120 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119088 - ref SDS 0 5VA2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119102 -  ..
119103 - Kardia recorded HR 083 at 0246 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119104 - mostly variable heart beat lengths with p-waves and artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119105 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119106 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119107 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119108 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119109 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119112 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119113 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250508-ecg-024632_mile_00_083_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119119 -  ..
119120 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119121 - used*** hike 12 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119122 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119123 - ..
119124 -                                                                                                                                                                                                                                                                                                              x
119125 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119126 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119127 -       Date          250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 250215 250214 25021  
119128 -       Miles            12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20      0      0  
119129 -       HR AVG          117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132     no     no  
119130 -         MAX           157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154   report repo  
119131 -         Min            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56                
119132 -       El Climb Ft     330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484                
119133 -       Temp Max         54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69                
119134 -       Wind Max         00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4                
119135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119137 -              https://flow.polar.com/training/analysis/8108509357                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119140 -               ..
119142 -   
119143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119147 -  ..
119148 - EKG at mile 06 time 0604, HR 113 temp 50, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119149 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119150 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119153 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119154 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250508-ecg-060425_mile_06_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119158 -  ..
119159 - End hike EKG at mile 12, time 0757 HR 120 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119160 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119161 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119164 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119165 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250508-ecg-075713_mile_12_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119169 -  ..
119170 - Post hike HR profile beginning 2106, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119171 - hiking 12 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119172 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119173 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119174 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119175 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119178 -        ..
119179 -       Date      250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225  250224    
119180 -       Time       2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923    2049     
119181 -       Hours        10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8      11     
119182 -       HR AVG       69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72      69     
119183 -       HR MAX      134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     128     
119184 -       HR Min       43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47      41     
119185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119187 -              https://flow.polar.com/training/analysis/8109170775                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119190 -  ..
119191 - HRV not evident initial 4 hours, then recurs and lasts 6 hours, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119192 - may be causing symptoms dysfunctional ANS, see list on 250408 1030.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119193 - ref SDS 86 VA8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119197 -   
119198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119201 -  ..
119202 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119203 - Lunch - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119204 - Dinner - hot dogs broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119206 -  ..
119207 - Vomiting: 0% - seems like bloating 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119265 -         ..
119266 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119267 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119268 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119269 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119270 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119271 -  129.  250509 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119272 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119273 -               0720....BP HR..................................................... 136  70  52  Kardia ECG reports HR status, see below. ref SDS 0 GV2T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119274 -               0725....BP HR..................................................... 140  81  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119275 -               0730....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119276 -               0730....40 460100 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
119277 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119278 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119279 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119280 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119281 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119282 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119283 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119284 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119285 -               1700... 40 123220 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                                                                                                                                                                                                                                                                                  
119286 -             1 0000............ 10 21430  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
119287 -             1 0000............ 10 21780  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
119288 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119289 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119290 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119291 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119292 -               2250... 1000 2453000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119293 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119294 -               2330... 40 460140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119295 -               2340... 40 97920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119297 -  ..
119298 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119299 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119301 -  ..
119302 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119303 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119304 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119305 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119306 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119308 -  ..
119309 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119310 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119312 -  ..
119313 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119314 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119317 -  ..
119318 - Kardia recorded HR 050 at 0710 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119319 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119320 - after hiking 12 miles temp 51 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119321 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119322 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119323 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119324 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119327 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119328 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250509-ecg-071004_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119331 -  ..
119332 - Looks like NSR...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119334 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119335 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250509-ecg-072420_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119341 -  ..
119342 - Post hike HR profile beginning 2027, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119343 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119344 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119345 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119346 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119347 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119350 -        ..
119351 -       Date      250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226  250225    
119352 -       Time       2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006    1923     
119353 -       Hours        11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12       8     
119354 -       HR AVG       71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68      72     
119355 -       HR MAX      122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     127     
119356 -       HR Min       43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43      47     
119357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119359 -              https://flow.polar.com/training/analysis/8109760552                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119362 -  ..
119363 - HRV not evident initial 4 hours, then recurred for 1 hour, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119364 - minimal for 4 hours, then recurred for 5 hours. which may be causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119365 - symptoms dysfunctional ANS, see list on 250408 1030. ref SDS 86 VA8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119369 -   
119370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119373 -  ..
119374 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119375 - Lunch - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119376 - Dinner - hot dogs broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119378 -  ..
119379 - Vomiting: 0% - seems like bloating 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119413 -         ..
119414 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119415 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119416 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119417 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119418 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119419 -  130.  250510 0625............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119420 -               0625....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119421 -               0630....BP HR..................................................... 130  81  58  Kardia ECG reports HR status, see below. ref SDS 0 GV2T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119422 -               0635....BP HR..................................................... 133  82  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119423 -               0640....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119424 -               0640....40 460180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
119425 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119426 -               1120... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119427 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119428 -               1120....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119429 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119430 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119431 -               1120... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
119432 -  ..
119433 -           *   1149....miles...........  16.0  28.0  252   468 minutes  temp  91 wind 12  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119434 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119435 -               1300....Tramadol 50 mg took 1 pill - 1 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119436 -               1300... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119437 -               1300... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119438 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119439 -               1502....mile 12 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119440 -               1502....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119441 -               1502... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
119442 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119443 -               1502... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119444 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119445 -               0000....mile 18 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119446 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119447 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
119448 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119449 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119450 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119451 -               1630... Hike ends mile 16... ref SDS 0 KB4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119452 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119453 -               1645....weight.................................... 168  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119454 -               1705....BP HR..................................................... 102  64 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119455 -               2157....BP HR.....................................................  89  57 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119456 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119457 -               1720... 40 123260 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                                                                                                                                                                                                                                                                                  
119458 -               1830............ 10 21440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
119459 -               1830............ 10 21790  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
119460 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119461 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119462 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119463 -               2210... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119464 -               2250... 1000 2454000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119465 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119466 -               2330... 40 460220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119467 -               2340... 40 97960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119469 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119470 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119471 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119472 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119473 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119474 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119475 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119476 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119479 -  ..
119480 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119481 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119483 -  ..
119484 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119485 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119486 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119487 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119488 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119490 -  ..
119491 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119492 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119494 -  ..
119495 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119496 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119499 -  ..
119500 - Today, hiked 16 miles - expected 20, but today totally wasted, unable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119501 - to hike over summit on Ygnacio Vallery Road.  Temperature 90 first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119502 - time elevated; body acclimating to high temperatures of summer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119503 - Starting PL 0, induced taking 0 Tramadol, since on Thursday, started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119504 - with 2 Tramadol and had PL 0 entire hike of 12 miles at Golden Gate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119505 - Park in San Francisco, per above. ref SDS 0 XSQR  Turned out this was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119506 - a mistake.  Should have taken 2 Tramadol to start hike.  Forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119507 - bring electrolytes, because medications are jumpled on the dining room                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119508 - floor with everything else in the kitchen, while all cabinets and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119509 - counters were removed for totoal remodel.  Took magnesium to start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119510 - and at mile 4, when energy dropped abnormally, which may align with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119511 - low Ferritin in lab on 250428 0940. ref SDS 88 VP5H  Extra magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119512 - and CoQ10 enabled maintaining pace.  Heart rate in sinus all the way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119513 - tracking changes in elevation.  Noticed fatigue about mile 5.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119514 - use Corn bandaging with "donut hole" nor any bandaging to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119515 - calluses on left foot #1 and #5.  Had PL 0 initially, that increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119516 - to PL 4 - 5 after 3 miles, which led to taking 2 Tramadol at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119517 - in order to finish the hike.  The record may indicate some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119518 - occurred while hiking paused the past 10 days.  Temperature 90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119519 - increased burden on heart, which may have increased dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119520 - autonomic nervous system symptoms.  No wind entire hike.  Stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119521 - bloated causing numerous major burps - seemed less so at the end back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119522 - home.  Feet, especially left foot #1 and #5 had more pain than on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119523 - Thursday hiking GGP.  During hike today about mile 3, seemed like left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119524 - foot between #4 and #5 was blistering.  After hike examination did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119525 - find anything.  Seems like new orthotic inserts made by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119526 - Hewitson prevented pain and callus injuries from escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119530 -         ..
119531 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119532 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119533 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
119534 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
119535 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119536 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119537 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119538 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
119539 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119540 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119541 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119542 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119543 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
119544 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119545 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
119546 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119547 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
119548 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119549 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119550 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119551 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119552 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
119553 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119554 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119555 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119556 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119557 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
119558 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119559 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119560 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119561 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119562 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119563 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119564 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119565 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
119566 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119567 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119568 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
119569 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
119570 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
119571 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
119572 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119573 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119574 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
119575 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
119576 -        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                                                                                                                                                                                                                                                                                                                           
119577 -        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                                                                                                                                                                                                                                                                                                                                                                                    
119578 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119579 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
119580 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
119581 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119582 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119583 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
119584 -        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                                                                                                                                                                                                                                                                                                                                           
119585 -        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                                                                                                                                                                                                                                                                                                                                           
119586 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119587 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
119588 -        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                                                                                                                                                                                                                                                                                                                                                                                        
119589 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
119590 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
119591 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119592 -        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                                                                                                                                                                                                                                                                                                                                                              
119593 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
119594 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
119595 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119596 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119597 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
119598 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119599 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
119600 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
119601 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119602 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
119603 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119604 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119605 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119606 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119607 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119608 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119609 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119610 -        Wobbly disoriented staggering dizzy..........   6          2  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
119611 -        Wasted - very fatigued.......................   6          2  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119612 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119616 -  ..
119617 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119618 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119619 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119620 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119621 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119622 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119624 -  ..
119625 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119626 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119627 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119629 -  ..
119630 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119632 -  ..
119633 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119634 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119635 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119637 -  ..
119638 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119639 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119640 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119641 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119643 -  ..
119644 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119645 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119646 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119647 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119648 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119651 -  ..
119652 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119653 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119654 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119655 - and also left hip.  Did not take Tramadol for pain management, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119656 - there is no metatarsalgia pain in feet starting the hike, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119657 - foot #1 and #5 calluses both PL 0, treated by Doctor Tang 2 days ago                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119658 - at VAMCSF on 250508 0930. ref SDS 90 VX5J  Took Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119659 - mg pill for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119660 - so allowing HDL to increase that together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119661 - blood vessels - see research on 200101 0701, ref SDS 18 QP6L -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119662 - swallowed pill whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119663 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119664 - amount peanut butter and margarine, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119665 - and energy, and had some avocado for HDL.  Just before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119666 - took Ubiquinol CoQ10 per above. ref SDS 0 L86O  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119667 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119668 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119669 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119670 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119671 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119672 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119673 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119674 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119675 - hike feet feeling swelled and like pins and needles - felt electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119676 - shocks in balls of feet this morning - due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119677 - caused by taking statins, and by diabetes symptoms.  After about 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119678 - mile feet calming down.  Bottom of both feet not hurting yet with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119679 - metatarsalgia pain, including left foot #1 and #5, which were severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119680 - painful during 8 days that led to pausing hiking for 10 days for these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119681 - injuries to heal beginning on 250428.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119682 - hike with no dyspnea, indicating condition has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119683 - minimal hiking last few months.  Temperature started at 80, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119684 - reached 90.  East wind 12 mph and mostly 06 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119685 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119686 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119687 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119688 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119689 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119690 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119691 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119692 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119693 - concrete sidewalk .5 miles.  Feeling fatigued already - aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119694 - low Ferritin, in recent lab on 250428 0940. ref SDS 88 VP5H  Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119695 - due to dysfunctional ANS following 6th cardiac ablation on 240611                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119696 - 0930. ref SDS 53 MC6F  Stopped at mile 4 time 1300 took magnesium with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119697 - sips softdrink, and took sip CoQ10.  Also feeling beginning of blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119698 - forming between left foot #4 and #5 squeezing together with repetitive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119699 - stress of each step.  Took Tramadol to reduce pain, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119700 - ref SDS 0 XXQX  At mile 4, turned right hiking West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119701 - Road using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119702 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119703 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119704 - shoulder.  Continued West past Stop Light at Michigan Boulevard.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119705 - not stop at Union 76 Texaco Gas Station store mile 5, time ____.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119706 - Continued on Ygnacio Valley Road; turned left hiked 1.00 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119707 - Pine Hollow.  At Camino Solano turned around - hiked back to Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119708 - Valley Road.  Turned left heading West on Campus Drive uphill 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119709 - 3% grade.  Road bends North.  At Ygnacio Valley road turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119710 - hiked uphill on Campus Drive 4% grade.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119711 - California State University East Bay Concord Campus.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119712 - around main buildings, and hiked 1.5 mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119713 - Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119714 - Administration building mile 12 time 1502 temp 90 and wind 11 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119715 - looks uniform with minor artifact.  Kardia reported HR 140 Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119716 - Atrial Fibrillation (does not look very steady like AFL, nor wildly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119717 - erratic like AF) - see below. ref SDS 0 YQ5J  Both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119718 - PL 3.  Left foot #1 edge blister/callus PL 5 and #5 PL 4, contrary to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119719 - hike on Thursday, 2 days ago through Golden Gate Park, when everything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119720 - was PL 0.  At that time started hike taking 2 Tramadol, and today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119721 - started with 0 Tramadol, per above. ref SDS 0 L86O  Took 2 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119722 - mg for pain.  Took another Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119723 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119724 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119725 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119726 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119727 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119728 - ml for HDL and energy to complete hike, per above. ref SDS 0 XXQX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119729 - Since temperature near 80 causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119730 - and temp is 90, needed Nuun electrolyte pill.  Forgot to bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119731 - electrolytes, because medications are now in a mass jumble on dining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119732 - room floor, in order to accomodate construction remodel installing new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119733 - kitchen cabinets and appliances, reported in another record on 250510                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119734 - 1000. ref SDS 91 LZ6K ref SDS 0 VRWS  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119735 - campus buildings.  At mile 12, exited college heading North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119736 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119737 - flat grade .5 miles.  At mile 13, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119738 - uphill 3% grade .5 miles with wind 02 mph.  After taking magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119739 - CoQ10, which normally increase energy, struggled uphill with fatigue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119740 - possibly related to dysfunctional ANS causing low Ferritin, reviewed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119741 - with lab test on 250428 0940. ref SDS 88 VP5H  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119742 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119743 - to avoid severe camber.  Continued West .5 mile to summit.  At mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119744 - end of concrete traffic barrier turned around.  Hiked back and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119745 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119746 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119747 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119748 - hiking West .25 miles back to Cuneo, then home.  Ended hike mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119749 - time 1630 temp 89, wind 11, Feet PL 2, left foot #1 edge PL 4, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119750 - PL 3, right foot #1 fracture PL 0, #5 PL 0, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119751 - shin splints PL 0, left knee PL 2 (slightly swollen), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119752 - left shoulder PL 0, neck and right shoulder PL 9 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119753 - back middle PL 0 - stress carrying backpack, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119754 - lifting.  EKG variable with some artifact, Kardia reported HR 149                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119755 - Unclassified - see below. ref SDS 0 KB4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119769 -  ..
119770 - Kardia recorded HR 055 at 0601 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119771 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119772 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119773 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119774 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119775 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119776 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119779 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119780 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250510-ecg-060130_mile_00_055_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119783 -  ..
119784 - Looks like HRV...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119786 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119787 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250510-ecg-060345_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119793 -  ..
119794 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119795 - used*** hike 16 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119796 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119797 - ..
119798 -                                                                                                                                                                                                                                                                                                              x
119799 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119800 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119801 -       Date          250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 250216 25021  
119802 -       Miles            16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25     20  
119803 -       HR AVG          137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120    132  
119804 -         MAX           157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151    154  
119805 -         Min            68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55     56  
119806 -       El Climb Ft     483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577    484  
119807 -       Temp Max         91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61     69  
119808 -       Wind Max         12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6      4  
119809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119811 -              https://flow.polar.com/training/analysis2/8109965156                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119814 -               ..
119816 -   
119817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119821 -  ..
119822 - EKG at mile 12 time 0502, HR 140 temp 90, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119823 - Atrial Fibrillation... heart rate looks mostly uniform with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119824 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119827 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119828 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250510-ecg-150251_mile_12_140_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119831 -  ..
119832 - This tracing of heart beats looks fairly uniform.  Seems conflicting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119833 - with typical AF condition where HR varies erratically, e.g., on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119834 - 200424, prior to first cardiac ablation in left atrial, shown in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119835 - study on 200101 0702. ref SDS 19 YWXT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119839 -  ..
119840 - End hike EKG at mile 16, time 1630 HR 149 temp 90 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119841 - Unclassified... looks mostly variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119842 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
119843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119845 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119846 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250510-ecg-163005_mile_16_149_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119849 -  ..
119850 - Seems similar to EKG at College mile 12, above. ref SDS 0 5N4O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119854 -  ..
119855 - Post hike HR profile beginning 2154, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119856 - hiking 16 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119857 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119858 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119859 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119860 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119863 -        ..
119864 -       Date      250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227  250226    
119865 -       Time       2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008    2006     
119866 -       Hours         9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10      12     
119867 -       HR AVG       71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62      68     
119868 -       HR MAX      105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     154     
119869 -       HR Min       43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44      43     
119870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119872 -              https://flow.polar.com/training/analysis/8110344866                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119875 -  ..
119876 - HRV not evident initial 2.5 hours, then recurs 1 hour, then less next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119877 - 2.5 hours, and recurs last few hours, which may be causing symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119878 - dysfunctional ANS, see list on 250408 1030. ref SDS 86 VA8H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119882 -   
119883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119886 -  ..
119887 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119888 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119889 - Dinner - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119891 -  ..
119892 - Vomiting: 100% - entire initial dinner, and seems like bloating 1 Temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119893 - 90 factor post hike deficits, see above. ref SDS 0 XXXS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119895 -  ..
119896 - Dinner was same as lunch, because appliances disconnected in kitchen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119897 - during upgrade construction, reported on 250510 1000. ref SDS 91 BE5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119930 -         ..
119931 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119932 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119933 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119934 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119935 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119936 -  131.  250511 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119937 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119938 -               0710....BP HR..................................................... 145  74  51  Kardia ECG reports HR status, see below. ref SDS 0 UF3M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119939 -               0715....BP HR..................................................... 132  72  81                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119940 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119941 -               0720....40 460260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
119942 -               0910....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119943 -               0910... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119944 -               0910....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119945 -               0910....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119946 -               0910....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119947 -               0910....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119948 -               0910... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
119949 -  ..
119950 -           *   0931....miles...........  27.0  43.0  494   746 minutes  temp  71 wind 21  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119951 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119952 -               1042....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119953 -               1042... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119954 -               1042... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119955 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119956 -               1151....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119957 -               1151....Tramadol 50 mg took 1 pill - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119958 -               1151... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
119959 -               1151... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119960 -               1151... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119961 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119962 -               1418....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119963 -               1418....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119964 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
119965 -               1418... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119966 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119967 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119968 -               1702....mile 23 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
119969 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
119970 -               1702... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
119971 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119972 -               1702... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
119973 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119974 -               1850... Hike ends mile 27... ref SDS 0 YTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
119975 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119976 -               1900....weight.................................... 168  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119977 -               1905....BP HR..................................................... 103  67 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119978 -               1910....BP HR..................................................... 104  70  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119979 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
119980 -               1920... 40 123300 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                                                                                                                                                                                                                                                                                  
119981 -             1 0000............ 10 21440  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
119982 -             1 0000............ 10 21790  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
119983 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119984 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119985 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119986 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
119987 -               2250... 1000 2455000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119988 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
119989 -               2330... 40 460300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119990 -               2340... 40 98000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
119991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
119992 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
119993 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
119994 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
119995 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
119996 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
119997 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
119998 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
119999 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120002 -  ..
120003 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120004 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120006 -  ..
120007 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120008 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120009 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120010 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120011 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120013 -  ..
120014 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120015 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120017 -  ..
120018 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120019 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120022 -  ..
120023 - Today, hiked 27 miles - expected 20+.  Temperature 90 first time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120024 - elevated; body acclimating to high temperatures of summer.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120025 - PL 0, induced taking 0 Tramadol, since on Thursday, started with 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120026 - Tramadol and had PL 0 entire hike of 12 miles at Golden Gate Park in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120027 - San Francisco, per above. ref SDS 0 XSQR  Turned out this was a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120028 - mistake.  Should have taken 2 Tramadol to start hike.  Forgot to bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120029 - electrolytes, because medications are jumpled on the dining room floor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120030 - with everything else in the kitchen, while all cabinets and counters                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120031 - were removed for totoal remodel.  Took magnesium to start, and at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120032 - 4, when energy dropped abnormally, which may align with low Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120033 - in lab on 250428 0940. ref SDS 88 VP5H  Extra magnesium and CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120034 - enabled maintaining pace.  Heart rate in sinus all the way tracking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120035 - changes in elevation.  Noticed fatigue about mile 5.  Did not use Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120036 - bandaging with "donut hole" nor any bandaging to protect calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120037 - left foot #1 and #5.  Had PL 0 initially, that increased to PL 4 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120038 - after 3 miles, which led to taking 2 Tramadol at mile 12 in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120039 - finish the hike.  The record may indicate some healing has occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120040 - while hiking paused the past 10 days.  Temperature 90 increased burden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120041 - on heart, which may have increased dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120042 - system symptoms.  No wind entire hike.  Stomach bloated causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120043 - numerous major burps - seemed less so at end of hike back home.  Feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120044 - especially left foot #1 and #5 had more pain than on Thursday hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120045 - GGP.  During hike today about mile 3, seemed like left foot between #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120046 - and #5 was blistering.  After hike examination did not find anything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120047 - Seems like new orthotic inserts made by Doctor Hewitson prevented pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120048 - and callus injuries from escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120052 -         ..
120053 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120054 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120055 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
120056 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
120057 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120058 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120059 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120060 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
120061 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120062 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120063 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120064 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120065 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
120066 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120067 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
120068 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120069 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
120070 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120071 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120072 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120073 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120074 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
120075 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120076 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120077 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120078 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120079 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
120080 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120081 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120082 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120083 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120084 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120085 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120086 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120087 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
120088 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120089 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120090 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
120091 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
120092 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
120093 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
120094 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120095 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120096 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
120097 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
120098 -        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                                                                                                                                                                                                                                                                                                                           
120099 -        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                                                                                                                                                                                                                                                                                                                                                                                    
120100 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120101 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
120102 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
120103 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120104 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120105 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
120106 -        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                                                                                                                                                                                                                                                                                                                                           
120107 -        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                                                                                                                                                                                                                                                                                                                                           
120108 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120109 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
120110 -        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                                                                                                                                                                                                                                                                                                                                                                                        
120111 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
120112 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
120113 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120114 -        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                                                                                                                                                                                                                                                                                                                                                              
120115 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
120116 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
120117 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120118 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120119 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
120120 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120121 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
120122 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
120123 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120124 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
120125 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120126 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120127 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120128 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120129 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120130 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120131 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120132 -        Wobbly disoriented staggering dizzy..........   6          2  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
120133 -        Wasted - very fatigued.......................   6          2  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120134 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120138 -  ..
120139 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120140 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120141 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120142 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120143 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120144 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120146 -  ..
120147 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120148 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120149 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120151 -  ..
120152 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120154 -  ..
120155 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120156 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120157 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120159 -  ..
120160 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120161 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120162 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120163 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120165 -  ..
120166 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120167 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120168 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120169 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120170 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120173 -  ..
120174 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120175 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120176 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120177 - and also left hip.  Took 2 Tramadol for pain management, because like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120178 - yesterday, there is no metatarsalgia pain today, in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120179 - hike, and left foot #1 and #5 calluses both PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120180 - Tang 2 days ago at VAMCSF on 250508 0930, ref SDS 90 VX5J, but likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120181 - need Tramadol for pain relief anyway.  Took Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120182 - pill for energy, absorbing lactic acid, and reducing inflammation, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120183 - allowing HDL to increase that together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120184 - blood vessels - see research on 200101 0701, ref SDS 18 QP6L -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120185 - swallowed pill whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120186 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120187 - amount peanut butter and margarine, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120188 - and energy, and had some avocado for HDL.  Just before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120189 - took Ubiquinol CoQ10 per above. ref SDS 0 QU5K  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120190 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120191 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120192 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120193 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120194 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120195 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120196 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120197 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120198 - hike feet feeling swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120199 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120200 - neuropathy caused by taking statins, and by diabetes symptoms.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120201 - about 1 mile feet calming down.  Bottom of both feet not hurting yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120202 - with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120203 - severely painful during 8 days that led to pausing hiking for 10 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120204 - for these injuries to heal beginning on 250428.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120205 - entire hike with no dyspnea, indicating condition has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120206 - despite minimal hiking last few months.  Temperature started at 59,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120207 - and reached 71.  East wind 21 mph and mostly 14 mph.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120208 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120209 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120210 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120211 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120212 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120213 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120214 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120215 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120216 - on concrete sidewalk .5 miles.  Feeling low energy already - aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120217 - with low Ferritin, in recent lab on 250428 0940. ref SDS 88 VP5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120218 - Possible due to dysfunctional ANS following 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120219 - 240611 0930. ref SDS 53 MC6F  Stopped at mile 4 time 1042 in Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120220 - Mike's Pizza restaurant - took 2 Tramadol and 1 magnesium with sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120221 - softdrink, and took sip CoQ10, per above. ref SDS 0 YPPT  Did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120222 - blister forming between left foot #4 and #5 squeezing together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120223 - repetitive stress of each step. pain, as occurred yesterday.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120224 - right hiking West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120225 - miles.  Continued hike crossing Park Highlands Road at Stop Light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120226 - heading West .25 miles on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120227 - Ygnacio Valley Road hiking on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120228 - Stop Light at Michigan Boulevard.  Stopped briefly at Union 76 Texaco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120229 - Gas Station store mile 5, time 1110.  Picked up 3 small, plastic pic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120230 - nic spoons for backpack to have when needed.  Did not see anyone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120231 - Continued on Ygnacio Valley Road; turned left hiked 2.50 miles East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120232 - end of Pine Hollow.  Stopped at mile 08 time 1151 temp 72 and wind 13                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120233 - MPH; EKG looks uniform with mild artifact.  Kardia reported HR 112,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120234 - Tachycardia - see below. ref SDS 0 YSYU  Bloating PL 3.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120235 - metatarsalgia PL 2, left foot #1 PL 5, #5 PL 5.  Right foot #5 PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120236 - Back PL 0.  Left knee meniscus PL 1, right knee PL 0. ** experiment **                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120237 - took 1 (5th) Tramadol 50 MG, and 1 (3rd) Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120238 - - swallowed whole after EGD Dilation to 19.5 mm, 250408 1030,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120239 - ref SDS 86 433O, avoids large capsule clogging LESV, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120240 - year on 240824, see case study. ref SDS 36 YWSY  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120241 - carried from home and for hydration and swallowing nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120242 - butter, margarine and Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120243 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120244 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120245 - temperature near 80 causes sweating that ejects electrolytes, and temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120246 - is 61, took Nuun electrolyte pill, per above. ref SDS 0 YPPT  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120247 - around and hiked back on Pine Hollow 2.50 miles.  Pace normal after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120248 - having taken 2 more magnesium capsules, more CoQ10 and 5 Tramadol at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120249 - mile 08, per above. ref SDS 0 YPPT  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120250 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120251 - against wind 12 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120252 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120253 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120254 - Hiked loop around main buildings, and hiked 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120255 - Faculty and Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120256 - Administration building mile 17 time 1438 temp 71 and wind 20 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120257 - looks uniform with minor artifact.  Kardia reported HR 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120258 - Tachycardia, - see below. ref SDS 0 YY4L  Bloating PL 6, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120259 - metatarsalgia PL 1.  Left foot #1 PL 5 and #5 PL 4, Took 2 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120260 - mg for pain.  Took another Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120261 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120262 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120263 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120264 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120265 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120266 - ml for HDL and energy to complete hike.  Since temperature near 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120267 - causes sweating that ejects electrolytes, and temp is 71, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120268 - another Nuun electrolyte pill, after taking this at mile 08, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120269 - above. ref SDS 0 YPPT  Yesterday, at end of hike mile 16, could barely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120270 - stand, per above. ref SDS 0 XXXS  Today, other than left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120271 - injuries, felt strong with good energy at mile 17, leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120272 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120273 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120274 - continued past Crystal Ranch Road uphill 3% grade .5 miles with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120275 - 20 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120276 - to North side Ygnacio Valley Road to avoid severe camber.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120277 - West .5 mile to summit - mile 19 end of concrete traffic barrier.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120278 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120279 - severe camber, and to use wider shoulder.  Continued West 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120280 - downhill 3% grade.  Crossed Oak Grove at traffic light.  Today, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120281 - 2 1-mile loops using asphalt path around the block at Safeway shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120282 - complex.  Noticed fatigue and left foot injuries PL > 5.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120283 - Mod Pizza mile 23, time 1702, temp 67 and wind 15 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120284 - variable with minor artifact, Kardia reported HR 107 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120285 - see below. ref SDS 0 K9WB  Bloated PL 2.  Feel slow, disoriented and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120286 - wobbly PL 0, likely due to increased magnesium and CoQ10 today.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120287 - PL 2, burning sensation PL 2, left foot #1 PL 6, #5 PL 6; right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120288 - #5 PL 4, back spine at neck PL 8 momentarily for few seconds.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120289 - take another Tramadol, because likely to increase disorientation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120290 - Fatigue PL 6.  Experimented taking another Magnesium capsule to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120291 - recover from fatigue, and to control pain by absorbing lactic acid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120292 - muscles, resolves inflammation which then enables HDL to rise in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120293 - liver, increases energy for hiking.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120294 - and for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120295 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120296 - and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120297 - and energy to complete hike.  Since temperature above 80 causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120298 - sweating that ejects electrolytes, and temp is only 67, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120299 - another Nuun electrolyte pill, per above. ref SDS 0 YPPT  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120300 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120301 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120302 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120303 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120304 - East on flat grade concrete sidewalk.  Noticed was not veering left or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120305 - right, as occurred prior hikes - similar to prior condition when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120306 - taking Tramadol and Gabapentin, e.g., on 231111 in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120307 - 230101 0654. ref SDS 28 RVVY see line 172870; also see letter to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120308 - Doctor Wiseman at VAMCSF on 230418 0949. ref SDS 29 RS5F  Was very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120309 - slow and staggering left and right.  Called Amy and she was kind to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120310 - talk with me the last 2 miles.  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120311 - Treat uphill 5% grade temp 66.  Handled this astonishingly well -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120312 - breathed through nose.  Did not feel like stopping at any time due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120313 - weak legs; At summit, mile 22, hiked another mile to Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120314 - Ended hike mile 23 time 1850 temp 62, wind 13.  Bloated PL 3, fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120315 - PL 6, feet PL 2, burning sensation PL 2, left foot #1 PL 6, #5 PL 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120316 - neck/spine PL 8 momentarily turning head, mid-level back PL 8.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120317 - looks mostly variable, with mild artifact, Kardia reported HR 098                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120318 - Possible Atrial Fibrillation - see below. ref SDS 0 YTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120333 -  ..
120334 - Kardia recorded HR 049 at 0643 Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120335 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120336 - 16 miles temp 90 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120337 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120338 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120339 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120340 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120343 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120344 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250511-ecg-064349_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120350 -  ..
120351 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120352 - used*** hike 27 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120353 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120354 - ..
120355 -                                                                                                                                                                                                                                                                                                              x
120356 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120357 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120358 -       Date          250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 250217 25021  
120359 -       Miles            27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5     25  
120360 -       HR AVG          112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121    120  
120361 -         MAX           130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147    151  
120362 -         Min            59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76     55  
120363 -       El Climb Ft     478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240    577  
120364 -       Temp Max         71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61     61  
120365 -       Wind Max         21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4      6  
120366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120368 -              https://flow.polar.com/training/analysis/8110661842                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120371 -               ..
120373 -   
120374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120378 -  ..
120379 - EKG at mile 08 time 1151, HR 112 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120380 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120381 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120384 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120385 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250511-ecg-115113_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120389 -  ..
120390 - EKG at mile 17 time 1438, HR 113 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120391 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120392 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120395 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120396 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250511-ecg-143830_mile_17_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120400 -  ..
120401 - EKG at mile 23 time 1702, HR 107 temp 67, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120402 - Unclassified... heart rate looks mostly variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120403 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120406 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120407 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250511-ecg-170226_mile_23_107_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120411 -  ..
120412 - End hike EKG at mile 27, time 1850 HR 098 temp 62 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120413 - Possible Atrial Fibrillation... looks mostly variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120414 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120417 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120418 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250511-ecg-185047_mile_27_098_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120422 -  ..
120423 - Post hike HR profile beginning 2152, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120424 - hiking 27 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120425 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120426 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120427 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120428 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120431 -        ..
120432 -       Date      250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228  250227    
120433 -       Time       2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947    2008     
120434 -       Hours        10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12      10     
120435 -       HR AVG       68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62      62     
120436 -       HR MAX      157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     114     
120437 -       HR Min       33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40      44     
120438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120440 -              https://flow.polar.com/training/analysis/8111001725                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120444 -   
120445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120448 -  ..
120449 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120450 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120451 - Dinner - tuna cottage cheese olives - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120453 -  ..
120454 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120488 -         ..
120489 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120490 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120491 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120492 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120493 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120494 -  132.  250512 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120495 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120496 -               0720....BP HR..................................................... 130  77  56  Kardia ECG reports HR status, see below. ref SDS 0 UF3M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120497 -               0725....BP HR..................................................... 126  74  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120498 -               0730....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120499 -               0730....40 460340 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
120500 -               0935....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120501 -               0935... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120502 -               0935....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120503 -               0935....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120504 -               0935....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120505 -               0935....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120506 -               0935... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
120507 -  ..
120508 -               0956....miles...........  15.0  15.0  266   266 minutes  temp  65 wind 19  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120509 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120510 -               1042....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120511 -               1042... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120512 -               1042... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120513 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120514 -               1151....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120515 -               1151....Tramadol 50 mg took 1 pill - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120516 -               1151... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
120517 -               1151... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120518 -               1151... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120519 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120520 -               1418....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120521 -               1418....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120522 -               1418... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
120523 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120524 -               1418... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120525 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120526 -               1702....mile 23 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120527 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120528 -               1702... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
120529 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120530 -               1702... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
120531 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120532 -               1850... Hike ends mile 27... ref SDS 0 YTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120533 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120534 -               1900....weight.................................... 168  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120535 -               1905....BP HR..................................................... 103  67 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120536 -               1910....BP HR..................................................... 104  70  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120537 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120538 -               1700... 40 123340 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                                                                                                                                                                                                                                                                                  
120539 -               1830............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
120540 -               1830............ 10 21800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
120541 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120542 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120543 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120544 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120545 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120546 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120547 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120548 -               2340... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120551 -  ..
120552 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120553 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120555 -  ..
120556 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120557 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120558 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120559 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120560 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120562 -  ..
120563 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120564 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120566 -  ..
120567 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120568 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120571 -  ..
120572 - Today, hiked 15 miles - expected 20+.  Temperature 65 and very windy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120573 - Starting PL 0, took 2 Tramadol to start.  Needed 3 more at mile 11.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120574 - Took magnesium to start, and at mile 11, took 2 more magnesium, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120575 - energy dropped abnormally, which may align with low Ferritin in lab on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120576 - 250428 0940. ref SDS 88 VP5H  Extra magnesium and CoQ10 enabled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120577 - finishing hike.  Heart rate in sinus all the way tracking changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120578 - elevation.  Noticed fatigue about mile 5.  Tried again Corn bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120579 - with "donut hole" bandaging to protect calluses on left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120580 - #5.  Had PL 0 initially, that increased to PL 4 - 5 after 3 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120581 - which led to taking 2 Tramadol at mile 12 in order to finish the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120582 - The record may indicate some healing has occurred while hiking paused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120583 - the past 10 days.  Heavy wind entire hike.  Stomach bloated causing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120584 - numerous major burps - seemed less so at the end back home.  Feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120585 - especially left foot #1 and #5 had more pain than on Thursday hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120586 - GGP.  Think problem today with left foot #5 was peeling callus skin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120587 - on Thursday at VA in Podiatry.  This tissue needs protection until                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120588 - new skin grows back???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120591 -         ..
120592 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120593 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120594 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
120595 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
120596 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120597 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120598 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120599 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
120600 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120601 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120602 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120603 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120604 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
120605 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120606 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
120607 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120608 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
120609 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120610 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120611 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120612 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120613 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
120614 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120615 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120616 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120617 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120618 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
120619 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120620 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120621 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120622 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120623 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120624 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120625 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120626 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
120627 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120628 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120629 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
120630 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
120631 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
120632 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
120633 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120634 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120635 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
120636 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
120637 -        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                                                                                                                                                                                                                                                                                                                           
120638 -        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                                                                                                                                                                                                                                                                                                                                                                                    
120639 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120640 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
120641 -        Callus big toe left foot...PRP 210705........   7         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
120642 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120643 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120644 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
120645 -        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                                                                                                                                                                                                                                                                                                                                           
120646 -        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                                                                                                                                                                                                                                                                                                                                           
120647 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120648 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
120649 -        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                                                                                                                                                                                                                                                                                                                                                                                        
120650 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
120651 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
120652 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120653 -        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                                                                                                                                                                                                                                                                                                                                                              
120654 -  new   Callus little toe #5 left foot...PRP 210705..   8         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
120655 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
120656 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120657 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120658 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
120659 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120660 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
120661 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
120662 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120663 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
120664 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120665 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120666 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120667 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120668 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120669 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120670 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120671 -        Wobbly disoriented staggering dizzy..........   6          2  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
120672 -        Wasted - very fatigued.......................   6          2  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120673 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120677 -  ..
120678 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120679 - Brooks Ghost size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120680 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120681 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120682 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120683 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120685 -  ..
120686 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120687 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120688 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120690 -  ..
120691 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120693 -  ..
120694 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120695 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120696 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120698 -  ..
120699 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120700 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120701 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120702 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120704 -  ..
120705 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120706 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120707 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120708 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120709 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120712 -  ..
120713 - Concord 27 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120714 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120715 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120716 - and also left hip.  Took 2 Tramadol for pain management, because like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120717 - yesterday, there is no metatarsalgia pain today, in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120718 - hike, and left foot #1 and #5 calluses both PL 0, treated by Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120719 - Tang 4 days ago at VAMCSF on 250508 0930, ref SDS 90 VX5J, but likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120720 - need Tramadol for pain relief anyway.  Took Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120721 - pill for energy, absorbing lactic acid, and reducing inflammation, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120722 - allowing HDL to increase that together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120723 - blood vessels - see research on 200101 0701, ref SDS 18 QP6L -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120724 - swallowed pill whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120725 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120726 - amount peanut butter and margarine, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120727 - and energy, and had some avocado for HDL.  Just before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120728 - took Ubiquinol CoQ10 per above. ref SDS 0 QU5K  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120729 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120730 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120731 - 136K  No breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120732 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120733 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120734 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120735 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120736 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120737 - hike feet feeling swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120738 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120739 - neuropathy caused by taking statins, and by diabetes symptoms.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120740 - about 1 mile feet calming down.  Bottom of both feet not hurting yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120741 - with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120742 - severely painful during 8 days that led to pausing hiking for 10 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120743 - for these injuries to heal beginning on 250428.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120744 - entire hike with no dyspnea, indicating condition has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120745 - despite minimal hiking last few months.  Temperature started at 55,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120746 - and reached 65.  East wind 19 mph and mostly 15 mph.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120747 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120748 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120749 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120750 - park and back today.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120751 - At end of Turtle Creek Road turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120752 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120753 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120754 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120755 - on concrete sidewalk .5 miles.  Energy good - did not stop at mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120756 - time ____ in Mountain Mike's Pizza restaurant - Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120757 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120758 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120759 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120760 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120761 - at Michigan Boulevard.  Turned left hiked 1.75 miles East.  Near Quiet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120762 - Circle road turned around and hiked back on Pine Hollow 1.75 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120763 - Near Ygnacio Valley road turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120764 - uphill 3% grade.  Hiked 1 mile against wind 15 mph.  Pace slow because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120765 - of wind and feet PL 7.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120766 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120767 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120768 - Hiked loop around main buildings.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120769 - Administration building mile 11 time 1303 temp 65 and wind 17 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120770 - looks uniform with minor artifact.  Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120771 - Tachycardia, - see below. ref SDS 0 YYXW  Bloating PL 4, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120772 - metatarsalgia PL 2.  Left foot #1 PL 8 and #5 PL 8, Took 3 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120773 - mg for pain.  Took 2 more Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120774 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120775 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120776 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120777 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120778 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120779 - ml for HDL and energy to complete hike.  Since temperature 65 - well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120780 - below 80 which causes sweating that ejects electrolytes, did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120781 - Nuun electrolyte pill.  Left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120782 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120783 - grade .5 miles.  At mile 12, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120784 - 3% grade .5 miles with wind 19 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120785 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120786 - severe camber.  Continued West .5 mile to summit - mile 13 end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120787 - concrete traffic barrier.  Turned around and hiked back.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120788 - onto Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120789 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120790 - against oncoming commute traffic.  Pace very slow due to PL 9 left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120791 - foot.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120792 - then home.  Ended hike mile 15 time 1459 temp 66, wind 21, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120793 - 4, feet PL 2, left foot #1 edge PL 4, #5 edge PL 7, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120794 - fracture PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120795 - left knee PL 2 (slightly swollen), right knee PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120796 - 0, neck and right shoulder PL 9 intermittantly, lower back middle PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120797 - - stress carrying backpack, left elbow PL 0, when lifting.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120798 - variable with minor artifact, Kardia reported HR 105 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120799 - see below. ref SDS 0 P3RX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120814 -  ..
120815 - Kardia recorded HR 069 at 0813 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120816 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120817 - hiking 16 miles temp 90 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120818 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120819 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120820 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120821 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120824 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120825 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250512-ecg-081308_mile_00_069_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120831 -  ..
120832 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120833 - used*** hike 16 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120834 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120835 - ..
120836 -                                                                                                                                                                                                                                                                                                              x
120837 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120838 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120839 -       Date          250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 250220 250219 250218 25021  
120840 -       Miles            15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20      0     14      5  
120841 -       HR AVG          109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128     no    123    121  
120842 -         MAX           124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145   report  140    147  
120843 -         Min            57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73            66     76  
120844 -       El Climb Ft     478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532           532    240  
120845 -       Temp Max         65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69            64     61  
120846 -       Wind Max         19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8             7      4  
120847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120849 -              https://flow.polar.com/training/analysis/8111638368                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120852 -               ..
120854 -   
120855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120859 -  ..
120860 - EKG at mile 11 time 1303, HR 109 temp 65, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120861 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120862 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120865 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120866 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250512-ecg-130325_mile_11_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120871 -  ..
120872 - End hike EKG at mile 15, time 1459 HR 105 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120873 - Unclassified... looks mostly variable with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120874 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120877 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
120878 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250512-ecg-145908_mile_15_105_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120882 -  ..
120883 - Post hike HR profile beginning 2135, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120884 - hiking 27 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120885 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120886 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120887 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120888 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120891 -        ..
120892 -       Date      250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301  250228    
120893 -       Time       2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241    1947     
120894 -       Hours         6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9      12     
120895 -       HR AVG       61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66      62     
120896 -       HR MAX      135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     134     
120897 -       HR Min       42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43      40     
120898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120900 -              https://flow.polar.com/training/analysis/8111638433                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120903 -  ..
120904 - HRV profile shows normal sinus initial 2 hours, then increasing HRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120905 - next 4 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120908 -   
120909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120912 -  ..
120913 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120914 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120915 - Dinner - tuna cottage cheese olives - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120917 -  ..
120918 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120950 -         ..
120951 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120952 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120953 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120954 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120955 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
120956 -  133.  250513 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120957 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120958 -               0710....BP HR..................................................... 158  72  61  Kardia ECG reports HR status, see below. ref SDS 0 UF3M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120959 -               0715....BP HR..................................................... 136  66  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120960 -               0720....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120961 -               0720....40 460340 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
120962 -               0925....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120963 -               0935... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120964 -               0935....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120965 -               0935....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120966 -               0935....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120967 -               0935....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
120968 -               0935... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120969 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120970 -               1700... 40 123340 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                                                                                                                                                                                                                                                                                  
120971 -             1 0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
120972 -             1 0000............ 10 21800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
120973 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120974 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120975 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120976 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120977 -               2250... 1000 2456000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120978 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120979 -               2330... 40 460380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120980 -               2340... 40 98040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120982 -  ..
120983 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120984 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120986 -  ..
120987 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120988 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120989 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120990 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120991 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120993 -  ..
120994 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120995 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120997 -  ..
120998 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
120999 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121005 -  ..
121006 - Kardia recorded HR 070 at 0753 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121007 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121008 - hiking 15 miles temp 65 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121009 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121010 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121011 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121012 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121015 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121016 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250513-ecg-075301_mile_00_070_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121021 -  ..
121022 - Post hike HR profile beginning 2006, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121023 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121024 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121025 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121026 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121027 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121030 -        ..
121031 -       Date      250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302  250301    
121032 -       Time       2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324    2241     
121033 -       Hours        10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10       9     
121034 -       HR AVG       81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58      66     
121035 -       HR MAX      111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     106     
121036 -       HR Min       54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41      43     
121037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121039 -              https://flow.polar.com/training/analysis/8112367342                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121042 -  ..
121043 - HRV mostly controlled entire night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121046 -   
121047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121050 -  ..
121051 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121052 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121053 - Dinner - sandwich balogna onion cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121055 -  ..
121056 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121087 -         ..
121088 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121089 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121090 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121091 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121092 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121093 -  134.  250514 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121094 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121095 -               0700....BP HR..................................................... 151  74  75  Kardia ECG reports HR status, see below. ref SDS 0 PXRW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121096 -               0705....BP HR..................................................... 149  85  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121097 -               0710....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121098 -               0710....40 460420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
121099 -               0935....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121100 -               0935... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121101 -               0935....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121102 -               0935....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121103 -               0935....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121104 -               0935....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121105 -               0935... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121106 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121107 -               1700... 40 123380 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                                                                                                                                                                                                                                                                                  
121108 -               1830............ 10 21460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121109 -               1830............ 10 21810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121110 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121111 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121112 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121113 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121114 -               2250... 1000 2457000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121115 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121116 -               2330... 40 460460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121117 -               2340... 40 98080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121120 -  ..
121121 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121122 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121124 -  ..
121125 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121126 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121127 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121128 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121129 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121131 -  ..
121132 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121133 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121135 -  ..
121136 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121137 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121143 -  ..
121144 - Kardia recorded HR 078 at 0852 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121145 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121146 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121147 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121148 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121149 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121150 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121153 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121154 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250514-ecg-085208_mile_00_078_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121158 -  ..
121159 - Post hike HR profile beginning 2002, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121160 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121161 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121162 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121163 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121164 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121167 -        ..
121168 -       Date      250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303  250302    
121169 -       Time       2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311    2324     
121170 -       Hours         9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10      10     
121171 -       HR AVG       71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58      58     
121172 -       HR MAX      112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     116     
121173 -       HR Min       48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41      41     
121174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121176 -              https://flow.polar.com/training/analysis/8112964157                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121179 -  ..
121180 - HRV mostly not controlled over night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121183 -   
121184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121187 -  ..
121188 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121189 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121190 - Dinner - sandwich balogna onion cheese chips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121192 -  ..
121193 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121225 -         ..
121226 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121227 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121228 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121229 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121230 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121231 -  135.  250515 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121232 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121233 -               0700....BP HR..................................................... 139  72  97  Kardia ECG reports HR status, see below. ref SDS 0 BYVP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121234 -               0705....BP HR..................................................... 140  76 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121235 -               0710....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121236 -               0710....40 460500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
121237 -               0935....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121238 -               0935... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121239 -               0935....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121240 -               0935....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121241 -               0935....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121242 -               0935....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121243 -               0935... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
121244 -  ..
121245 -           *   1103....miles...........  21.0  36.0  356   622 minutes  temp  83 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121246 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121247 -               1042....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121248 -               1042... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121249 -               1042... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121250 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121251 -               1151....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121252 -               1151....Tramadol 50 mg took 1 pill - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121253 -               1151... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
121254 -               1151... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121255 -               1151... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121256 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121257 -               1418....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121258 -               1418....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121259 -               1418... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
121260 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121261 -               1418... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121262 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121263 -               1702....mile 23 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121264 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121265 -               1702... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
121266 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121267 -               1702... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121268 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121269 -               1850... Hike ends mile 27... ref SDS 0 YTQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121270 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121271 -               1750....weight.................................... 163  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121272 -               1800....BP HR..................................................... 102  84 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121273 -               1910....BP HR.....................................................  97  75 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121274 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121275 -               1700... 40 123420 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                                                                                                                                                                                                                                                                                  
121276 -             1 0000............ 10 21450  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121277 -             1 0000............ 10 21800  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121278 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121279 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121280 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121281 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121282 -               2250... 1000 2458000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121283 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121284 -               2330... 40 460540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121285 -               2340... 40 98120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121287 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121288 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121289 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121290 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121291 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121292 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121293 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121294 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121297 -  ..
121298 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121299 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121301 -  ..
121302 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121303 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121304 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121305 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121306 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121308 -  ..
121309 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121310 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121312 -  ..
121313 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121314 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121317 -  ..
121318 - Today, hiked 21 miles - expected 25+.  Temperature 83 was a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121319 - that siphoned energy for sweating, and body still acclimating to high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121320 - temperatures of summer.  Starting PL 0, and still took 2 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121321 - Weight 163, still dropping due to not eating.  Took magnesium to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121322 - start; not at mile 4, because energy did not drop abnormally due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121323 - low Ferritin in lab on 250428 0940. ref SDS 88 VP5H  Noticed fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121324 - about mile 7.  Did not use Corn bandaging with "donut hole" nor any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121325 - bandaging to protect calluses on left foot #1 and #5.  Had PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121326 - initially, that increased to PL 4 - 5 after 8 miles, which led to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121327 - taking 2 Tramadol at mile 08 in order to finish the hike.  The record                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121328 - may indicate some healing has occurred while hiking paused the past 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121329 - days.  Temperature 83 increased burden on heart, which may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121330 - increased dysfunctional autonomic nervous system symptoms.  Wind okay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121331 - entire hike.  Stomach bloated causing numerous major burps - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121332 - less so at the end back home.  Feet, especially left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121333 - had more pain.  Very fatigued at end of hike.  Planned to go over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121334 - summit to Oak Grove.  Changed mind due to low energy.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121335 - examination did not find anything.  Seems like new orthotic inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121336 - made by Doctor Hewitson prevented pain and callus injuries from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121337 - escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121341 -         ..
121342 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121343 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121344 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
121345 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
121346 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121347 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121348 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121349 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
121350 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121351 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121352 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121353 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121354 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
121355 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121356 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
121357 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121358 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
121359 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121360 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121361 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121362 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121363 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
121364 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121365 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121366 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121367 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121368 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
121369 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121370 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121371 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121372 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121373 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121374 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121375 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121376 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
121377 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121378 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121379 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
121380 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
121381 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
121382 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
121383 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121384 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121385 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
121386 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
121387 -        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                                                                                                                                                                                                                                                                                                                           
121388 -        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                                                                                                                                                                                                                                                                                                                                                                                    
121389 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121390 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
121391 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
121392 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121393 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121394 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
121395 -        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                                                                                                                                                                                                                                                                                                                                           
121396 -        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                                                                                                                                                                                                                                                                                                                                           
121397 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121398 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
121399 -        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                                                                                                                                                                                                                                                                                                                                                                                        
121400 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
121401 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
121402 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121403 -        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                                                                                                                                                                                                                                                                                                                                                              
121404 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
121405 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
121406 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121407 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121408 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
121409 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121410 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
121411 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
121412 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121413 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
121414 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121415 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121416 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121417 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121418 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121419 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121420 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121421 -        Wobbly disoriented staggering dizzy..........   6          5  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
121422 -        Wasted - very fatigued.......................   6         20  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121423 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121427 -  ..
121428 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121429 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121430 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121431 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121432 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121433 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121435 -  ..
121436 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121437 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121438 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121440 -  ..
121441 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121443 -  ..
121444 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121445 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121446 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121448 -  ..
121449 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121450 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121451 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121452 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121454 -  ..
121455 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121456 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121457 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121458 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121459 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121462 -  ..
121463 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121464 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121465 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121466 - and also left hip.  Took 2 Tramadol for pain management, because there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121467 - is no metatarsalgia pain today, in feet starting the hike, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121468 - foot #1 and #5 calluses both PL 0, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121469 - 250508 0930, ref SDS 90 VX5J, but before mile 8 likely need Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121470 - for pain relief anyway, based on experience.  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121471 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121472 - inflammation, so allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121473 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121474 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121475 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121476 - Had small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121477 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121478 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 Q3UF  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121479 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121480 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121481 - ref SDS 18 136K  Since weight is dropping, had bowl of cheerios and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121482 - milk.  Minimal breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121483 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121484 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121485 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121486 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121487 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121488 - hike feet feeling swelled and like pins and needles - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121489 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121490 - neuropathy caused by taking statins, and diabetes symptoms.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121491 - about 1 mile feet calming down.  Bottom of both feet not hurting yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121492 - with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121493 - severely painful during 8 days that led to pausing hiking for 10 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121494 - for these injuries to heal beginning on 250428.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121495 - entire hike with no dyspnea, indicating condition has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121496 - despite minimal hiking last few months.  Temperature started at 71,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121497 - and reached 83.  East wind 13 mph and mostly 07 mph.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121498 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121499 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121500 - uphill, and very light traffic.  Sharon, the manager at Cowell Terrace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121501 - complex, honked and stopped.  She asked how search for relocating is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121502 - going, reported in another record today on 250515 1132? ref SDS 92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121503 - ZG9J  Further along the road, a couple hiking a loop around Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121504 - Community Park stopped to say they see me hiking in Clayton and Walnut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121505 - Creek on Ygnacio Valley Road, Oak Grove, Treat...  They said this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121506 - inspires them to hike 5 miles a day, and asked how far I hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121507 - Explained hikes vary from 15 - 30 miles a day, after building up from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121508 - hiking less than 1 mile a day, 20 years ago.  Congratulated the couple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121509 - on taking good care of themselves.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121510 - Community park and back today.  Continued on Turtle Creek Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121511 - 4% grade.  At end of Turtle Creek Road turned left onto Ayers hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121512 - East .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121513 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121514 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121515 - continued on concrete sidewalk .5 miles.  Energy still okay today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121516 - Did not need to stop at mile 4 time ____ in Mountain Mike's Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121517 - restaurant to take interim magnesium and CoQ10.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121518 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121519 - Continued hike crossing Park Highlands Road at Stop Light and heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121520 - West .25 miles on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121521 - Valley Road hiking on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121522 - at Michigan Boulevard.  Turned left hiked 2.75 miles East.  Near mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121523 - 7 past Dana Farms road time 1300, a Volkswagon pulled up and stopped.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121524 - There were 2 or 3 dogs in front seat.  Thought this was Lisa.  It was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121525 - Pam.  She smiled and said hello Rod.  [...later got letter from Lisa                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121526 - responding to my letter, and saying it was her Lisa and not Pam who                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121527 - stopped on Campus Drive at college... indicates this entire episode                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121528 - was another hallucination...].  We only had seconds because traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121529 - was approaching fast.  Waved and said nice seeing you.  Pam drove on.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121530 - This is first time she has stopped in 15 years, since Millie died on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121531 - 100729 0510. ref SDS 3 EK4I  She lives about 3 miles from this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121532 - location.  Continued hiking to end of Pine Hollow.  Stopped mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121533 - time 1317 temp 80 and wind 09 mph; EKG looks variable with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121534 - Kardia reported HR 142 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121535 - ref SDS 0 QPE5  Bloating PL 4, both feet metatarsalgia PL 1.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121536 - foot #1 PL 2 and #5 PL 3, Took 2 Tramadol 50 mg for pain.  Took 1 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121537 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121538 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121539 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121540 - nutrition - peanut butter, margarine and Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121541 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for
121542 -  ..
121543 - HDL - few small bites, difficult to swallow losing taste for food.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121544 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121545 - not take Nuun electrolyte pill.  Turned around and hiked back on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121546 - Hollow 2.50 miles.  Near Ygnacio Valley road turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121547 - Drive heading West uphill 3% grade.  Hiked 1 mile against wind 13 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121548 - Pace slow because of wind and feet PL 3.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121549 - Ygnacio Valley road turned around and hiked uphill on Campus Drive 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121550 - grade.  Reached Visitor Parking California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121551 - Concord Campus.  Hiked loop around main buildings.  At mile 12, very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121552 - fatigued, barely plodding, hiked loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121553 - parking lots, and another loop around main buildings.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121554 - Parking stopped at Administration building mile 14 time 1522 temp 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121555 - and wind 13 mph; EKG looks uniform with artifact.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121556 - 142 Unclassified, - see below. ref SDS 0 QPRA  Bloating PL 4, fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121557 - PL 4, both feet metatarsalgia PL 2.  Left foot #1 PL 4 and #5 PL 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121558 - Did not take more Tramadol 50 mg for pain.  Took 1 more Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121559 - complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121560 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121561 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121562 - peanut butter, margarine and Mayonnaise, and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121563 - water/Coca Cola/orange juice) for energy, and avocado for HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121564 - actually couldn't eat anything, gagged on even few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121565 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121566 - temperature 83 which causes sweating that ejects electrolytes, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121567 - Nuun electrolyte pill.  Hiked another loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121568 - parking, and another loop around main buildings.  At mile 17, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121569 - campus heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121570 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121571 - continued past Crystal Ranch Road uphill 3% grade .5 miles with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121572 - 19 mph.  Crossed Cowell at stop light.  At break in traffic, crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121573 - to North side Ygnacio Valley Road to avoid severe camber.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121574 - West .5 mile to summit - mile 19 end of concrete traffic barrier.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121575 - Turned around and hiked back.  Turned left onto Cowell heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121576 - .25 miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121577 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121578 - traffic.  Pace very slow due to PL 9 left foot.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121579 - Treat hiking West .25 miles back to Cuneo, then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121580 - 21 time 1732 temp 80, wind 14, bloating PL 6, feet PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121581 - edge PL 6, #5 edge PL 7, right foot #1 fracture PL 0, #5 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121582 - sensation PL 2, shin splints PL 0, left knee PL 2 (slightly swollen),                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121583 - right knee PL 0, left shoulder PL 0, neck and right shoulder PL 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121584 - intermittantly, lower back middle PL 0 - stress carrying backpack,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121585 - left elbow PL 0, when lifting.  EKG variable with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121586 - Kardia reported HR 142 Unclassified - see below. ref SDS 0 CJ7S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121601 -  ..
121602 - Kardia recorded HR 049 at 0557 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121603 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121604 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121605 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121606 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121607 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121608 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121611 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121612 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250515-ecg-055749_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121618 -  ..
121619 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121620 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121621 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121622 - ..
121623 -                                                                                                                                                                                                                                                                                                              x
121624 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121625 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121626 -       Date          250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 250222 250221 25022  
121627 -       Miles            21     27     16     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22     21     20  
121628 -       HR AVG          138    112    137    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120    118    128  
121629 -         MAX           153    130    157    124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134    139    145  
121630 -         Min            61     59     68     57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64     73     73  
121631 -       El Climb Ft     483    478    483    478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532    532    532  
121632 -       Temp Max         83     71     91     65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70     68     69  
121633 -       Wind Max         15     21     12     19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8      8      8  
121634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121636 -              https://flow.polar.com/training/analysis/8113342625                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121639 -               ..
121641 -   
121642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121646 -  ..
121647 - EKG at mile 08 time 1317, HR 142 temp 80, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121648 - Atrial Fibrillation... heart rate looks mostly variable with artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121649 - - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121652 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121653 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250515-ecg-131740_mile_08_142_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121658 -  ..
121659 - EKG at mile 14, time 1522 HR 142 temp 83 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121660 - Unclassified... looks mostly variable with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121661 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121664 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121665 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250515-ecg-152224_mile_14_142_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121669 -  ..
121670 - End hike EKG at mile 21, time 1732 HR 142 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121671 - Unclassified... looks mostly variable with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121672 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121675 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121676 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250515-ecg-173254_mile_21_142_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121680 -  ..
121681 - Post hike HR profile beginning 1941, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121682 - hiking 21 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121683 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121684 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121685 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121686 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121689 -        ..
121690 -       Date      250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304  250303    
121691 -       Time       1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030    2311     
121692 -       Hours        11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13      10     
121693 -       HR AVG       78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66      58     
121694 -       HR MAX      142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     141     
121695 -       HR Min       39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43      41     
121696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121698 -              https://flow.polar.com/training/analysis/8113685383                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121701 -  ..
121702 - HRV mostly not controlled over night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121705 -   
121706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121709 -  ..
121710 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 - only 1 bite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121711 - Lunch - peanut butter margarine avocado chia - gagging couldn't eat anything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121712 - Dinner - couldn't eat anything                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121714 -  ..
121715 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121747 -         ..
121748 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121749 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121750 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121751 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121752 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121753 -  136.  250516 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121754 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121755 -               0650....BP HR..................................................... 137  69  51  Kardia ECG reports HR status, see below. ref SDS 0 7QFO                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121756 -               0655....BP HR..................................................... 128  74  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121757 -               0700....weight.................................... 164                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121758 -               0700....40 460580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
121759 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121760 -               0000... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121761 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121762 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121763 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121764 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121765 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121766 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121767 -               1700... 40 123460 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                                                                                                                                                                                                                                                                                  
121768 -               1830............ 10 21460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121769 -               1830............ 10 21810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121770 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121771 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121772 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121773 -               2210... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121774 -               2250... 1000 2459000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121775 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121776 -               2330... 40 460620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121777 -               2340... 40 98160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121780 -  ..
121781 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121782 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121784 -  ..
121785 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121786 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121787 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121788 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121789 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121791 -  ..
121792 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121793 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121795 -  ..
121796 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121797 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121802 -  ..
121803 - Kardia recorded HR 055 at 0638 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121804 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121805 - AFL after hiking 21 miles temp 83 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121806 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121807 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121808 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
121809 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121812 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121813 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250516-ecg-063836_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121817 -  ..
121818 - Post hike HR profile beginning 1940, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121819 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121820 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121821 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121822 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121823 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121826 -        ..
121827 -       Date      250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305  250304    
121828 -       Time       1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932    2030     
121829 -       Hours        11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7      13     
121830 -       HR AVG       80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66      66     
121831 -       HR MAX      120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     132     
121832 -       HR Min       49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44      43     
121833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121835 -              https://flow.polar.com/training/analysis/8114295270                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121838 -  ..
121839 - HRV mostly not controlled over night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121842 -   
121843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121846 -  ..
121847 - Breakfast - cheerios milk - few bites gagging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121848 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121849 - Dinner - macaroni cheese broccoli onion hot dog - swallowed few small bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121851 -  ..
121852 - Vomiting: 0% - bloating PL 7 - very bad over night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121884 -         ..
121885 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121886 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121887 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121888 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121889 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121890 -  137.  250517 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121891 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121892 -               0710....BP HR..................................................... 133  70  97  Kardia ECG reports HR status, see below. ref SDS 0 W6VM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121893 -               0715....BP HR..................................................... 141  67  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121894 -               0720....weight.................................... 166                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121895 -               0720....40 460580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
121896 -               1030....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121897 -               1030... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121898 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121899 -               1030....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121900 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121901 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121902 -               1030... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
121903 -  ..
121904 -               1054....miles...........  21.0  57.0  364   986 minutes  temp  73 wind 17  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121905 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121906 -               0000....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121907 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121908 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121909 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121910 -               1302....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121911 -               1302....Tramadol 50 mg took 2 pill - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121912 -               1302... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
121913 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121914 -               1302... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121915 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121916 -               1534....mile 16 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
121917 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121918 -               1534... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
121919 -               1534... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121920 -               1534... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
121921 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121922 -               1731... Hike ends mile 27... ref SDS 0 BT3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121923 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121924 -               1750....weight.................................... 164  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121925 -               1800....BP HR..................................................... 111  69 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121926 -               1805....BP HR..................................................... 108  70 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121927 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121928 -               1800... 40 123460 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                                                                                                                                                                                                                                                                                  
121929 -             1 0000............ 10 21460  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
121930 -             1 0000............ 10 21810  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
121931 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121932 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121933 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121934 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121935 -               2250... 1000 2459000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121936 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121937 -               2330... 40 460620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121938 -               2340... 40 98160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121941 -  ..
121942 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121943 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121945 -  ..
121946 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121947 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121948 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121949 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121950 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121952 -  ..
121953 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121954 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121956 -  ..
121957 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121958 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121961 -  ..
121962 - Today, hiked 21 miles - expected 25+.  Temperature 73 was not a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121963 - that siphoned energy for sweating.  Starting PL 0, and still took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121964 - Tramadol.  Weight 168, still dropping due to not eating.  Have lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121965 - taste for food.  Took magnesium to start; not at mile 4, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
121966 - energy did not drop abnormally due to low Ferritin in lab on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121967 - 0940. ref SDS 88 VP5H  Noticed fatigue about mile 6.  Did not use Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121968 - bandaging with "donut hole" nor any bandaging to protect calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121969 - left foot #1 and #5.  Had PL 0 initially, that increased to PL 4 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121970 - after 8 miles, which led to taking 2 Tramadol at mile 08 in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121971 - finish the hike.  The record may indicate some healing has occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121972 - while hiking paused the past 10 days.  Temperature 73 did not increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121973 - burden on heart, which may have increased dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121974 - nervous system symptoms.  Actually, all EKGs in sinus today -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121975 - indicating hope to recover.  Wind strong entire hike.  Stomach bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121976 - causing numerous major burps - seemed less so at the end back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121977 - Feet, especially left foot #1 and #5 had more pain.  Very fatigued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121978 - end of hike.  Planned to go over summit to Oak Grove.  Changed mind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121979 - due to low energy.  After hike examination did not find anything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121980 - Seems like new orthotic inserts made by Doctor Hewitson prevented pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121981 - and callus injuries from escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
121982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121985 -         ..
121986 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
121987 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121988 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
121989 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
121990 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121991 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121992 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121993 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
121994 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121995 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
121996 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121997 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121998 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
121999 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122000 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
122001 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122002 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
122003 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122004 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122005 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122006 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122007 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
122008 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122009 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122010 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122011 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122012 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
122013 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122014 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122015 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122016 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122017 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122018 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122019 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122020 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
122021 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122022 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122023 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
122024 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
122025 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
122026 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
122027 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122028 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122029 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
122030 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
122031 -        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                                                                                                                                                                                                                                                                                                                           
122032 -        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                                                                                                                                                                                                                                                                                                                                                                                    
122033 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122034 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
122035 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122036 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122037 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122038 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
122039 -        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                                                                                                                                                                                                                                                                                                                                           
122040 -        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                                                                                                                                                                                                                                                                                                                                           
122041 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122042 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122043 -        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                                                                                                                                                                                                                                                                                                                                                                                        
122044 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
122045 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
122046 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122047 -        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                                                                                                                                                                                                                                                                                                                                                              
122048 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122049 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
122050 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122051 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122052 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
122053 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122054 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
122055 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
122056 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122057 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
122058 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122059 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122060 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122061 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122062 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122063 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122064 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122065 -        Wobbly disoriented staggering dizzy..........   6          5  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
122066 -        Wasted - very fatigued.......................   8         20  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122067 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122070 -  ..
122071 - Fatigue researched seperately today, with Microsoft AI, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122072 - 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122074 -  ..
122075 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122076 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122077 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122078 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122079 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122080 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122082 -  ..
122083 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122084 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122085 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122087 -  ..
122088 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122090 -  ..
122091 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122092 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122093 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122095 -  ..
122096 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122097 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122098 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122099 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122101 -  ..
122102 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122103 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122104 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122105 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122106 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122109 -  ..
122110 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122111 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122112 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122113 - and also left hip.  Took 2 Tramadol for pain management, because there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122114 - is no metatarsalgia pain in feet starting the hike today, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122115 - foot #1 and #5 calluses both PL 0, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122116 - 250508 0930, ref SDS 90 VX5J, but before mile 8 likely need Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122117 - for pain relief anyway, based on experience.  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122118 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122119 - inflammation, so allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122120 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122121 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122122 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122123 - Had small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122124 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122125 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 QU4K  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122126 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122127 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122128 - ref SDS 18 136K  Since weight is dropping, had bowl of cheerior and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122129 - milk.  Minimal breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122130 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122131 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122132 - variable heart rate) see case study on 200101 0701. ref SDS 18 O33H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122133 - Took backpack to carry stuff - good to build conditioning for Half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122134 - Dome.  Hiked Cuneo .25 mile and turned left, onto Treat.  Starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122135 - hike feet feeling swelled and like pins and needles - actually minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122136 - today, and - did not feel electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122137 - morning - due to peripheral neuropathy caused by taking statins, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122138 - diabetes symptoms.  After about 1 mile feet calming down.  Bottom of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122139 - both feet not hurting yet with metatarsalgia pain, including left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122140 - #1 and #5, which were severely painful during 8 days that led to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122141 - pausing hiking for 10 days for these injuries to heal beginning on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122142 - 250428.  Breathed through nose entire hike with no dyspnea, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122143 - condition has sustained, despite minimal hiking last few months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122144 - Temperature started at 62, and reached 73.  East wind 17 mph and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122145 - mostly 10 mph.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122146 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122147 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122148 - hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122149 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122150 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122151 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122152 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122153 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122154 - Energy still okay today.  Did not need to stop at mile 4 time ____ in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122155 - Mountain Mike's Pizza restaurant to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122156 - Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122157 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122158 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122159 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122160 - West past Stop Light at Michigan Boulevard.  Turned left hiked 2.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122161 - miles East.  Received text that it was Lisa and not Pam who stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122162 - near here on 250515.  Stopped mile 8 time 1302 temp 73 and wind 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122163 - mph; EKG looks uniform with no artifact.  Kardia reported HR 124                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122164 - Tachycardia - see below. ref SDS 0 NWSQ  Fatigue PL 4, bloating PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122165 - both feet metatarsalgia PL 2.  Left foot #1 PL 3 and #5 PL 2, Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122166 - Tramadol 50 mg for pain.  Took 2 more Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122167 - for energy, absorbing lactic acid, and reducing inflammation, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122168 - research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122169 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122170 - and Mayonnaise and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122171 - for energy, and avocado for HDL - actually, had difficulty swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122172 - this combination, which I have liked for 60 years!!! - could only take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122173 - 2 bites,  Took Chia Seeds seperately and swallowed okay.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122174 - Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122175 - take Nuun electrolyte pill, per above. ref SDS 0 QSST  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122176 - and hiked back on Pine Hollow 2.50 miles.  Near Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122177 - turned left onto Campus Drive heading West uphill 3% grade.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122178 - mile against wind 13 mph.  Pace slow because of wind and feet PL 3 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122179 - already running out of energy.  The road bends North.  At Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122180 - Valley road turned around and hiked uphill on Campus Drive 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122181 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122182 - Campus.  Hiked loop around main buildings.  At mile 12, very fatigued,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122183 - barely plodding, hiked 2 loops through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122184 - lots, and another loop around main buildings.  Back at Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122185 - stopped at Administration building mile 16 time 1534 temp 73 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122186 - 17 mph; EKG looks uniform with no artifact.  Kardia reported HR 125                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122187 - Tachycardia - see below. ref SDS 0 XWTS  Bloating PL 5, fatigue PL 7,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122188 - both feet metatarsalgia PL 2.  Left foot #1 PL 6 and #5 PL 4.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122189 - take more Tramadol 50 mg for pain.  Took 1 more Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122190 - mg pill for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122191 - per research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122192 - from home for hydration and swallowing nutrition - could not swallow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122193 - anything - gagged and spit up peanut butter, margarine and Mayonnaise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122194 - Was able to swallow Chia Seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122195 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122196 - CoQ10 0.6 ml for HDL and energy to complete hike.  Since temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122197 - 73 which causes minimal sweating that ejects electrolytes, still took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122198 - Nuun electrolyte pill. ref SDS 0 QSST  Hiked another loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122199 - Faculty and Student parking, and another loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122200 - At mile 17, left campus heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122201 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122202 - miles.  At mile 18, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122203 - .5 miles against wind 14 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122204 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122205 - camber.  Continued West .5 mile to summit - mile 19 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122206 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122207 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122208 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122209 - against oncoming commute traffic.  Pace very slow due to fatigue PL 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122210 - Turned left onto Treat hiking West .25 miles back to Cuneo, then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122211 - Ended hike mile 21 time 1731 temp 71, wind 16, fatigue PL 8, bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122212 - PL 5, feet PL 3, left foot #1 edge PL 4, #5 edge PL 5, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122213 - fracture PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122214 - left knee PL 2 (slightly swollen), right knee PL 0, left shoulder PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122215 - 0, neck and right shoulder PL 9 intermittantly, lower back middle PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122216 - - stress carrying backpack, left elbow PL 0, when lifting.  EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122217 - uniform with some artifact, Kardia reported HR 122 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122218 - below. ref SDS 0 BT3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122233 -  ..
122234 - Kardia recorded HR 075 at 0908 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122235 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122236 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122237 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122238 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122239 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122240 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122243 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122244 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250517-ecg-090813_mile_00_075_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122250 -  ..
122251 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122252 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122253 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122254 - ..
122255 -                                                                                                                                                                                                                                                                                                              x
122256 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122257 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122258 -       Date          250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 250223 25022  
122259 -       Miles            21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0     22  
122260 -       HR AVG          124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no    120  
122261 -         MAX           133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report report r134  
122262 -         Min            67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                          64  
122263 -       El Climb Ft     483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                         532  
122264 -       Temp Max         73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                          70  
122265 -       Wind Max         17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                           8  
122266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122268 -              https://flow.polar.com/training/analysis/8114502277                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122271 -               ..
122273 -   
122274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122278 -  ..
122279 - EKG at mile 08 time 1302, HR 124 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122280 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122281 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122284 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122285 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250517-ecg-130244_mile_08_124_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122290 -  ..
122291 - EKG at mile 16, time 1534 HR 125 temp 73 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122292 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122293 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122296 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122297 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250517-ecg-153402_mile_16_125_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122301 -  ..
122302 - End hike EKG at mile 21, time 1731 HR 122 temp 71 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122303 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122304 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122307 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122308 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250517-ecg-173151_mile_21_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122312 -  ..
122313 - Post hike HR profile beginning 0005, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122314 - hiking 21 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122315 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122316 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122317 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122318 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122321 -        ..
122322 -       Date      250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306  250305    
122323 -       Time       0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925    1932     
122324 -       Hours         8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12       7     
122325 -       HR AVG       63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62      66     
122326 -       HR MAX      111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     125     
122327 -       HR Min       44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42      44     
122328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122330 -              https://flow.polar.com/training/analysis/8114894953                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122333 -  ..
122334 - HRV entirely not controlled over night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122337 -   
122338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122341 -  ..
122342 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122343 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10 - couple bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122344 - Dinner - hamburger potato onion olives - taste coming back, whew!!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122346 -  ..
122347 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122380 -         ..
122381 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122382 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122383 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122384 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122385 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122386 -  138.  250518 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122387 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122388 -               0710....BP HR..................................................... 127  68  70  Kardia ECG reports HR status, see below. ref SDS 0 UW7S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122389 -               0715....BP HR..................................................... 141  75  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122390 -               0720....weight.................................... 167                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122391 -               0720....40 460700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
122392 -               0940....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122393 -               0940... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122394 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122395 -               0940....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122396 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122397 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122398 -               0940... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
122399 -  ..
122400 -               1008....miles...........  19.0  76.0  336  1322 minutes  temp  81 wind 17  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122401 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122402 -               0000....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122403 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122404 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122405 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122406 -               1240....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122407 -               1240....Tramadol 50 mg took 2 pill - 4 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122408 -               1240... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
122409 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122410 -               1240... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122411 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122412 -               1534....mile 16 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122413 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122414 -               1534... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
122415 -               1534... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122416 -               1534... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122417 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122418 -      888      1731... Hike ends mile 27... ref SDS 0 BT3M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122419 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122420 -               1650....weight.................................... 167  lost  3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122421 -               1700....BP HR..................................................... 114  73 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122422 -               1805....BP HR..................................................... 111  77  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122423 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122424 -               1800... 40 123500 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                                                                                                                                                                                                                                                                                  
122425 -               1900............ 10 21470  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122426 -               1900............ 10 21820  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122427 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122428 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122429 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122430 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122431 -               2250... 1000 2460000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122432 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122433 -               2330... 40 460740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122434 -               2340... 40 98200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122437 -  ..
122438 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122439 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122441 -  ..
122442 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122443 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122444 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122445 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122446 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122448 -  ..
122449 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122450 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122452 -  ..
122453 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122454 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122457 -  ..
122458 - Today, hiked 19 miles - expected 25+.  Very difficult hike running                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122459 - out of energy.  Had to cut hike short - could not go over summit at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122460 - Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122464 -         ..
122465 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122466 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122467 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
122468 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
122469 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122470 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122471 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122472 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
122473 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122474 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122475 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122476 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122477 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
122478 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122479 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
122480 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122481 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
122482 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122483 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122484 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122485 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122486 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
122487 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122488 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122489 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122490 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122491 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
122492 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122493 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122494 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122495 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122496 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122497 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122498 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122499 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
122500 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122501 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122502 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
122503 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
122504 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
122505 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
122506 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122507 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122508 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
122509 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
122510 -        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                                                                                                                                                                                                                                                                                                                           
122511 -        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                                                                                                                                                                                                                                                                                                                                                                                    
122512 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122513 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
122514 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122515 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122516 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122517 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
122518 -        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                                                                                                                                                                                                                                                                                                                                           
122519 -        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                                                                                                                                                                                                                                                                                                                                           
122520 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122521 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122522 -        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                                                                                                                                                                                                                                                                                                                                                                                        
122523 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
122524 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
122525 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122526 -        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                                                                                                                                                                                                                                                                                                                                                              
122527 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122528 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
122529 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122530 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122531 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
122532 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122533 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
122534 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
122535 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122536 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
122537 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122538 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122539 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122540 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122541 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122542 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122543 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122544 -        Wobbly disoriented staggering dizzy..........   6          5  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
122545 -        Wasted - very fatigued.......................   8         20  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122546 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122549 -  ..
122550 - Fatigue researched seperately today, with Microsoft AI, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122551 - 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122553 -  ..
122554 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122555 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122556 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122557 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122558 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122559 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122561 -  ..
122562 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122563 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122564 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122566 -  ..
122567 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122569 -  ..
122570 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122571 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122572 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122574 -  ..
122575 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122576 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122577 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122578 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122580 -  ..
122581 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122582 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122583 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122584 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122585 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122588 -  ..
122589 - Concord 19 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122590 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122591 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122592 - and also left hip.  Took 2 Tramadol for pain management, because there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122593 - is no metatarsalgia pain in feet starting the hike today, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122594 - foot #1 and #5 calluses both PL 0, treated by Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122595 - 250508 0930, ref SDS 90 VX5J, but before mile 8 likely need Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122596 - for pain relief anyway, based on experience.  Took Magnesium Complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122597 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122598 - inflammation, so allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122599 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122600 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122601 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122602 - Had small amount peanut butter and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122603 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122604 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 QU4K  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122605 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122606 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122607 - ref SDS 18 136K  Since weight is dropping, had bowl of cheerios and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122608 - milk.  Minimal breakfast reduces bloating feeling starting hike from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122609 - ischemic colitis caused by taking statins and other drugs, also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122610 - symptomatic of diabetes, colitis and atrial fibrillation (arrhythmia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122611 - variable heart rate - dysfunctional ANS) - see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122612 - 0701. ref SDS 18 O33H  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122613 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122614 - onto Treat.  Starting hike feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122615 - needles - actually minimal today, and - did not feel electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122616 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122617 - taking statins, and diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122618 - calming down.  Bottom of both feet not hurting yet with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122619 - pain, including left foot #1 and #5, which were severely painful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122620 - during 8 days that led to pausing hiking for 10 days for injuries to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122621 - heal beginning on 250428.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122622 - dyspnea, indicating conditioning has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122623 - last few months.  Temperature started at 62, and reached 81.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122624 - wind 17 mph and mostly 10 mph.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122625 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122626 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122627 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122628 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122629 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122630 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122631 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122632 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122633 - sidewalk .5 miles.  Energy crashed mile 4, time 1124 had to stop in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122634 - Mountain Mike's Pizza restaurant to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122635 - Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122636 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122637 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122638 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122639 - West past Stop Light at Michigan Boulevard.  Turned left hiked 2.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122640 - miles East.  Received text that it was Lisa and not Pam who stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122641 - near here on 250515.  Stopped mile 8 time 1240 temp 75 and wind 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122642 - mph; EKG looks uniform with no artifact.  Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122643 - Tachycardia - see below. ref SDS 0 QX3V  Fatigue PL 8 (very weak and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122644 - slow), bloating PL 4, both feet metatarsalgia PL 2.  Left foot #1 PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122645 - and #5 PL 2, Took 2 Tramadol 50 mg for pain.  Took 2 more Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122646 - complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122647 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122648 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122649 - peanut butter, margarine and Mayonnaise and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122650 - water/Coca Cola/orange juice) for energy, and avocado for HDL -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122651 - actually, had difficulty swallowing this combination, which I have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122652 - liked for 60 years!!! - could only take 2 bites again, like yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122653 - Took Chia Seeds seperately and swallowed okay with sips of softdrink.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122654 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to continue hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122655 - not take Nuun electrolyte pill, per above. ref SDS 0 QTVP  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122656 - around and hiked back on Pine Hollow 2.50 miles.  Turned around again                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122657 - and hiked East on Pine Hollow 1.5 miles.  At Pine Hollow Junior High                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122658 - School turned around again and hiked back.  Near Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122659 - turned left onto Campus Drive heading West uphill 3% grade.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122660 - mile against wind 10 mph.  Pace very slow because of wind and feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122661 - 3 - already running out of energy.  The road bends North.  At Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122662 - Valley road turned around and hiked uphill on Campus Drive 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122663 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122664 - Campus.  Hiked loop around main buildings.  Could not hike through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122665 - parking lots today.  Very fatigued, barely plodding.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122666 - Parking did not stop at Administration building mile __ time ____ At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122667 - mile 16, left campus heading North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122668 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122669 - mile 17, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122670 - against wind 12 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122671 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122672 - camber.  Did not continue West .5 mile to summit.  Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122673 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122674 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122675 - against oncoming commute traffic.  Pace very slow due to fatigue PL 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122676 - Turned left onto Treat hiking West .25 miles back to Cuneo, then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122677 - Ended hike mile 19 time 1631 temp 82, wind 14, fatigue PL 9, bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122678 - PL 3, feet PL 4, left foot #1 edge PL 6, #5 edge PL 5, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122679 - fracture PL 0, #5 PL 0, burning sensation PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122680 - left knee PL 0, right knee PL 0, left shoulder PL 0, neck and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122681 - shoulder PL 9 intermittantly, lower back middle PL 0 - stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122682 - backpack, left elbow PL 0, when lifting.  EKG mostly variable with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122683 - some artifact, Kardia reported HR 110 Possible Atrial Fibrillation -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122684 - see below. ref SDS 0 UM2H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122699 -  ..
122700 - Kardia recorded HR 073 at 0751 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122701 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122702 - after hiking 21 miles temp 73 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122703 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122704 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122705 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122706 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122709 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122710 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250518-ecg-075119_mile_00_073_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122716 -  ..
122717 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122718 - hike 19 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122719 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122720 - ..
122721 -                                                                                                                                                                                                                                                                                                              x
122722 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122723 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122724 -       Date          250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 250224 25022  
122725 -       Miles            19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0      0  
122726 -       HR AVG          110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no     no  
122727 -         MAX           126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report report repo  
122728 -         Min            77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                       
122729 -       El Climb Ft     483    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                       
122730 -       Temp Max         81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                       
122731 -       Wind Max         17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                       
122732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122734 -              https://flow.polar.com/training/analysis/8115177065                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122737 -               ..
122739 -   
122740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122744 -  ..
122745 - EKG at mile 08 time 1240, HR 109 temp 53, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122746 - Tachycardia... heart rate looks mostly uniform (actually "great" at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122747 - last) with no artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122748 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122751 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122752 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250518-ecg-124033_mile_08_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122756 -  ..
122757 - End hike EKG at mile 19, time 1631 HR 110 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122758 - Possible Atrial Fibrillation... looks mostly variable with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122759 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122762 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122763 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250518-ecg-163143_mile_19_110_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122767 -  ..
122768 - Post hike HR profile beginning 1939, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122769 - hiking 19 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122770 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122771 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122772 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122773 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122776 -        ..
122777 -       Date      250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307  250306    
122778 -       Time       1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149    1925     
122779 -       Hours        11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9      12     
122780 -       HR AVG       64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67      62     
122781 -       HR MAX      127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     114     
122782 -       HR Min       43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42      42     
122783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122785 -              https://flow.polar.com/training/analysis/8115469678                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122788 -  ..
122789 - HRV continuous over night... want this to be a much thinner line!!!                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122792 -   
122793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122796 -  ..
122797 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122798 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122799 - Dinner - hamburger macaroni & cheese  onion olives broccoli - ate much better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122801 -  ..
122802 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122834 -         ..
122835 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122836 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122837 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122838 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122839 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122840 -  139.  250519 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122841 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122842 -               0710....BP HR..................................................... 137  79  78  Kardia ECG reports HR status, see below. ref SDS 0 R2YT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122843 -               0715....BP HR..................................................... 135  67  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122844 -               0720....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122845 -               0720....40 460780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
122846 -               0900....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122847 -               0900... Magnesium 300 mg 1 Pil  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122848 -               0900....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122849 -               0900....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122850 -               0900....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122851 -               0900....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122852 -               0900... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
122853 -  ..
122854 -               0939....miles...........  21.0  21.0  369   369 minutes  temp  86 wind 20  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122855 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122856 -               1030....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122857 -               1030... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122858 -               1030... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122859 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122860 -               1207....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122861 -               0000....Tramadol 50 mg took 2 pill - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122862 -               1207... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
122863 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122864 -               1207... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122865 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122866 -               1420....mile 15 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122867 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122868 -               1420... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
122869 -               1420... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122870 -               1420... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
122871 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122872 -               1629... Hike ends mile 21... ref SDS 0 KS1R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122873 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122874 -               1645....weight.................................... 165  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122875 -               1650....BP HR..................................................... 104  73 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122876 -               1805....BP HR..................................................... 117  84  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122877 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122878 -               1800... 40 123540 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                                                                                                                                                                                                                                                                                  
122879 -             1 0000............ 10 21470  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
122880 -             1 0000............ 10 21820  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
122881 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122882 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122883 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122884 -               2210... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122885 -               2250... 1000 2461000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122886 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122887 -               2330... 40 460820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122888 -               2340... 40 98240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122891 -  ..
122892 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122893 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122895 -  ..
122896 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122897 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122898 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122899 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122900 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122902 -  ..
122903 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
122904 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122906 -  ..
122907 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122908 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122911 -  ..
122912 - Today, hiked 21 miles - expected 25+.  Temperature 73 was not a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122913 - that siphoned energy for sweating.  Starting PL 0, and still took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122914 - Tramadol.  Weight 168, still dropping due to not eating.  Have lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122915 - taste for food.  Took magnesium to start; not at mile 4, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
122916 - energy did not drop abnormally due to low Ferritin in lab on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122917 - 0940. ref SDS 88 VP5H  Noticed fatigue about mile 6.  Did not use Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
122918 - bandaging with "donut hole" nor any bandaging to protect calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122919 - left foot #1 and #5.  Had PL 0 initially, that increased to PL 4 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122920 - after 8 miles, which led to taking 2 Tramadol at mile 08 in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122921 - finish the hike.  The record may indicate some healing has occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122922 - while hiking paused the past 10 days.  Temperature 73 did not increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122923 - burden on heart, which may have increased dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122924 - nervous system symptoms.  Actually, all EKGs in sinus today -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
122925 - indicating hope to recover.  Wind strong entire hike.  Stomach bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122926 - causing numerous major burps - seemed less so at the end back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122927 - Feet, especially left foot #1 and #5 had more pain.  Very fatigued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
122928 - end of hike.  Planned to go over summit to Oak Grove.  Changed mind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122929 - due to low energy.  After hike examination did not find anything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122930 - Seems like new orthotic inserts made by Doctor Hewitson prevented pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122931 - and callus injuries from escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
122932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122935 -         ..
122936 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122937 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122938 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
122939 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
122940 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122941 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122942 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
122943 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
122944 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122945 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122946 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
122947 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122948 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
122949 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122950 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
122951 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122952 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
122953 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122954 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122955 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122956 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122957 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
122958 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122959 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
122960 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
122961 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122962 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
122963 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
122964 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122965 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122966 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122967 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
122968 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122969 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
122970 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
122971 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122972 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122973 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
122974 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
122975 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
122976 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
122977 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122978 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122979 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
122980 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
122981 -        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                                                                                                                                                                                                                                                                                                                           
122982 -        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                                                                                                                                                                                                                                                                                                                                                                                    
122983 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122984 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
122985 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122986 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
122987 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122988 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
122989 -        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                                                                                                                                                                                                                                                                                                                                           
122990 -        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                                                                                                                                                                                                                                                                                                                                           
122991 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
122992 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122993 -        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                                                                                                                                                                                                                                                                                                                                                                                        
122994 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
122995 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
122996 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
122997 -        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                                                                                                                                                                                                                                                                                                                                                              
122998 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
122999 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
123000 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123001 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123002 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
123003 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123004 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
123005 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
123006 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123007 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
123008 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123009 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123010 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123011 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123012 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123013 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123014 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123015 -        Wobbly disoriented staggering dizzy..........   6          5  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
123016 -        Wasted - very fatigued.......................   8         20  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123017 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123020 -  ..
123021 - Fatigue researched seperately today, with Microsoft AI, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123022 - 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123024 -  ..
123025 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123026 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123027 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123028 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123029 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123030 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123032 -  ..
123033 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123034 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123035 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123037 -  ..
123038 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123040 -  ..
123041 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123042 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123043 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123045 -  ..
123046 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123047 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123048 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123049 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123051 -  ..
123052 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123053 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123054 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123055 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123056 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123059 -  ..
123060 - Concord 21 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123061 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123062 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123063 - ref SDS 18 TTPV, and also left hip.  Took 2 Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123064 - management, because there is no metatarsalgia pain in feet starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123065 - the hike today, and left foot #1 and #5 calluses both PL 2, treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123066 - Doctor Tang at VAMCSF on 250508 0930, ref SDS 90 VX5J, but before mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123067 - 8, will likely need Tramadol for pain relief anyway, based on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123068 - experience.  Took Magnesium Complex 300 mg pill for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123069 - lactic acid, and reducing inflammation allowing HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123070 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123071 - 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD Dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123072 - on 240910, avoids capsule clogging LESV, as occurred on 240824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123073 - ref SDS 36 PPTU  Had small amount peanut butter that contains iron to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123074 - elevate Farritin and Transferrin Saturation, which both tested low on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123075 - 250428 0940. ref SDS 88 VP5H, and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123076 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123077 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 9Y6L  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123078 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123079 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123080 - ref SDS 18 136K  Since weight is dropping, should have had another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123081 - bowl of cheerios and milk, but out of this stuff.  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123082 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123083 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123084 - and atrial fibrillation (arrhythmia - variable heart rate) see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123085 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123086 - good to build conditioning for Half Dome.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123087 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123088 - pins and needles - actually minimal today, and - feeling electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123089 - shocks in balls of feet this morning - due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123090 - caused by taking statins, and diabetes symptoms.  After about 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123091 - feet calming down.  Bottom of both feet not hurting yet with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123092 - metatarsalgia pain, including left foot #1 and #5, which were severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123093 - painful during 8 days that led to pausing hiking for 10 days for these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123094 - injuries to heal beginning on 250428.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123095 - hike with no dyspnea, indicating condition has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123096 - minimal hiking last few months.  Temperature started at 70, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123097 - reached 86.  East wind 20 mph and mostly 12 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123098 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123099 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123100 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123101 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123102 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123103 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123104 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123105 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123106 - concrete sidewalk .5 miles.  Energy already very low.  Stopped at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123107 - 4 time 1030 in Mountain Mike's Pizza restaurant to take interim 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123108 - magnesium and CoQ10.  Feet hurting - took 2 more Tramadol, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123109 - ref SDS 0 QYUU  Turned right hiking West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123110 - concrete sidewalk .5 miles.  Continued hike crossing Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123111 - Road at Stop Light and heading West .25 miles on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123112 - Crossed to South side Ygnacio Valley Road hiking on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123113 - Continued West past Stop Light at Michigan Boulevard.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123114 - hiked 2.75 miles East.  Stopped mile 8 time 1207 temp 81 and wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123115 - mph; EKG looks uniform with no artifact.  Kardia reported HR 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123116 - Tachycardia - see below. ref SDS 0 8X9C  Fatigue PL 6, bloating PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123117 - after taking 2 extra Tramadol at mile 4, both feet metatarsalgia PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123118 - Left foot #1 PL 1 and #5 PL 1, Took no Tramadol 50 mg for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123119 - 2 more Magnesium complex 300 mg pill for energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123120 - acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123121 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123122 - swallowing nutrition - peanut butter, margarine and Mayonnaise and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123123 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123124 - avocado for HDL - actually gagged, had difficulty swallowing this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123125 - combination, which I have liked for 60 years!!! - could only take 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123126 - bites,  Took Chia Seeds seperately and swallowed okay.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123127 - CoQ10 0.6 ml for HDL and energy to complete hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123128 - electrolyte pill, per above. ref SDS 0 QYUU  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123129 - back on Pine Hollow 2.50 miles.  Near Ygnacio Valley road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123130 - onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123131 - wind 09 mph.  Pace slow because of wind and feet PL 4 - and, already                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123132 - running out of energy.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123133 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123134 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123135 - Hiked loop around main buildings.  At mile 12, energy dropped going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123136 - very slow, barely plodding, hiked 1 loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123137 - parking lots, and another loop around main buildings.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123138 - Parking stopped at Administration building mile 15 time 1420 temp 86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123139 - and wind 13 mph; EKG looks uniform with no artifact - seems remarkable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123140 - given body suffering elevated temperature, pain and fatigue!!  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123141 - reported HR 118 Tachycardia - see below. ref SDS 0 RSUQ  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123142 - 3, fatigue PL 8, both feet metatarsalgia PL 2.  Left foot #1 PL 6 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123143 - #5 PL 7.  Did not take more Tramadol 50 mg for pain.  Took 1 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123144 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123145 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123146 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123147 - nutrition - today, was able to injest small amount peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123148 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123149 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123150 - for HDL and energy to complete hike.  Since temperature above 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123151 - causes sweating that ejects electrolytes, took Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123152 - per above. ref SDS 0 QYUU  This is big improvement - did not gag and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123153 - spit up peanut butter, margarine and Mayonnaise.  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123154 - through Faculty and Student parking, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123155 - buildings.  At mile 17, left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123156 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123157 - grade .5 miles.  At mile 18, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123158 - 3% grade .5 miles against wind 18 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123159 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123160 - avoid severe camber.  Continued West .5 mile to summit - mile 19 end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123161 - of concrete traffic barrier.  Turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123162 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123163 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123164 - shoulder against oncoming commute traffic.  Pace very slow due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123165 - fatigue PL 9.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123166 - Cuneo, then home.  Ended hike mile 21 time 1629 temp 84, wind 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123167 - fatigue PL 8, bloating PL 5, feet PL 3, left foot #1 edge PL 7, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123168 - edge PL 5, right foot #6 fracture PL 0, #5 PL 0, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123169 - 2, shin splints PL 0, left knee PL 0 (not swollen), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123170 - left shoulder PL 0, neck and right shoulder PL 9 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123171 - back middle PL 0 - stress carrying backpack, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123172 - lifting.  EKG mostly uniform with some artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123173 - 121 Tachycardia - see below. ref SDS 0 KS1R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123188 -  ..
123189 - Kardia recorded HR 050 at 0742 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123190 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123191 - after hiking 19 miles temp 81 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123192 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123193 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123194 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123195 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123198 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123199 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250519-ecg-074208_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123205 -  ..
123206 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123207 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123208 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123209 - ..
123210 -                                                                                                                                                                                                                                                                                                              x
123211 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123212 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123213 -       Date          250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 250225 25022  
123214 -       Miles            21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0      0  
123215 -       HR AVG          118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no     no  
123216 -         MAX           133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   report repo  
123217 -         Min            66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86                
123218 -       El Climb Ft     541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532                
123219 -       Temp Max         86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71                
123220 -       Wind Max         14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9                
123221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123223 -              https://flow.polar.com/training/analysis/8115844591                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123226 -               ..
123228 -   
123229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123233 -  ..
123234 - EKG at mile 08 time 1207, HR 112 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123235 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123236 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123239 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123240 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250519-ecg-120748_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123245 -  ..
123246 - EKG at mile 15, time 1440 HR 118 temp 86 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123247 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123248 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123251 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123252 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250519-ecg-142002_mile_15_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123256 -  ..
123257 - End hike EKG at mile 21, time 1629 HR 121 temp 84 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123258 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123259 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123262 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123263 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250519-ecg-162908_mile_21_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123267 -  ..
123268 - Post hike HR profile beginning 1947, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123269 - hiking 21 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123270 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123271 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123272 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123273 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123276 -        ..
123277 -       Date      250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308  250307    
123278 -       Time       1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932    2149     
123279 -       Hours        10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13       9     
123280 -       HR AVG       68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60      67     
123281 -       HR MAX      126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     127     
123282 -       HR Min       41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40      42     
123283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123285 -              https://flow.polar.com/training/analysis/8116145619                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123288 -  ..
123289 - HRV continuous over night...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123292 -   
123293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123296 -  ..
123297 - Breakfast - cheerios milk - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123298 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123299 - Dinner - hamburger macaroni & cheese  onion olives broccoli - ate much better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123301 -  ..
123302 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123334 -         ..
123335 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123336 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123337 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123338 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123339 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123340 -  140.  250520 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123341 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123342 -               0720....BP HR..................................................... 142  69  69  Kardia ECG reports HR status, see below. ref SDS 0 RWUX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123343 -               0725....BP HR..................................................... 138  76  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123344 -               0730....weight.................................... 169                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123345 -               0730....40 460860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
123346 -               1120....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123347 -               1120... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123348 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123349 -               1120....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123350 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123351 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123352 -               1120... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
123353 -  ..
123354 -               1150....miles...........  25.0  46.0  435   804 minutes  temp  86 wind 20  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123355 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123356 -               0000....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123357 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123358 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123359 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123360 -               1207....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123361 -               0000....Tramadol 50 mg took 2 pill - 5 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123362 -               1207... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
123363 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123364 -               1207... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123365 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123366 -               1420....mile 15 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123367 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123368 -               1420... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
123369 -               1420... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123370 -               1420... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123371 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123372 -               1848....mile 21 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123373 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123374 -               1848... Magnesium 300 mg 1 Pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
123375 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123376 -               1848... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123377 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123378 -               2008... Hike ends mile 25... ref SDS 0 RXRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123379 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123380 -               2035....weight.................................... 164  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123381 -               2040....BP HR.....................................................  97  70 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123382 -               2045....BP HR.....................................................  90  63  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123383 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123384 -               1800... 40 123580 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                                                                                                                                                                                                                                                                                  
123385 -               2050............ 10 21480  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123386 -               2050............ 10 21830  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123387 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123388 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123389 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123390 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123391 -               2250... 1000 2462000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123392 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123393 -               2330... 40 460900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123394 -               2340... 40 98280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123397 -  ..
123398 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123399 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123401 -  ..
123402 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123403 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123404 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123405 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123406 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123408 -  ..
123409 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123410 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123412 -  ..
123413 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123414 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123417 -  ..
123418 - Today, hiked 25 miles - expected 25+.  Temperature 85 was not a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123419 - that siphoned energy for sweating.  Experimented taking 3 Tramadol to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123420 - start hike, and took 2 magnesium.  This worked to avoid needing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123421 - interim pain and energy meds at mile 4.  At mile 8, took 2 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123422 - and 2 magnesium.  This worked to avoid further pain and energy meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123423 - to complete 25 mile hike.  First time have been able to hike over the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123424 - summit on Ygnacio Valley Road in past 10 days.  Pain and energy loss                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123425 - worsened, until today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123427 -  ..
123428 - Starting PL 0, and still took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123429 - Tramadol.  Weight 168, still dropping due to not eating.  Have lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123430 - taste for food.  Took magnesium to start; not at mile 4, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123431 - energy did not drop abnormally due to low Ferritin in lab on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123432 - 0940. ref SDS 88 VP5H  Noticed fatigue about mile 6.  Did not use Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123433 - bandaging with "donut hole" nor any bandaging to protect calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123434 - left foot #1 and #5.  Had PL 0 initially, that increased to PL 4 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123435 - after 8 miles, which led to taking 2 Tramadol at mile 08 in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123436 - finish the hike.  The record may indicate some healing has occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123437 - while hiking paused the past 10 days.  Temperature 73 did not increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123438 - burden on heart, which may have increased dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123439 - nervous system symptoms.  Actually, all EKGs in sinus today -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123440 - indicating hope to recover.  Wind strong entire hike.  Stomach bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123441 - causing numerous major burps - seemed less so at the end back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123442 - Feet, especially left foot #1 and #5 had more pain.  Very fatigued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123443 - end of hike.  Planned to go over summit to Oak Grove.  Changed mind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123444 - due to low energy.  After hike examination did not find anything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123445 - Seems like new orthotic inserts made by Doctor Hewitson prevented pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123446 - and callus injuries from escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123450 -         ..
123451 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123452 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123453 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
123454 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
123455 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123456 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123457 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123458 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
123459 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123460 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123461 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123462 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123463 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
123464 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123465 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
123466 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123467 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
123468 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123469 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123470 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123471 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123472 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
123473 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123474 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123475 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123476 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123477 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
123478 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123479 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123480 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123481 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123482 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123483 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123484 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123485 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
123486 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123487 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123488 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
123489 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
123490 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
123491 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
123492 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123493 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123494 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
123495 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
123496 -        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                                                                                                                                                                                                                                                                                                                           
123497 -        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                                                                                                                                                                                                                                                                                                                                                                                    
123498 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123499 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
123500 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
123501 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123502 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123503 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
123504 -        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                                                                                                                                                                                                                                                                                                                                           
123505 -        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                                                                                                                                                                                                                                                                                                                                           
123506 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123507 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
123508 -        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                                                                                                                                                                                                                                                                                                                                                                                        
123509 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
123510 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
123511 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123512 -        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                                                                                                                                                                                                                                                                                                                                                              
123513 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
123514 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
123515 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123516 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123517 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
123518 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123519 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
123520 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
123521 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123522 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
123523 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123524 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123525 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123526 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123527 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123528 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123529 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123530 -        Wobbly disoriented staggering dizzy..........   6          5  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
123531 -        Wasted - very fatigued.......................   8         20  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123532 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123535 -  ..
123536 - Fatigue researched seperately today, with Microsoft AI, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123537 - 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123539 -  ..
123540 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123541 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123542 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123543 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123544 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123545 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123547 -  ..
123548 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123549 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123550 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123552 -  ..
123553 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123555 -  ..
123556 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123557 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123558 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123560 -  ..
123561 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123562 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123563 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123564 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123566 -  ..
123567 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123568 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123569 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123570 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123571 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123574 -  ..
123575 - Concord 25 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123576 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123577 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123578 - ref SDS 18 TTPV, and also left hip.  Took 3 Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123579 - management, because 2 have not been enough to get past mile 4 without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123580 - taking more to reach mile 8, and even though there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123581 - pain in feet starting the hike today, and left foot #1 and #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123582 - both PL 2, treated by Doctor Tang at VAMCSF on 250508 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123583 - ref SDS 90 VX5J, but before mile 8, have needed more Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123584 - relief anyway.  Took 2 Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123585 - absorbing lactic acid, and reducing inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123586 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123587 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123588 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123589 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123590 - iron to elevate Farritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123591 - low on 250428 0940. ref SDS 88 VP5H, and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123592 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123593 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 9Y6L  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123594 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123595 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123596 - ref SDS 18 136K  Since weight is dropping, should have had another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123597 - bowl of cheerios and milk, but out of this.  Minimal breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123598 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123599 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123600 - atrial fibrillation (arrhythmia - variable heart rate) see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123601 - on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff - good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123602 - to build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123603 - left, onto Treat.  Starting hike feet feeling swelled and like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123604 - and needles - actually minimal today, and - feeling electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123605 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123606 - taking statins, and diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123607 - calming down.  Bottom of both feet not hurting yet with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123608 - pain, including left foot #1 and #5, which were severely painful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123609 - during 8 days that led to pausing hiking for 10 days for these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123610 - injuries to heal beginning on 250428.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123611 - hike with no dyspnea, indicating condition has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123612 - minimal hiking last few months.  Temperature started at 76, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123613 - reached 85.  East wind 20 mph and mostly 12 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123614 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123615 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123616 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123617 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123618 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123619 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123620 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123621 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123622 - concrete sidewalk .5 miles.  Energy better than yesterday, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123623 - taking 2 magnesium capsules this morning.  Therefore, did not stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123624 - mile 4 time ____ in Mountain Mike's Pizza restaurant to take interim 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123625 - magnesium and CoQ10.  Feet not hurting as much as yesterday, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123626 - taking 3 Tramadol before starting hike - did not take 2 more Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123627 - per above. ref SDS 0 RTQT  Turned right hiking West on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123628 - Road using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123629 - Highlands Road at Stop Light and heading West .25 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123630 - shoulder.  Crossed to South side Ygnacio Valley Road hiking on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123631 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123632 - Turned left hiked 2.50 miles East.  Stopped mile 8 time 1413 temp 84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123633 - and wind 15 mph; EKG looks uniform with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123634 - HR 111 Tachycardia - see below. ref SDS 0 RXPS  Fatigue PL 3, bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123635 - PL 3, after taking 3 Tramadol at mile 0, and 0 at mile 4, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123636 - metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 1, Took 2 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123637 - mg for pain.  Took 2 more Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123638 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123639 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123640 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123641 - Mayonnaise and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123642 - energy, and avocado for HDL - did not have difficulty swallowing this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123643 - combination, today.  took 4 bites,  Took Chia Seeds seperately and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123644 - swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123645 - complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123646 - ref SDS 0 QYUU  Turned around and hiked back on Pine Hollow 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123647 - miles.  Near Ygnacio Valley road turned left onto Campus Drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123648 - West uphill 3% grade.  Hiked 1 mile against wind 14 mph.  Pace faster                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123649 - because not getting low on energy.  The road bends North.  At Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123650 - Valley road turned around and hiked uphill on Campus Drive 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123651 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123652 - Campus.  Hiked loop around main buildings.  At mile 12, not fatigued,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123653 - much better than past few days.  Hiked 1 loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123654 - Student parking lots, and another loop around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123655 - Visitor Parking stopped at Administration building mile 15 time 1644                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123656 - temp 85 and wind 11 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123657 - reported HR 116 Tachycardia - see below. ref SDS 0 RXQU  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123658 - 3, fatigue PL 2, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123659 - #5 PL 2.  Did not take more Tramadol 50 mg for pain.  Took 1 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123660 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123661 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123662 - Sips softdrink carried from home and for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123663 - nutrition - today, was able to injest small amount peanut butter, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123664 - iron to recover from low Ferritin in lab on 250428 0940. ref SDS 88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123665 - VP5H margarine and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123666 - for energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123667 - ml for HDL and energy to complete hike.  Since temperature above 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123668 - causes sweating that ejects electrolytes, took Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123669 - per above. ref SDS 0 QYUU  This is big improvement - did not gag and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123670 - spit up peanut butter, margarine and Mayonnaise.  Hiked another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123671 - around main buildings.  Left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123672 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123673 - grade .5 miles.  At mile 18, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123674 - 3% grade .5 miles against wind 18 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123675 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123676 - avoid severe camber.  Continued West .5 mile to summit - mile 17 end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123677 - of concrete traffic barrier.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123678 - side Ygnacio Valley Road to avoid severe camber, and to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123679 - shoulder.  Continued West 2 miles downhill 3% grade.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123680 - Grove at traffic light.  Today, hiked 2 1-mile loops using asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123681 - path around the block at Safeway shopping complex.  Stopped at Mod                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123682 - Pizza mile 21, time 1848, temp 77 and wind 11 mph; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123683 - with minor artifact, Kardia reported HR 110 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123684 - ref SDS 0 SE5M  Bloated PL 2.  Fatigue PL 4.  Feet PL 1, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123685 - sensation PL 0, left foot #1 PL 1, #5 PL 2; right foot #5 PL 0, back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123686 - spine at neck PL 3 momentarily for few seconds.  Did not take another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123687 - Tramadol.  Took another Magnesium capsule to recover from fatigue, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123688 - to control pain by absorbing lactic acid in muscles, resolves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123689 - inflammation which then enables HDL to rise in the liver, increases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123690 - energy for hiking.  Sips softdrink carried from home and for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123691 - and swallowing nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123692 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123693 - HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123694 - complete hike.  Since temperature above 80 causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123695 - electrolytes, and temp is 77, did not take another Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123696 - pill, per above. ref SDS 0 RTQT  Continued hiking 1-mile loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123697 - the block - turned right onto path parallel to Via Monte hiking North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123698 - .25 miles, turned right onto Shadelands hiking .25 miles, and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123699 - left onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123700 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123701 - sidewalk.  Noticed was not veering left or right, as occurred prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123702 - hikes - similar to prior condition when taking Tramadol and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123703 - Gabapentin, e.g., on 231111 in case study on 230101 0654. ref SDS 28                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123704 - RVVY see line 172870; also see letter to Doctor Wiseman at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123705 - 230418 0949. ref SDS 29 RS5F  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123706 - Treat uphill 5% grade temp 66.  Handled this astonishingly well -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123707 - breathed through nose.  Did not feel like stopping at any time due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123708 - weak legs; At summit, mile 24, hiked another mile to Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123709 - Ended hike mile 25 time 2008 temp 77, wind 11.  Bloated PL 3, fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123710 - PL 4, feet PL 3, burning sensation PL 2, left foot #1 PL 3, #5 PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123711 - neck/spine PL 3 momentarily turning head, mid-level back PL 0.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123712 - looks mostly uniform, with artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123713 - Tachycardia - see below. ref SDS 0 RXRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123728 -  ..
123729 - Kardia recorded HR 072 at 0923 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123730 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123731 - after hiking 21 miles temp 86 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123732 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123733 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123734 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123735 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123738 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123739 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250520-ecg-092356_mile_00_072_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123745 -  ..
123746 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123747 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123748 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123749 - ..
123750 -                                                                                                                                                                                                                                                                                                              x
123751 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123752 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123753 -       Date          250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 250226 25022  
123754 -       Miles            25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21      0  
123755 -       HR AVG          113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125     no  
123756 -         MAX           135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145   repo  
123757 -         Min            81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86         
123758 -       El Climb Ft     481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532         
123759 -       Temp Max         86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71         
123760 -       Wind Max         20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9         
123761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123763 -              https://flow.polar.com/training/analysis/8116560152                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123766 -               ..
123768 -   
123769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123773 -  ..
123774 - EKG at mile 08 time 1413, HR 111 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123775 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123776 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123779 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123780 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250520-ecg-141306_mile_08_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123785 -  ..
123786 - EKG at mile 15, time 1644 HR 116 temp 85 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123787 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123788 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123791 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123792 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250520-ecg-164448_mile_15_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123797 -  ..
123798 - EKG at mile 21, time 1848 HR 110 temp 77 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123799 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123800 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123803 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123804 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250520-ecg-184800_mile_21_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123808 -  ..
123809 - End hike EKG at mile 25, time 2008 HR 110 temp 77 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123810 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123811 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123814 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123815 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250520-ecg-200839_mile_25_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123819 -  ..
123820 - Post hike HR profile beginning 2320, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123821 - hiking 25 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123822 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123823 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123824 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123825 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123828 -        ..
123829 -       Date      250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309  250308    
123830 -       Time       2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207    1932     
123831 -       Hours         8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5      13     
123832 -       HR AVG       62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74      60     
123833 -       HR MAX      109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     124     
123834 -       HR Min       41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49      40     
123835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123837 -              https://flow.polar.com/training/analysis/8116866897                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123840 -  ..
123841 - HRV continuous over night, less severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123844 -   
123845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123848 -  ..
123849 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123850 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123851 - Dinner - eggs macaroni & cheese  onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123853 -  ..
123854 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123887 -         ..
123888 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123889 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123890 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123891 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123892 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123893 -  141.  250521 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123894 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123895 -               0725....BP HR..................................................... 135  74  58  Kardia ECG reports HR status, see below. ref SDS 0 EK4F                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123896 -               0730....BP HR..................................................... 125  72  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123897 -               0735....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123898 -               0735....40 460860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
123899 -               1120....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123900 -               1120... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123901 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123902 -               1120....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123903 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123904 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123905 -               1120... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
123906 -  ..
123907 -               1027....miles...........  14.0  60.0  239  1043 minutes  temp  90 wind 18  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123908 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123909 -               0000....Tramadol 50 mg took 2 pills - 4 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123910 -               0000... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123911 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123912 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123913 -               1320....mile 10 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
123914 -               1320....Tramadol 50 mg took 2 pills - 4 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123915 -               1320... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
123916 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123917 -               1320... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
123918 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123919 -               1435... Hike ends mile 14... ref SDS 0 STQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123920 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123921 -               2035....weight.................................... 164  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123922 -               2040....BP HR.....................................................  97  70 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123923 -               2045....BP HR..................................................... 114  71  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123924 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123925 -               1800... 40 123580 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                                                                                                                                                                                                                                                                                  
123926 -             1 0000............ 10 21480  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
123927 -             1 0000............ 10 21830  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
123928 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123929 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123930 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123931 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123932 -               2250... 1000 2462000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123933 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123934 -               2330... 40 460900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123935 -               2340... 40 98280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123938 -  ..
123939 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123940 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123942 -  ..
123943 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123944 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123945 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123946 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123947 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123949 -  ..
123950 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
123951 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123953 -  ..
123954 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123955 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123958 -  ..
123959 - Today, hiked 21 miles - expected 25+.  Temperature 73 was not a factor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123960 - that siphoned energy for sweating.  Starting PL 0, and still took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123961 - Tramadol.  Weight 168, still dropping due to not eating.  Have lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123962 - taste for food.  Took magnesium to start; not at mile 4, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
123963 - energy did not drop abnormally due to low Ferritin in lab on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123964 - 0940. ref SDS 88 VP5H  Noticed fatigue about mile 6.  Did not use Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
123965 - bandaging with "donut hole" nor any bandaging to protect calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123966 - left foot #1 and #5.  Had PL 0 initially, that increased to PL 4 - 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123967 - after 8 miles, which led to taking 2 Tramadol at mile 08 in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123968 - finish the hike.  The record may indicate some healing has occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123969 - while hiking paused the past 10 days.  Temperature 73 did not increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123970 - burden on heart, which may have increased dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123971 - nervous system symptoms.  Actually, all EKGs in sinus today -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
123972 - indicating hope to recover.  Wind strong entire hike.  Stomach bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123973 - causing numerous major burps - seemed less so at the end back home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123974 - Feet, especially left foot #1 and #5 had more pain.  Very fatigued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
123975 - end of hike.  Planned to go over summit to Oak Grove.  Changed mind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123976 - due to low energy.  After hike examination did not find anything.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123977 - Seems like new orthotic inserts made by Doctor Hewitson prevented pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123978 - and callus injuries from escalating more.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
123979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
123982 -         ..
123983 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
123984 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123985 -        Stomach pain ischemic colitis bloating.......   3        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
123986 -        Side ache vasodilation ischemic colitis......   3        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
123987 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123988 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123989 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
123990 -        Chest swaying left to right..................   3        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
123991 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
123992 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
123993 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
123994 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
123995 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
123996 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
123997 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
123998 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
123999 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
124000 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124001 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124002 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124003 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124004 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
124005 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124006 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124007 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124008 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124009 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
124010 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124011 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124012 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124013 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124014 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124015 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124016 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124017 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
124018 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124019 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124020 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
124021 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
124022 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
124023 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
124024 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124025 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124026 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
124027 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
124028 -        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                                                                                                                                                                                                                                                                                                                           
124029 -        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                                                                                                                                                                                                                                                                                                                                                                                    
124030 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124031 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
124032 -        Callus big toe left foot...PRP 210705........   5         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
124033 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124034 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124035 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
124036 -        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                                                                                                                                                                                                                                                                                                                                           
124037 -        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                                                                                                                                                                                                                                                                                                                                           
124038 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124039 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
124040 -        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                                                                                                                                                                                                                                                                                                                                                                                        
124041 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
124042 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
124043 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124044 -        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                                                                                                                                                                                                                                                                                                                                                              
124045 -  new   Callus little toe #5 left foot...PRP 210705..   4         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
124046 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
124047 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124048 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124049 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
124050 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124051 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
124052 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
124053 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124054 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
124055 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124056 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124057 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124058 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124059 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124060 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124061 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124062 -        Wobbly disoriented staggering dizzy..........   6          5  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
124063 -        Wasted - very fatigued.......................   8         20  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124064 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124067 -  ..
124068 - Fatigue researched seperately today, with Microsoft AI, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124069 - 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124071 -  ..
124072 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124073 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124074 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124075 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124076 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124077 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124079 -  ..
124080 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124081 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124082 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124084 -  ..
124085 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124087 -  ..
124088 - Callus Injuries - today on 250508 tried hiking without any bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124089 - Had PL 0 entire route - did not need more pain meds, indicating new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124090 - inserts very effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124092 -  ..
124093 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124094 - ply Wrightsock socks.  Hike was not long enough to require changing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124095 - socks today.  Works better to avoid feet pain, but takes time to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124096 - change socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124098 -  ..
124099 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124100 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124101 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124102 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124103 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124106 -  ..
124107 - Concord 14 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124108 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124109 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124110 - ref SDS 18 TTPV, and also left hip.  Took 3 Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124111 - management, because 2 have not been enough to get past mile 4 without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124112 - taking more to reach mile 8, and even though there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124113 - pain in feet starting the hike today, and left foot #1 and #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124114 - both PL 2, treated by Doctor Tang at VAMCSF on 250508 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124115 - ref SDS 90 VX5J, but before mile 8, have needed more Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124116 - relief anyway.  Took 2 Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124117 - absorbing lactic acid, and reducing inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124118 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124119 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124120 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124121 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124122 - iron to elevate Farritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124123 - low on 250428 0940. ref SDS 88 VP5H, and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124124 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124125 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 9Y6L  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124126 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124127 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124128 - ref SDS 18 136K  Since weight is dropping, should have had another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124129 - bowl of cheerios and milk, but out of this.  Minimal breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124130 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124131 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124132 - atrial fibrillation (arrhythmia - variable heart rate) see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124133 - on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff - good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124134 - to build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124135 - left, onto Treat.  Starting hike feet feeling swelled and like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124136 - and needles - actually minimal today, and - feeling electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124137 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124138 - taking statins, and diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124139 - calming down.  Bottom of both feet not hurting yet with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124140 - pain, including left foot #1 and #5, which were severely painful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124141 - during 8 days that led to pausing hiking for 10 days for these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124142 - injuries to heal beginning on 250428.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124143 - hike with no dyspnea, indicating condition has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124144 - minimal hiking last few months.  Temperature started at 76, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124145 - reached 85.  East wind 20 mph and mostly 12 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124146 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124147 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124148 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124149 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124150 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124151 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124152 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124153 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124154 - concrete sidewalk .5 miles.  Good energy like yesterday, after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124155 - 2 magnesium capsules this morning.  Therefore, did not stop at mile 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124156 - time ____ in Mountain Mike's Pizza restaurant to take interim 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124157 - magnesium and CoQ10.  Feet not hurting again, after taking 3 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124158 - before starting hike - did not take 2 more Tramadol, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124159 - ref SDS 0 RYUX  Actually, left foot #5 hurting PL 3, but ignored it.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124160 - Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124161 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124162 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124163 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124164 - West past Stop Light at Michigan Boulevard.  Turned left hiked 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124165 - miles East.  Halfway past Camino Salona turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124166 - Near Ygnacio Valley road turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124167 - uphill 3% grade.  Hiked 1 mile against wind 09 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124168 - North.  At Ygnacio Valley road turned around and hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124169 - Campus Drive 4% grade.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124170 - University East Bay Concord Campus.  Hiked loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124171 - Student parking lots.  Back at Visitor Parking stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124172 - Administration building mile 10 time 1320 temp 88 and wind 13 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124173 - not performed.  Took Tramadol 50 mg for pain.  Took 1 more Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124174 - complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124175 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124176 - softdrink carried from home and for hydration and swallowing nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124177 - - today, was able to injest small amount peanut butter, for iron to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124178 - recover from low Ferritin in lab on 250428 0940. ref SDS 88 VP5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124179 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124180 - energy, and avocado for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124181 - for HDL and energy to complete hike.  Did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124182 - pill, per above. ref SDS 0 RYUX  This is big improvement - did not gag                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124183 - and spit up peanut butter, margarine and Mayonnaise.  Left campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124184 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124185 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 11,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124186 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124187 - wind 18 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124188 - crossed to North side Ygnacio Valley Road.  Continued North on Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124189 - Turned left hiking West .25 mile and turned onto Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124190 - Ended hike mile 14 time 1435 temp 89, wind 13.  Bloated PL 1, fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124191 - PL 3, feet PL 2, burning sensation PL 1, left foot #1 PL 3, #5 PL 7,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124192 - neck/spine PL 3 momentarily turning head, mid-level back PL 0.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124193 - looks mostly uniform, with no artifact, Kardia reported HR 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124194 - Tachycardia - see below. ref SDS 0 STQS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124209 -  ..
124210 - Kardia recorded HR 050 at 0805 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124211 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124212 - after hiking 25 miles temp 85 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124213 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124214 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124215 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124216 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124219 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124220 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250521-ecg-080559_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124226 -  ..
124227 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124228 - hike 21 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124229 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124230 - ..
124231 -                                                                                                                                                                                                                                                                                                              x
124232 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124233 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124234 -       Date          250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 250227 25022  
124235 -       Miles            14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23     21  
124236 -       HR AVG          105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113    125  
124237 -         MAX           118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131    145  
124238 -         Min            76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55     86  
124239 -       El Climb Ft     481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532    532  
124240 -       Temp Max         90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71     71  
124241 -       Wind Max         20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9      9  
124242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124244 -              https://flow.polar.com/training/analysis/8117171197                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124247 -               ..
124249 -   
124250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124254 -  ..
124255 - End hike EKG at mile 14, time 1435 HR 104 temp 89 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124256 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124257 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124260 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124261 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250521-ecg-143529_mile_14_104_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124266 -  ..
124267 - Post hike HR profile beginning 2049, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124268 - hiking 14 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124269 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124270 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124271 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124272 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124275 -        ..
124276 -       Date      250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310  250309    
124277 -       Time       2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135    2207     
124278 -       Hours         9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10       5     
124279 -       HR AVG       61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66      74     
124280 -       HR MAX      125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     110     
124281 -       HR Min       39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44      49     
124282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124284 -              https://flow.polar.com/training/analysis/8117533817                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124287 -  ..
124288 - HRV continuous over night, less severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124291 -   
124292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124295 -  ..
124296 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124297 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124298 - Dinner - hamburger potato onion asparagus cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124300 -  ..
124301 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124335 -         ..
124336 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124337 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124338 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124339 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124340 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124341 -  142.  250522 0615............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124342 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124343 -               0625....BP HR..................................................... 149  82  56  Kardia ECG reports HR status, see below. ref SDS 0 SWSV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124344 -               0630....BP HR..................................................... 141  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124345 -               0635....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124346 -               0635....40 460940 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
124347 -               1120....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124348 -               1120... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124349 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124350 -               1120....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124351 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124352 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124353 -               1120... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
124354 -  ..
124355 -               1010....miles...........  30.0  90.0  575  1618 minutes  temp  80 wind 18  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124356 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124357 -               1128....mile 04 stopped EKG Tramadol 50 mg took 2 pills - 5 total so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124358 -               1128... Magnesium 300 mg 1 Pill Bioemblem Triple Complex - not needed today to maintan hiking pace on 250427                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124359 -               1128... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124360 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124361 -               1245....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124362 -               1245....Tramadol 50 mg took 2 pills - 4 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124363 -               1245... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
124364 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124365 -               1245... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124366 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124367 -               1624....mile 17 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124368 -               1624....Tramadol 50 mg took 2 pills - 8 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124369 -               1624... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
124370 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124371 -               1624... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124372 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124373 -               1827....mile 23 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124374 -               1827....Tramadol 50 mg took 2 pills - 10 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124375 -               1827... Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
124376 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124377 -               1827... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
124378 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124379 -               2139... Hike ends mile 30... ref SDS 0 AC9L   3 hrs 7 miles = 2.3 MPH - half speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124380 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124381 -               2035....weight.................................... 166  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124382 -               2040....BP HR.....................................................  92  71 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124383 -               2045....BP HR..................................................... 114  73  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124384 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124385 -               2100... 40 123620 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                                                                                                                                                                                                                                                                                  
124386 -               2130............ 10 21490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124387 -               2130............ 10 21840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124388 -               2210....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124389 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124390 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124391 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124392 -               2250... 1000 2463000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124393 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124394 -               2330... 40 460980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124395 -               2340... 40 98320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124398 -  ..
124399 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124400 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124402 -  ..
124403 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124404 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124405 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124406 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124407 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124409 -  ..
124410 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124411 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124413 -  ..
124414 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124415 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124418 -  ..
124419 - Today, hiked 30 miles - forced this to restore sinus and avoid HRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124420 - causing dysfunctional ANS, and despite severe fatigue beginning about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124421 - mile 04.  Starting hike only PL 2, but took 3 Tramadol hikes the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124422 - weeks PL > 5 by mile 4.  Weight 168, still falling because have lost                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124423 - taste for food.  Took magnesium to start, and at mile 4, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124424 - energy dropped abnormally due to low Ferritin in lab on 250428 0940.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124425 - ref SDS 88 VP5H  Noticed fatigue about mile 3.  Used Corn bandaging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124426 - with "donut hole" to protect calluses on left foot #1 and #5.  PL 5 at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124427 - mile 4, took 2 more Tramadol.  At 8 miles, PL 5 - took 3 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124428 - again.  All EKGs in sinus today until mile 17.  Wind strong entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124429 - hike.  Stomach bloated causing contiumual burping - seemed less so at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124430 - the end back home.  Feet, especially left foot #1 and #5 had more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124431 - pain.  Very fatigued at mile 23, had to rest for 10 minutes before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124432 - continuing after EKG.  Seemed to flip into AFL about mile 26, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124433 - reaction taking 11 Tramadol.  Did another EKG and submitted to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124434 - Pellegrini.  Was very slow last 4 miles - took 2 hours hike last mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124435 - indicating rising dysfunction ANS - fatigue, disorientation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124436 - seizure-like behavior - loss motor control legs.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124440 -         ..
124441 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124442 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124443 -        Stomach pain ischemic colitis bloating.......   4        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
124444 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
124445 -        Hands cramping hurting - post hike...........   2        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124446 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124447 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124448 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
124449 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124450 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124451 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124452 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124453 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
124454 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124455 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
124456 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124457 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
124458 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124459 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124460 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124461 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124462 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
124463 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124464 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124465 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124466 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124467 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
124468 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124469 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124470 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124471 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124472 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124473 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124474 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124475 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
124476 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124477 -        Electric shocks middle 3 toes right foot.....   2         10  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124478 -        Metatarsalgia left foot...PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
124479 -        Metatarsalgia right foot..PRP 210705.........   2         40  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
124480 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
124481 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
124482 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124483 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124484 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
124485 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
124486 -        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                                                                                                                                                                                                                                                                                                                           
124487 -        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                                                                                                                                                                                                                                                                                                                                                                                    
124488 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124489 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
124490 -        Callus big toe left foot...PRP 210705........   7         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
124491 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124492 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124493 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
124494 -        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                                                                                                                                                                                                                                                                                                                                           
124495 -        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                                                                                                                                                                                                                                                                                                                                           
124496 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124497 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
124498 -        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                                                                                                                                                                                                                                                                                                                                                                                        
124499 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
124500 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
124501 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124502 -        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                                                                                                                                                                                                                                                                                                                                                              
124503 -  new   Callus little toe #5 left foot...PRP 210705..   8         50  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
124504 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
124505 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124506 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124507 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
124508 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124509 -        Burning sensation both feet..................   0         10  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
124510 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
124511 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124512 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
124513 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124514 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124515 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124516 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124517 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124518 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124519 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124520 -        Wobbly disoriented staggering dizzy..........   6         20  and 2 hours after hike took 3 Tramadol mile 00, and 2 Tramadol mile 04, and 2 Tramadol mile 08, and 2 Tramadol mile 17, and 2 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                   
124521 -        Wasted - very fatigued.......................   9         30  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124522 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124525 -  ..
124526 - Fatigue researched seperately today, with Microsoft AI, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124527 - 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124529 -  ..
124530 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124531 - Hoka Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124532 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124533 - to simply wide.  However, seems like callus on left foot #1 is getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124534 - bigger.  Really need to heal calluses on edges of left foot, as has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124535 - occurred on right foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124537 -  ..
124538 - Orthotic inserts - switched to new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124539 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124540 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124542 -  ..
124543 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124545 -  ..
124546 - Callus Injuries - today on 250508 tried donut shaped bandaging.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124547 - PL 0 initial 3 miles - took 3 Tramadol 1st 3 miles; got steadily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124548 - worse with 3 times adding 2 Tramadol for total 9 capsules.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124550 -  ..
124551 - For left foot #5...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124553 -  ..
124554 - Callus injury PL 2 start and got worse entire 30 miles, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124555 - taking 9 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124557 -  ..
124558 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124559 - socks.  Mostly PL 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124561 -  ..
124562 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124563 - ref SDS 0 OK9M, and wearing Wrightsock dual-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124564 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124565 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124566 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124569 -  ..
124570 - Concord 30 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124571 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124572 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124573 - ref SDS 18 TTPV, and also left hip.  Took 3 Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124574 - management, because 2 have not been enough to get past mile 4 without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124575 - taking more to reach mile 8, and even though there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124576 - pain in feet starting the hike today, and left foot #1 and #5 calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124577 - both PL 2, treated by Doctor Tang at VAMCSF on 250508 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124578 - ref SDS 90 VX5J, but before mile 8, have needed more Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124579 - relief anyway.  Took 2 Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124580 - absorbing lactic acid, and reducing inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124581 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124582 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124583 - EGD Dilation on 240910, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124584 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124585 - iron to elevate Farritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124586 - low on 250428 0940. ref SDS 88 VP5H, and margarine, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124587 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124588 - starting hike took Ubiquinol CoQ10 per above. ref SDS 0 ZK3H  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124589 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124590 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124591 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124592 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124593 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124594 - (arrhythmia - variable heart rate) see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124595 - ref SDS 18 O33H  Took backpack to carry stuff - good to build                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124596 - conditioning for Half Dome.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124597 - onto Treat.  Starting hike feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124598 - needles - actually minimal today, and - feeling electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124599 - balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124600 - taking statins, and diabetes symptoms.  After about 1 mile feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124601 - calming down.  Bottom of both feet not hurting yet with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124602 - pain, including left foot #1 and #5, which were severely painful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124603 - during 8 days that led to pausing hiking for 10 days for these                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124604 - injuries to heal beginning on 250428.  Left foot #1 and #5 have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124605 - severely painful again the past few days.  May have to take time off                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124606 - again for injuries to heal.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124607 - dyspnea, indicating condition has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124608 - last few months.  Temperature started at 70, and reached 80.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124609 - wind 20 mph and mostly 12 mph.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124610 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124611 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124612 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124613 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124614 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124615 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124616 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124617 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124618 - sidewalk .5 miles.  Good energy like yesterday, after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124619 - magnesium capsules this morning.  Still hit low energy "wall" so had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124620 - to stop at mile 4 time 1128, temp 75, in Mountain Mike's Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124621 - restaurant to take interim 2 magnesium and CoQ10.  EKG looks like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124622 - sinus with artifact - see below. ref SDS 0 EP6N  Feet hurting again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124623 - after taking 3 Tramadol before starting hike - took 2 more Tramadol,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124624 - took 1 more magnesium.  Sips softdrink carried from home for hydration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124625 - and swallowing nutrition - peanut butter, margarine and Mayonnaise and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124626 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124627 - avocado for HDL - did not have difficulty swallowing this combination,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124628 - today. took 2 bites,  Took Chia Seeds seperately and swallowed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124629 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124630 - not take Nuun electrolyte pill, per above. ref SDS 0 STRT  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124631 - hike.  Turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124632 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124633 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124634 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124635 - West past Stop Light at Michigan Boulevard.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124636 - Hollow and hiked 2.50 miles East to end of road.  Stopped mile 8 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124637 - 1245 temp 77 and wind 19 mph; EKG looks uniform with no artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124638 - Kardia reported HR 107 Tachycardia - see below. ref SDS 0 YS4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124639 - Fatigue PL 3, bloating PL 1, after taking 3 Tramadol at mile 0, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124640 - at mile 4, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124641 - 7, Took 2 Tramadol 50 mg for pain.  Took 2 more Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124642 - mg pill for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124643 - per research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124644 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124645 - margarine and Mayonnaise and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124646 - Cola/orange juice) for energy, and avocado for HDL - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124647 - difficulty swallowing this combination, today. took 4 bites, Took Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124648 - Seeds seperately and swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124649 - HDL and energy to complete hike.  Did not take Nuun electrolyte pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124650 - per above. ref SDS 0 STRT  Turned around and hiked back on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124651 - 2.50 miles.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124652 - heading West uphill 3% grade.  Hiked 1 mile against wind 16 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124653 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124654 - uphill on Campus Drive 4% grade.  Very fatigued - slow pace.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124655 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124656 - Hiked around main buildings, then 3 loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124657 - parking lots.  Back at Visitor Parking stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124658 - building mile 17 time 1624 temp 77 and wind 19 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124659 - uniform with no artifact.  Kardia reported HR 102 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124660 - below. ref SDS 0 GMW7  Fatigue PL 7, bloating PL 1, after taking 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124661 - Tramadol at mile 0, and 2 at mile 4, 2 at mile 8, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124662 - metatarsalgia PL 2.  Left foot #1 PL 2 and #5 PL 7, Took 2 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124663 - mg for pain.  Took 2 more Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124664 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124665 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124666 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124667 - Mayonnaise and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124668 - energy, and avocado for HDL - did not have difficulty swallowing this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124669 - combination, today. took 4 bites,  Took Chia Seeds seperately and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124670 - swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124671 - complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124672 - ref SDS 0 STRT  Left the college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124673 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124674 - grade .5 miles.  At mile 18, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124675 - 3% grade .5 miles with wind 15 mph.  Crossed Cowell at stop light.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124676 - break in traffic, crossed to North side Ygnacio Valley Road to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124677 - severe camber.  Continued West .5 mile to summit - mile 19, end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124678 - concrete traffic barrier.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124679 - Ygnacio Valley Road to avoid severe camber, and to use wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124680 - Continued West 2 miles downhill 3% grade.  Crossed Oak Grove at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124681 - traffic light.  Today, hiked 1-mile loop using asphalt path around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124682 - block at Safeway shopping complex.  Planned a 2nd lap, but fatigue and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124683 - left foot injuries PL > 6 were limiting.  Stopped at Mod Pizza mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124684 - 23, time 1827, temp 74 and wind 12 mph; EKG mostly variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124685 - artifact, Kardia reported HR 108 Unclassified - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124686 - 7BW8  Bloated PL 1.  Feel slow, disoriented and wobbly - fatigue PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124687 - 10.  Feet PL 2, burning sensation PL 2, left foot #1 PL 4, #5 PL 8;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124688 - right foot #5 PL 0, back spine at neck PL 0 momentarily for few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124689 - seconds.  Took 2 Tramadol, even though likely to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124690 - disorientation.  Took another Magnesium capsule to recover from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124691 - fatigue, and to control pain by absorbing lactic acid in muscles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124692 - resolves inflammation which then enables HDL to rise in the liver,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124693 - increases energy for hiking.  Sips softdrink carried from home and for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124694 - hydration and swallowing nutrition - peanut butter, margarine and chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124695 - seeds (soaked in water/Coca Cola/orange juice) for energy, and avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124696 - for HDL - few bites.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124697 - to complete hike.  Did not take another Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124698 - above. ref SDS 0 STRT  Since fatigue PL 10, sat down at outside table                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124699 - and rested 15 minutes.  Called and talked to Amy.  She offered to call                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124700 - Uber and order a ride home.  Decided against this.  Concern is the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124701 - uphill at Lime Ridge where I fell on 250216, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124702 - 200101 0701. ref SDS 18 XU8J  Continued hiking 1-mile loop around the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124703 - block - turned right onto path parallel to Via Monte hiking North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124704 - miles, turned right onto Shadelands hiking .25 miles, and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124705 - onto Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124706 - Treat at street light.  Hiked 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124707 - sidewalk.  Noticed was hiking slow, but not veering left or right, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124708 - occurred prior hikes when taking Tramadol, e.g., on 231111 in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124709 - study on 230101 0654. ref SDS 28 RVVY see line 172870; also see letter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124710 - to Doctor Wiseman at VAMCSF on 230418 0949. ref SDS 29 RS5F  Was very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124711 - slow and staggering left and right.  Near Wilmore Avenue noticed Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124712 - wrist monitor showed HR 150, having jumped from HR 114.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124713 - and walked up the street a couple of houses, where there is a fence                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124714 - with a 2x4 flat surface.  Stopped about mile 26, time 1942 temp 68, to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124715 - do an interim EKG, reported HR 112; tracing clearly indicates atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124716 - flutter - steady HR 150 BPM for about 30 minutes; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124717 - Possible Atrial Fibrillation, indicating variable heart rate - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124718 - below. ref SDS 0 5GMA  Continued hike - At San Miguel still hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124719 - Treat .75 miles uphill 5% grade temp 68.  Handled this better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124720 - expected - breathed through nose.  Did not stop at any time due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124721 - weak legs; At summit, mile 27, hiked another mile to Cuneo then 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124722 - miles through residential streets and finally home.  These last 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124723 - miles were very, very slow - nearly fell 10 times.  Body became more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124724 - and more unstable.  Turning head left or right caused body to twist,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124725 - making it difficult to maintain balance.  HR flipped several times                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124726 - between 110 and 150, suggesting switching between sinus and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124727 - flutter.  Sent EKG to Doctor Pellegrini noting 1st AFL since cardiac                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124728 - ablation on 240611 0930. ref SDS 53 MC6F  Ended hike mile 30 time 2139                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124729 - temp 65, wind 11.  Bloated PL 1, fatigue PL 10, feet PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124730 - sensation PL 2, left foot #1 PL 4, #5 PL 9, neck/spine PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124731 - momentarily turning head, mid-level back PL 0.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124732 - variable, with artifact, Kardia reported HR 100 Unclassified - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124733 - below. ref SDS 0 AC9L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124749 -  ..
124750 - Kardia recorded HR 047 at 0612 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124751 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124752 - after hiking 14 miles temp 89 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124753 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124754 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124755 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124756 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124759 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124760 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250522-ecg-061201_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124766 -  ..
124767 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124768 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124769 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124771 -  ..
124772 - For some reason selected the wrong recording choice, which resulted                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124773 - in not recording the graphical hiking route....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124774 - ..
124775 -                                                                                                                                                                                                                                                                                                              x
124776 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124777 -                                                 x             z      yyt                  A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124778 -       Date          250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 250314 250313 250312 250311 250310 250309 250308 250307 250306 250305 250304 250303 250302 250301 250228 25022  
124779 -       Miles            30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0      0      0      0      0      0     20     34      0      0     20     21     24      0     15     23  
124780 -       HR AVG          111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no     no     no     no     no     no    112    125     no     no    115    115    122     no    115    113  
124781 -         MAX           165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   report report report report report report  132    152   report report  175    136    139   report  139    131  
124782 -         Min            60     76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53                                               78     72                   74     60     79            68     55  
124783 -       El Climb Ft     420    481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532                                              532    641                  532    641    532           611    532  
124784 -       Temp Max         80     90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60                                               68     66                   61     61     58            78     71  
124785 -       Wind Max         20     20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12                                               12     12                   08     12     24            13      9  
124786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124788 -              https://flow.polar.com/training/analysis/8117848080                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124791 -               ..
124793 -   
124794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124796 -  ..
124797 - EKG at mile 04 time 1128 HR 109 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124798 - Tachycardia... heart rate looks uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124799 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124802 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124803 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250522-ecg-112856_mile_04_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124806 -  ..
124807 - EKG at mile 08 time 1245 HR 107 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124808 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124809 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124812 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124813 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250522-ecg-124546_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124818 -  ..
124819 - EKG at mile 17 time 1624 HR 102 temp 77, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124820 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124821 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124824 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124825 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250522-ecg-162418_mile_17_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124830 -  ..
124831 - EKG at mile 23 time 1827 HR 108 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124832 - Unclassified... heart rate looks mostly variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124833 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124836 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124837 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250522-ecg-182725_mile_23_108_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124841 -  ..
124842 - Polar HR monitor reported AFL.  Stopped and did EKG, with copy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124843 - Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124845 -            [On 250525 1018 letter to Doctor Pellegrini submits EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124846 -            again, with Polar HR report showing AFL during hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124847 -            250522. ref SDS 94 QG6I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124849 -  ..
124850 - EKG at mile 26 time 1942 HR 112 temp 68, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124851 - Atrial Fibrillation... heart rate looks mostly variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124852 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124854 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124855 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250522-ecg-194256_mile_26_112_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124857 -             ..
124858 -            [On 250527 1349 letter from Doctor Pelligrini concurs AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
124859 -            occurred during hike on 250522. ref SDS 95 QP6Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124863 -  ..
124864 - End hike EKG at mile 30, time 2139 HR 100 temp 65 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
124865 - Unclassified... looks mostly variable with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124866 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124869 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
124870 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250522-ecg-213908_mile_30_100_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124875 -  ..
124876 - Post hike HR profile beginning 2312, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124877 - hiking 30 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124878 - elevated HR > 130, indicates no AFL, and no likely atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124879 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
124880 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124881 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124884 -        ..
124885 -       Date      250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311  250310    
124886 -       Time       2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945    2135     
124887 -       Hours         9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13      10     
124888 -       HR AVG       60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71      66     
124889 -       HR MAX      109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     106     
124890 -       HR Min       40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42      44     
124891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124894 -              https://flow.polar.com/training/analysis/8118132556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124896 -  ..
124897 - HRV minor 3 hours then modest rest of night,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124900 -   
124901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124906 -  ..
124907 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124908 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124909 - Dinner - steak macaroni cheese broccoli onion - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124911 -  ..
124912 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124944 -         ..
124945 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124946 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124947 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124948 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124949 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124950 -  143.  250523 0845............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124951 -               0845....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124952 -               0845....BP HR..................................................... 137  74  78  Kardia ECG reports HR status, see below. ref SDS 0 TTRV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124953 -               0850....BP HR..................................................... 140  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
124954 -               0855....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124955 -               0855....40 461020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
124956 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124957 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124958 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124959 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124960 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124961 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
124962 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
124963 -         0000....
124964 -               0000.... pause hiking to heal feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
124965 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124966 -               1700... 40 123660 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                                                                                                                                                                                                                                                                                  
124967 -             1 0000............ 10 21490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
124968 -             1 0000............ 10 21840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
124969 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124970 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124971 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124972 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
124973 -               2250... 1000 2464000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124974 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
124975 -               2330... 40 461060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124976 -               2340... 40 98360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
124977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124979 -  ..
124980 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124981 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
124983 -  ..
124984 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124985 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124986 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124987 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
124988 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124990 -  ..
124991 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
124992 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124994 -  ..
124995 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
124996 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
124997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
124999 -  ..
125000 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125002 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250523-ecg-000000_mile_00_000_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125006 -  ..
125007 - Post hike HR profile beginning 2041, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125008 - hiking 30 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125009 - elevated HR > 130, indicates no AFL, and no likely atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125010 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125011 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125012 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125015 -        ..
125016 -       Date      250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312  250311    
125017 -       Time       2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926    1945     
125018 -       Hours        11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12      13     
125019 -       HR AVG       58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64      71     
125020 -       HR MAX      120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     117     
125021 -       HR Min       39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44      42     
125022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125024 -              https://flow.polar.com/training/analysis/8118717934                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125027 -  ..
125028 - HRV continuous over night, more severe, initial 2 hours maybe sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125031 -   
125032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125035 -  ..
125036 - Breakfast - cheerios milk banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125037 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125038 - Dinner - steak macaroni cheese broccoli onion - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125040 -  ..
125041 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125073 -         ..
125074 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125075 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125076 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125077 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125078 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125079 -  144.  250524 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125080 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125081 -               0725....BP HR..................................................... 141  79  57  Kardia ECG reports HR status, see below. ref SDS 0 UPS4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125082 -               0730....BP HR..................................................... 138  73  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125083 -               0735....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125084 -               0735....40 461020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125085 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125086 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125087 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125088 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125089 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125090 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125091 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125092 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125093 -               1700... 40 123660 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                                                                                                                                                                                                                                                                                  
125094 -               1830............ 10 21490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125095 -               1830............ 10 21840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125096 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125097 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125098 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125099 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125100 -               2250... 1000 2464000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125101 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125102 -               2330... 40 461060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125103 -               2340... 40 98360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125106 -  ..
125107 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125108 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125110 -  ..
125111 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125112 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125113 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125114 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125115 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125117 -  ..
125118 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125119 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125121 -  ..
125122 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125123 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125128 -  ..
125129 - Kardia recorded HR 076 at 1153 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125130 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125131 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125132 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125133 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125134 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125135 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125138 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125139 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250524-ecg-115339_mile_00_076_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125144 -  ..
125145 - Post hike HR profile beginning 0009, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125146 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125147 - elevated HR > 130, indicates no AFL, and no likely atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125148 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125149 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125150 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125153 -        ..
125154 -       Date      250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313  250312    
125155 -       Time       0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205    1926     
125156 -       Hours         7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10      12     
125157 -       HR AVG       65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66      64     
125158 -       HR MAX      104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     111     
125159 -       HR Min       43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45      44     
125160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125163 -              https://flow.polar.com/training/analysis/8119358360                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125165 -  ..
125166 - HRV continuous over night, more severe, initial 2 hours maybe sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125169 -   
125170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125173 -  ..
125174 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125175 - Lunch - sandwich balogny cheese onion avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125176 - Dinner - steak macaroni cheese broccoli onion pie milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125178 -  ..
125179 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125211 -         ..
125212 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125213 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125214 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125215 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125216 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125217 -  145.  250525 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125218 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125219 -               0715....BP HR..................................................... 141  79  57  Kardia ECG reports HR status, see below. ref SDS 0 MQUP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125220 -               0720....BP HR..................................................... 138  73  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125221 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125222 -               0725....40 461020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125223 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125224 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125225 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125226 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125227 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125228 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125229 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125230 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125231 -               1700... 40 123660 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                                                                                                                                                                                                                                                                                  
125232 -             1 0000............ 10 21490  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125233 -             1 0000............ 10 21840  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125234 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125235 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125236 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125237 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125238 -               2250... 1000 2464000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125239 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125240 -               2330... 40 461060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125241 -               2340... 40 98360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125243 -  ..
125244 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125245 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125247 -  ..
125248 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125249 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125250 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125251 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125252 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125254 -  ..
125255 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125256 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125258 -  ..
125259 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125260 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125264 -  ..
125265 - Kardia recorded HR 050 at 0822 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125266 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
125267 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125268 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125269 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125270 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125271 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125274 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125275 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250525-ecg-083244_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125279 -  ..
125280 - Post hike HR profile beginning 1926, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125281 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125282 - elevated HR > 130, indicates no AFL, and no likely atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125283 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125284 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125285 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125288 -        ..
125289 -       Date      250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314  250313    
125290 -       Time       1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051    2205     
125291 -       Hours        12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8      10     
125292 -       HR AVG       75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62      66     
125293 -       HR MAX      118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     116     
125294 -       HR Min       46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40      45     
125295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125298 -              https://flow.polar.com/training/analysis/8119926342                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125300 -  ..
125301 - HRV seems 0 overnight - increased 2 hours then 0 last hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125304 -   
125305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125308 -  ..
125309 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125310 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125311 - Dinner - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125313 -  ..
125314 - Vomiting: 0% - bloating PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125348 -         ..
125349 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125350 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125351 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125352 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125353 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125354 -  146.  250526 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125355 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125356 -               0715....BP HR..................................................... 155  85  90  Kardia ECG reports HR status, see below. ref SDS 0 BRV3                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125357 -               0720....BP HR..................................................... 141  84  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125358 -               0725....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125359 -               0725....40 461100 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125360 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125361 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125362 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125363 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125364 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125365 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125366 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125367 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125368 -               1700... 40 123700 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                                                                                                                                                                                                                                                                                  
125369 -               1830............ 10 21500  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125370 -               1830............ 10 21850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125371 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125372 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125373 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125374 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125375 -               2250... 1000 2465000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125376 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125377 -               2330... 40 461140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125378 -               2340... 40 98400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125381 -  ..
125382 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125383 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125385 -  ..
125386 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125387 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125388 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125389 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125390 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125392 -  ..
125393 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125394 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125396 -  ..
125397 - Reflux slept in chair after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125398 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125403 -  ..
125404 - Kardia recorded HR 083 at 0926 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125405 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125406 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125407 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125408 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125409 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125410 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125413 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125414 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250526-ecg-092615_mile_00_083_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125418 -  ..
125419 - Post hike HR profile beginning 2027, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125420 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125421 - elevated HR > 130, indicates no AFL, and no likely atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125422 - fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125423 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125424 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125427 -        ..
125428 -       Date      250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315  250314    
125429 -       Time       2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948    0051     
125430 -       Hours        11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14       8     
125431 -       HR AVG       69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67      62     
125432 -       HR MAX      117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     117     
125433 -       HR Min       47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34      40     
125434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125436 -              https://flow.polar.com/training/analysis/8120684110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125438 -  ..
125439 - HRV seems 0 3 hours moderate overnight, increased last 1 hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125442 -   
125443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125446 -  ..
125447 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125448 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125449 - Dinner - steak macaroni cheese broccoli onion - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125451 -  ..
125452 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125487 -         ..
125488 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125489 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125490 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125491 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125492 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
125493 -  147.  250527 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125494 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125495 -               0725....BP HR..................................................... 151  78  49  Kardia ECG reports HR status, see below. ref SDS 0 USYE                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125496 -               0730....BP HR..................................................... 144  78  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125497 -               0735....weight.................................... 168                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125498 -               0735....40 461180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125499 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125500 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125501 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125502 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125503 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125504 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125505 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125506 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125507 -               1700... 40 123740 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                                                                                                                                                                                                                                                                                  
125508 -             1 0000............ 10 21500  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125509 -             1 0000............ 10 21850  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125510 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125511 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125512 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125513 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125514 -               2250... 1000 2466000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125515 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125516 -               2330... 40 461220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125517 -               2340... 40 98440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125520 -  ..
125521 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125522 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125524 -  ..
125525 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125526 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125527 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125528 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125529 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125531 -  ..
125532 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125533 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125535 -  ..
125536 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125537 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125543 -  ..
125544 - Kardia recorded HR 063 at 1053 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125545 - heart beat lengths with p-waves and moderate artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125546 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125547 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125548 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125549 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125550 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125553 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125554 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250527-ecg-105350_mile_00_063_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125557 -  ..
125558 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125560 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250527-ecg-112635_mile_00_060_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125564 -  ..
125565 - Post hike HR profile beginning 2251, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125566 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125567 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125568 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125569 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125570 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125573 -        ..
125574 -       Date      250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316  250315    
125575 -       Time       2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021    1948     
125576 -       Hours         9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13      14     
125577 -       HR AVG       67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64      67     
125578 -       HR MAX      110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     138     
125579 -       HR Min       44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38      34     
125580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125583 -              https://flow.polar.com/training/analysis/8121268491                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125586 -  ..
125587 - HRV seems 1 4 hours minimal overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125590 -   
125591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125594 -  ..
125595 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125596 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125597 - Dinner - eggs hamburger potato broccoli onion cheese - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125599 -  ..
125600 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125633 -         ..
125634 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125635 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125636 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125637 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125638 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125639 -  148.  250528 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125640 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125641 -               0715....BP HR..................................................... 136  82  53  Kardia ECG reports HR status, see below. ref SDS 0 FU3R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125642 -               0720....BP HR..................................................... 140  79  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125643 -               0725....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125644 -               0725....40 461180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125645 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125646 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125647 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125648 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125649 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125650 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125651 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125652 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125653 -               1700... 40 123740 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                                                                                                                                                                                                                                                                                  
125654 -               1830............ 10 21510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125655 -               1830............ 10 21860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125656 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125657 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125658 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125659 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125660 -               2250... 1000 2466000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125661 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125662 -               2330... 40 461220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125663 -               2340... 40 98440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125665 -  ..
125666 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125667 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125669 -  ..
125670 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125671 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125672 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125673 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125674 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125676 -  ..
125677 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125678 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125680 -  ..
125681 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125682 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125687 -  ..
125688 - Kardia recorded HR 063 at 1037 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125689 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125690 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125691 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125692 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125693 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125694 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125697 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125698 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250528-ecg-103710_mile_00_063_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125701 -  ..
125702 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125704 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250528-ecg-131027_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125709 -  ..
125710 - Post hike HR profile beginning 2101, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125711 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125712 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125713 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125714 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125715 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125718 -        ..
125719 -       Date      250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317  250316    
125720 -       Time       2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933    2021     
125721 -       Hours        10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12      13     
125722 -       HR AVG       69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74      64     
125723 -       HR MAX      131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     121     
125724 -       HR Min       43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46      38     
125725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125728 -              https://flow.polar.com/training/analysis/8121928827                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125731 -  ..
125732 - HRV seems moderate, 0, moderate, 0 then minimal overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125735 -   
125736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125740 -  ..
125741 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125742 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125743 - Dinner - eggs hamburger potato broccoli onion cheese - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125745 -  ..
125746 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125779 -         ..
125780 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125781 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125782 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125783 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125784 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125785 -  149.  250529 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125786 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125787 -               0715....BP HR..................................................... 136  80  58  Kardia ECG reports HR status, see below. ref SDS 0 UVX8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125788 -               0720....BP HR..................................................... 132  74  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125789 -               0725....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125790 -               0725....40 461260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125791 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125792 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125793 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125794 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125795 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125796 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125797 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125798 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125799 -               1700... 40 123780 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                                                                                                                                                                                                                                                                                  
125800 -             1 0000............ 10 21510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125801 -             1 0000............ 10 21860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125802 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125803 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125804 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125805 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125806 -               2250... 1000 2467000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125807 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125808 -               2330... 40 461300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125809 -               2340... 40 98480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125811 -  ..
125812 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125813 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125815 -  ..
125816 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125817 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125818 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125819 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125820 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125822 -  ..
125823 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125824 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125826 -  ..
125827 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125828 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125833 -  ..
125834 - Kardia recorded HR 049 at 0858 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125835 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125836 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125837 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125838 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125839 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125840 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125843 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125844 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250529-ecg-085845_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125848 -  ..
125849 - Post hike HR profile beginning 1957, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125850 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125851 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125852 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125853 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125854 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125857 -        ..
125858 -       Date      250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318  250317    
125859 -       Time       1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027    1933     
125860 -       Hours        10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11      12     
125861 -       HR AVG       74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66      74     
125862 -       HR MAX      125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     124     
125863 -       HR Min       45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39      46     
125864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125867 -              https://flow.polar.com/training/analysis/8122583473                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125870 -  ..
125871 - HRV seems 0 5 hours minimal 3 hours then 0 2 overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125874 -   
125875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125879 -  ..
125880 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125881 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125882 - Dinner - eggs hamburger potato broccoli onion cheese - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125884 -  ..
125885 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125919 -         ..
125920 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125921 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125922 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125923 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125924 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125925 -  150.  250530 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125926 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125927 -               0715....BP HR..................................................... 151  82  60  Kardia ECG reports HR status, see below. ref SDS 0 U1OE                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125928 -               0720....BP HR..................................................... 143  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
125929 -               0725....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125930 -               0725....40 461260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
125931 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125932 -               0000... Magnesium 300 mg 2 pills  Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125933 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125934 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125935 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125936 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
125937 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125938 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125939 -               1700... 40 123780 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                                                                                                                                                                                                                                                                                  
125940 -               1830............ 10 21510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
125941 -               1830............ 10 21860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
125942 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125943 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125944 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125945 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125946 -               2250... 1000 2467000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125947 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
125948 -               2330... 40 461300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125949 -               2340... 40 98480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125951 -  ..
125952 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125953 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125955 -  ..
125956 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125957 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125958 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125959 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125960 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125962 -  ..
125963 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125964 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125966 -  ..
125967 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125968 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
125969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125974 -  ..
125975 - Kardia recorded HR 070 at 1338 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125976 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125977 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
125978 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125979 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
125980 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
125981 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
125982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125984 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
125985 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250530-ecg-133826_mile_00_070_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125988 -  ..
125989 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
125990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125992 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250530-ecg-170705_mile_00_083_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
125993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
125996 -  ..
125997 - Post hike HR profile beginning 2109, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
125998 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
125999 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126000 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126001 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126002 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126005 -        ..
126006 -       Date      250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319  250318    
126007 -       Time       2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946    2027     
126008 -       Hours         8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11      11     
126009 -       HR AVG       81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66      66     
126010 -       HR MAX      132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     126     
126011 -       HR Min       32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42      39     
126012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126014 -              https://flow.polar.com/training/analysis/8123085748                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126016 -  ..
126017 - HRV seems 0 entire overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126020 -   
126021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126026 -  ..
126027 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126028 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126029 - Dinner - eggs hamburger potato broccoli onion cheese - ate few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126031 -  ..
126032 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126067 -         ..
126068 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126069 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126070 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126071 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126072 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126073 -  151.  250531 0510............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126074 -               0510....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126075 -               0515....BP HR..................................................... 126  73  57  Kardia ECG reports HR status, see below. ref SDS 0 U7SA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126076 -               0520....BP HR..................................................... 131  77  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126077 -               0525....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126078 -               0525....40 461340 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126079 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126080 -               1410... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126081 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126082 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126083 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126084 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126085 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126086 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126087 -               1700... 40 123820 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                                                                                                                                                                                                                                                                                  
126088 -             1 0000............ 10 21510  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126089 -             1 0000............ 10 21860  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126090 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126091 -               0000... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126092 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126093 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126094 -               2250... 1000 2468000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126095 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126096 -               2330... 40 461380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126097 -               2340... 40 98520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126100 -  ..
126101 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126102 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126104 -  ..
126105 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126106 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126107 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126108 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126109 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126111 -  ..
126112 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126113 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126115 -  ..
126116 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126117 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126122 -  ..
126123 - Kardia recorded HR 055 at 0839 Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126124 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126125 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126126 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126127 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126128 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126129 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126132 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126133 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250531-ecg-083959_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126136 -  ..
126137 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126140 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250531-ecg-095724_mile_00_056_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126145 -  ..
126146 - Post hike HR profile beginning 2126, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126147 - hiking 02 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126148 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126149 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126150 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126151 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126154 -        ..
126155 -       Date      250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320  250319    
126156 -       Time       2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940    1946     
126157 -       Hours         9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11      11     
126158 -       HR AVG       60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72      66     
126159 -       HR MAX      103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     115     
126160 -       HR Min       41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47      42     
126161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126163 -              https://flow.polar.com/training/analysis/8123771203                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126165 -  ..
126166 - HRV seems moderate most of overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126169 -   
126170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126175 -  ..
126176 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126177 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126178 - Dinner - hamburger potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126180 -  ..
126181 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126217 -         ..
126218 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126219 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126220 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126221 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126222 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126223 -  152.  250601 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126224 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126225 -               0715....BP HR..................................................... 133  75  48  Kardia ECG reports HR status, see below. ref SDS 0 EKV1                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126226 -               0720....BP HR..................................................... 129  76  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126227 -               0725....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126228 -               0725....40 461420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126229 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126230 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126231 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126232 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126233 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126234 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126235 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126236 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126237 -               1700... 40 123860 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                                                                                                                                                                                                                                                                                  
126238 -               1830............ 10 21520  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126239 -               1830............ 10 21870  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126240 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126241 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126242 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126243 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126244 -               2250... 1000 2469000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126245 -               0000... 10   60 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126246 -               2330... 40 461460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126247 -               2340... 40 98560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126249 -  ..
126250 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126251 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126253 -  ..
126254 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126255 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126256 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126257 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126258 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126260 -  ..
126261 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126262 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126264 -  ..
126265 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126266 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126272 -  ..
126273 - Kardia recorded HR 070 at 0858 Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126274 - heart beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126275 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126276 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126277 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126278 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126279 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126282 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126283 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250601-ecg-085847_mile_00_070_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126289 -  ..
126290 - Post hike HR profile beginning 2114, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126291 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126292 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126293 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126294 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126295 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126298 -        ..
126299 -       Date      250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321  250320    
126300 -       Time       2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300    1940     
126301 -       Hours        10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8      11     
126302 -       HR AVG       69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64      72     
126303 -       HR MAX      133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     123     
126304 -       HR Min       45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45      47     
126305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126307 -              https://flow.polar.com/training/analysis/8124473021                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126309 -  ..
126310 - HRV seems 0 half the night and minimal 2nd half overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126313 -   
126314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126320 -  ..
126321 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126322 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126323 - Dinner - hamburger potato asparagus onion cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126325 -  ..
126326 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126364 -         ..
126365 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126366 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126367 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126368 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126369 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126370 -  153.  250602 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126371 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126372 -               0715....BP HR..................................................... 141  77  48  Kardia ECG reports HR status, see below. ref SDS 0 SR2M                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126373 -               0720....BP HR..................................................... 137  82  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126374 -               0725....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126375 -               0725....40 461500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126376 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126377 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126378 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126379 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126380 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126381 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126382 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126383 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126384 -               1700... 40 123900 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                                                                                                                                                                                                                                                                                  
126385 -             1 0000............ 10 21520  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126386 -             1 0000............ 10 21870  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126387 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126388 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126389 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126390 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126391 -               2250... 1000 2470000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126392 -               2300... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126393 -               2330... 40 461540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126394 -               2340... 40 98600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126397 -  ..
126398 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126399 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126401 -  ..
126402 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126403 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126404 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126405 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126406 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126408 -  ..
126409 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126410 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126412 -  ..
126413 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126414 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126419 -  ..
126420 - Kardia recorded HR 051 at 0936 Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126421 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126422 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126423 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126424 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126425 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126426 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126429 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126430 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250602-ecg-093600_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126435 -  ..
126436 - Post hike HR profile beginning 2230, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126437 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126438 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126439 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126440 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126441 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126444 -        ..
126445 -       Date      250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322  250321    
126446 -       Time       2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035    2300     
126447 -       Hours         9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15       8     
126448 -       HR AVG       62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59      64     
126449 -       HR MAX      105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     120     
126450 -       HR Min       41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40      45     
126451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126453 -              https://flow.polar.com/training/analysis/8126545206                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126456 -  ..
126457 - HRV seems 0 2/3rds overnight and minimal 1/3rd overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126460 -   
126461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126465 -  ..
126466 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126467 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126468 - Dinner - hamburger potato asparagus onion cauliflower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126470 -  ..
126471 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126511 -         ..
126512 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126513 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126514 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126515 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126516 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126517 -  154.  250603 0810............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126518 -               0810....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126519 -               0815....BP HR..................................................... 143  86  72  Kardia ECG reports HR status, see below. ref SDS 0 V6SF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126520 -               0820....BP HR..................................................... 135  80  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126521 -               0825....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126522 -               0825....40 461580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126523 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126524 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126525 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126526 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126527 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126528 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126529 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126530 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126531 -               1700... 40 123940 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                                                                                                                                                                                                                                                                                  
126532 -               1830............ 10 21530  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126533 -               1830............ 10 21880  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126534 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126535 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126536 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126537 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126538 -               2250... 1000 2471000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126539 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126540 -               2330... 40 461620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126541 -               2340... 40 98640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126543 -  ..
126544 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126545 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126547 -  ..
126548 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126549 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126550 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126551 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126552 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126554 -  ..
126555 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126556 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126558 -  ..
126559 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126560 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126565 -  ..
126566 - Kardia recorded HR 067 at 0853, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126567 - mostly variable heart beat lengths with p-waves and severe artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126568 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126569 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126570 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126571 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126572 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126575 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126576 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250603-ecg-085336_mile_00_067_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126581 -  ..
126582 - Post hike HR profile beginning 1939, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126583 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126584 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126585 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126586 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126587 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126590 -        ..
126591 -       Date      250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323  250322    
126592 -       Time       1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004    2035     
126593 -       Hours        12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10      15     
126594 -       HR AVG       72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65      59     
126595 -       HR MAX      131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     111     
126596 -       HR Min       45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41      40     
126597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126599 -              https://flow.polar.com/training/analysis/8126545260                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126602 -  ..
126603 - HRV seems 0 - minimal 80% and moderate 20%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126606 -   
126607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126611 -  ..
126612 - Breakfast - cheerios milk banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126613 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126614 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126616 -  ..
126617 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126654 -         ..
126655 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126656 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126657 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126658 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126659 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126660 -  155.  250604 0740............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126661 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126662 -               0745....BP HR..................................................... 144  81  61  Kardia ECG reports HR status, see below. ref SDS 0 VTX0                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126663 -               0750....BP HR..................................................... 138  83  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126664 -               0755....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126665 -               0755....40 461580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126666 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126667 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126668 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126669 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126670 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126671 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126672 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126673 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126674 -               1700... 40 123940 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                                                                                                                                                                                                                                                                                  
126675 -             1 0000............ 10 21530  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126676 -             1 0000............ 10 21880  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126677 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126678 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126679 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126680 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126681 -               2250... 1000 2471000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126682 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126683 -               2330... 40 461620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126684 -               2340... 40 98640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126687 -  ..
126688 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126689 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126691 -  ..
126692 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126693 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126694 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126695 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126696 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126698 -  ..
126699 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126700 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126702 -  ..
126703 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126704 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126710 -  ..
126711 - Kardia recorded HR 060 at 0744, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126712 - uniform heart beat lengths with p-waves and minor artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126713 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126714 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126715 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126716 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126717 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126720 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126721 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250604-ecg-074418_mile_00_060_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126726 -  ..
126727 - Post hike HR profile beginning 1959, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126728 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126729 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126730 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126731 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126732 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126735 -        ..
126736 -       Date      250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324  250323    
126737 -       Time       1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119    2004     
126738 -       Hours        10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5      10     
126739 -       HR AVG       68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74      65     
126740 -       HR MAX      116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     122     
126741 -       HR Min       41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59      41     
126742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126745 -              https://flow.polar.com/training/analysis/8126545300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126748 -  ..
126749 - HRV seems 100% 0 - minimal overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126752 -   
126753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126757 -  ..
126758 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126759 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126760 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126762 -  ..
126763 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126801 -         ..
126802 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126803 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126804 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126805 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126806 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126807 -  156.  250605 0515............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126808 -               0520....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126809 -               0525....BP HR..................................................... 141  86  68  Kardia ECG reports HR status, see below. ref SDS 0 RVJK                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126810 -               0530....BP HR..................................................... 134  78  67                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126811 -               0535....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126812 -               0535....40 461660 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126813 -               0000....Tramadol 50 mg took 3 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126814 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126815 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126816 -               0000....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126817 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126818 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126819 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126820 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126821 -               1700... 40 123980 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                                                                                                                                                                                                                                                                                  
126822 -               1830............ 10 21540  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126823 -               1830............ 10 21890  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126824 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126825 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126826 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126827 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126828 -               2250... 1000 2472000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126829 -               2255... 10   80 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126830 -               2330... 40 461700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126831 -               2340... 40 98680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126834 -  ..
126835 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126836 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126838 -  ..
126839 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126840 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126841 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126842 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126843 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126845 -  ..
126846 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126847 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126849 -  ..
126850 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126851 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126857 -  ..
126858 - Kardia recorded HR 051 at 0757, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126859 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126860 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126861 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126862 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126863 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
126864 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126867 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126868 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250605-ecg-075712_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126873 -  ..
126874 - Post hike HR profile beginning 2110, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126875 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126876 - elevated HR > 130, indicates no AFL, and no likely atril fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
126877 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126878 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126879 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126882 -        ..
126883 -       Date      250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325  250324    
126884 -       Time       2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803    2119     
126885 -       Hours         9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8       5     
126886 -       HR AVG       77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64      74     
126887 -       HR MAX      123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     117     
126888 -       HR Min       53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45      59     
126889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126892 -              https://flow.polar.com/training/analysis/8126904815                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126895 -  ..
126896 - HRV seems 100% 0 - minimal overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126899 -   
126900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126904 -  ..
126905 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126906 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126907 - Dinner - steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126909 -  ..
126910 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
126911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
126948 -         ..
126949 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126950 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126951 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126952 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126953 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126954 -  157.  250606 0555............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126955 -               0600....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126956 -               0605....BP HR..................................................... 139  84  55  Kardia ECG reports HR status, see below. ref SDS 0 VLAW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126957 -               0610....BP HR..................................................... 140  81  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126958 -               0615....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126959 -               0615....40 461740 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
126960 -               1320....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126961 -               1320... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126962 -               1320....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126963 -               1320....Peanut butter with margarine and Mayonnaise for energy (magnesium and protein)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126964 -    forgot.... 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126965 -               1320....Chia Seeds 2 oz - electrolytes including magnesium oxide for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
126966 -               1320... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked withou CoQ10 - much more difficult
126967 -  ..
126968 -           *   1340....miles...........  13.0  13.0  231   231 minutes  temp  83 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126969 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126970 -               1523....mile 06 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126971 -               0000....Tramadol 50 mg took 2 pill - 2 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
126972 -               1523... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
126973 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126974 -               1523... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126975 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126976 -               1637....mile 10 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
126977 -               1637....Naproxen 250 mg took 1 pill - 3 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126978 -               1637... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
126979 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126980 -               1637... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
126981 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126982 -               1755... Hike ends mile 13..... ref SDS 0 VYTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126983 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
126984 -               1820....weight.................................... 167  lost  5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
126985 -               1830....BP HR..................................................... 117  82 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126986 -               1835....BP HR..................................................... 114  76  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
126987 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
126988 -               1840... 40 124020 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                                                                                                                                                                                                                                                                                  
126989 -             1 0000............ 10 21540  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
126990 -             1 0000............ 10 21890  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
126991 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126992 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126993 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126994 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
126995 -               2250... 1000 2473000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
126996 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
126997 -               2330... 40 461780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
126998 -               2340... 40 98680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
126999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127000 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127001 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127002 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127003 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127004 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127005 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127006 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127007 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127010 -  ..
127011 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127012 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127014 -  ..
127015 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127016 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127017 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127018 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127019 - regularly has resumed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127021 -  ..
127022 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127023 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127025 -  ..
127026 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127027 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127030 -  ..
127031 - Today, hiked 13 miles, temp in 80s - tested recovery injuries left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127032 - foot after 2 weeks not hiking.  Dropped 5 pounds.  Did not bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127033 - prior injured feet calluses - part of test, which needed minimal pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127034 - medication today - total 6 Naproxen, compared to 11 Tramadol for last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127035 - hike 2 weeks ago.  Hope this continues.  Wore newest Bondi 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127036 - extra-wide shoes to reduce pressure on injuries.  Prior hiking seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127037 - to have reduced dysfunctional ANS symptoms - taste for food and voice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127038 - have both improved, while bloating and fatigue declined all after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127039 - significant decline of HRV.  However HRV seems on the rise now due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127040 - not hiking, so critical to avoid injury recurrance, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127041 - maintain hiking.  On hike today, got past mile 4, without having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127042 - stop due to severe fatigue and take more magnesium and CoQ10.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127043 - short hike (13 miles) today, to prevent recurrance of feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127044 - Starting PL 0 - took 2 Naproxen because out of Tramadol.  Weight 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127045 - dropped 5 pounds to 167 after hike.  Took 1 magnesium to start, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127046 - none at mile 4, because energy was okay, which may signal Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127047 - labs have recovered after reported below range in blood test on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127048 - 0940. ref SDS 88 VP5H  Noticed fatigue about mile 6, so stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127049 - instead of going to mile 8.  Mile 6 EKG reported HR 134 Unclassified,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127050 - but looks like sinus, i.e., uniform heart beat waves, with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127051 - ref SDS 0 V2XL  Took another magnesium and more CoQ10, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127052 - need more pain meds - hopeful signal.  Hiked back and uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127053 - college.  Did several loops around main buildings.  Stopped at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127054 - 10.  EKG looked mostly uniform with considerable artifact, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127055 - reported HR 140, Possible Atrial Fibrillation. ref SDS 0 VXYU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127056 - Elevated HR during hike today is consistent with first hikes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127057 - long breaks - 2 weeks.  Pain level (PL) left foot now rising, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127058 - 1 Naproxen.  Wind strong entire hike.  Stomach not bloated.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127059 - ended with PL 3, and EKG looks mostly uniform with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127060 - reported HR 140 Unclassified. ref SDS 0 VYTS  Elevated HR after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127061 - hiking for 2 weeks will likely drop after few more hikes, based on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127062 - patient history.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127066 -         ..
127067 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127068 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127069 -        Stomach pain ischemic colitis bloating.......   0        100  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
127070 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
127071 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127072 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127073 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127074 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
127075 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127076 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127077 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127078 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127079 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
127080 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127081 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
127082 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127083 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
127084 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127085 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127086 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127087 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127088 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 04 and 2 Tramadol mile 12                                                                                                                                                                                                                                                                                                                                                                                               
127089 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127090 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127091 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127092 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127093 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
127094 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127095 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127096 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127097 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127098 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127099 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127100 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127101 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
127102 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127103 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127104 -        Metatarsalgia left foot...PRP 210705.........   2        100  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
127105 -        Metatarsalgia right foot..PRP 210705.........   2        100  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
127106 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
127107 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
127108 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127109 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127110 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
127111 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
127112 -        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                                                                                                                                                                                                                                                                                                                           
127113 -        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                                                                                                                                                                                                                                                                                                                                                                                    
127114 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127115 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
127116 -        Callus big toe left foot...PRP 210705........   2        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
127117 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127118 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127119 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
127120 -        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                                                                                                                                                                                                                                                                                                                                           
127121 -        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                                                                                                                                                                                                                                                                                                                                           
127122 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127123 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
127124 -        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                                                                                                                                                                                                                                                                                                                                                                                        
127125 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
127126 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
127127 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127128 -        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                                                                                                                                                                                                                                                                                                                                                              
127129 -  new   Callus little toe #5 left foot...PRP 210705..   3        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
127130 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
127131 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127132 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127133 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
127134 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127135 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
127136 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
127137 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127138 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
127139 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127140 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127141 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127142 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127143 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127144 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127145 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127146 -        Wobbly disoriented staggering dizzy..........   0        100  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
127147 -        Wasted - very fatigued.......................   0        100  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127148 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127151 -  ..
127152 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127153 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127155 -  ..
127156 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127157 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127158 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127159 - to simply wide.  Calluses on left foot #1 and #5 were PL 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127160 - hike.  Much better PL result than in recent weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127162 -  ..
127163 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127164 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127165 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127167 -  ..
127168 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127170 -  ..
127171 - Callus Injuries - today on 250531 tried no bandaging.  Had PL 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127172 - 2 miles - took 0 Tramadol for minimal hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127174 -  ..
127175 - For left foot #5...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127177 -  ..
127178 - Callus injury PL 0 start and did not get worse entire 2 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127179 - despite taking 0 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127181 -  ..
127182 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127183 - socks.  Mostly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127185 -  ..
127186 - Ammonium Lactate 12% lotion applied to bottom of feet, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127187 - ref SDS 0 OK9M, and wearing Smartwhool single-ply socks and apply help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127188 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127189 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127190 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127193 -  ..
127194 - Concord 13 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127195 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127196 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127197 - ref SDS 18 TTPV, and also left hip.  Took 2 Naproxen (out of Tramadol)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127198 - for pain management, because 2 Tramadol was not enough to get past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127199 - mile 4 - had to take more to reach mile 8, during last hike on 250522,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127200 - per above, ref SDS 0 StXU, and feet have healed past 2 weeks while not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127201 - hiking, and even though there is no metatarsalgia pain in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127202 - starting the hike today, and left foot #1 and #5 calluses both PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127203 - treated by Doctor Tang at VAMCSF on 250508 0930, ref SDS 90 VX5J, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127204 - before mile 8, have needed more Tramadol for pain relief anyway.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127205 - 1 Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127206 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127207 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127208 - ref SDS 18 QP6L - swallowed pill whole after EGD Dilation on 240910,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127209 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127210 - Had small amount peanut butter that contains iron to elevate Farritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127211 - and Transferrin Saturation, which both tested low on 250428 0940.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127212 - ref SDS 88 VP5H, and margarine, and chia seeds for electrolytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127213 - energy, and had some avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127214 - Ubiquinol CoQ10 per above. ref SDS 0 VTZ4  CoQ10 is an enzyme produced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127215 - in the body that supports an electron transport chain (ETC) giving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127216 - human cells energy - see case study on 200101 0701. ref SDS 18 136K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127217 - Minimal breakfast reduces bloating feeling starting hike from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127218 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127219 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127220 - rate) see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127221 - carry stuff - good to build conditioning for Half Dome.  Hiked Cuneo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127222 - .25 mile and turned left, onto Treat.  Starting hike feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127223 - swelled and like pins and needles - actually minimal today, and -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127224 - feeling electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127225 - peripheral neuropathy caused by taking statins, and diabetes symptoms.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127226 - After about 1 mile feet calming down.  Bottom of both feet not hurting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127227 - yet with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127228 - severely painful during 8 days that led to pausing hiking for 14 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127229 - for these injuries to heal beginning on 250523, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127230 - OP4H  Left foot #1 and #5 have not been painful past few days, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127231 - not hiking past 2 weeks.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127232 - dyspnea, indicating condition has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127233 - last few months.  Temperature started at 80, and reached 83.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127234 - wind 15 mph and mostly 10 mph.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127235 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127236 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127237 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127238 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127239 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127240 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127241 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127242 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127243 - sidewalk .5 miles.  Good energy after taking 1 magnesium capsule this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127244 - morning - did not hit fatigue "wall" so did not have to stop at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127245 - 4, at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127246 - CoQ10.  This was major question for the hike.  Feet not hurting again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127247 - after taking 2 Naproxen before starting hike - did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127248 - Tramadol.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127249 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127250 - crossing Park Highlands Road at Stop Light still heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127251 - miles now on asphalt shoulder.  Crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127252 - Road to hike on wider shoulder.  Continued West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127253 - Michigan Boulevard.  Turned left onto Pine Hollow and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127254 - East to Mardon Court.  Stopped mile 6 time 1523 temp 84 and wind 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127255 - mph; EKG looks uniform with minor artifact.  Kardia reported HR 134                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127256 - Unclassified - see below. ref SDS 0 V2XL  Fatigue PL 0, bloating PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127257 - after taking 2 Naproxen at mile 0, and 0 at mile 4, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127258 - metatarsalgia PL 0.  Left foot #1 PL 0 and #5 PL 0, Took 0 Tramadol 50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127259 - mg for pain.  Took 1 more Magnesium complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127260 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127261 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127262 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127263 - Mayonnaise and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127264 - energy, and avocado for HDL - did not have difficulty swallowing this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127265 - combination, today. took 2 bites,  Took Chia Seeds seperately and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127266 - swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127267 - complete hike.  Did not take Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127268 - ref SDS 0 VTVQ  Turned around and hiked back on Pine Hollow 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127269 - miles.  Near Ygnacio Valley road turned left onto Campus Drive heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127270 - West uphill 3% grade.  Hiked 1 mile against wind 14 mph.  The road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127271 - bends North.  At Ygnacio Valley road turned around and hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127272 - Campus Drive 4% grade.  Not extremely fatigued, as occurred on 250522,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127273 - i.e., normal pace for this level of effort - indicating ferritin,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127274 - which was below range in lab on 250428, may have improved from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127275 - improving dysfunctional ANS that can lower ferritin, which aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127276 - reduced heart variability, i.e., increased sinus as a result of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127277 - increased hiking last month, at least to 250522.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127278 - Parking California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127279 - around main buildings, stopping at the back to do half pull ups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127280 - pushups.  Back at Visitor Parking stopped at Administration building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127281 - mile 10 time 1637 temp 83 and wind 15 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127282 - with considerable artifact - should have done another EKG.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127283 - reported HR 136, Possible Atrial Fibrillation - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127284 - VXYU  Fatigue PL 3, bloating PL 1, after taking 2 naproxen at mile 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127285 - and 0 at mile 6, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127286 - #5 PL 3.  Took 1 Naproxen 250 mg for pain.  Took 1 Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127287 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127288 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127289 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127290 - peanut butter, margarine and Mayonnaise and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127291 - water/Coca Cola/orange juice) for energy, and avocado for HDL - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127292 - not have difficulty swallowing this combination; today. took 2 bites,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127293 - Took Chia Seeds seperately and swallowed okay.  Took Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127294 - 0.6 ml for HDL and energy to complete hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127295 - electrolyte pill, per above. ref SDS 0 VTVQ  Hike another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127296 - main buildings, stopping to do more half pullups and pushups.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127297 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127298 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127299 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127300 - wind 15 mph.  Crossed Cowell at stop light.  Continued 0.5 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127301 - 3% grade.  At summit mile 12, turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127302 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127303 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127304 - shoulder against oncoming commute traffic.  Pace slow due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127305 - temperature and care to avoid oncoming traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127306 - Treat hiking West .25 miles back to Cuneo, then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127307 - 13 time 1755 temp 80, wind 13, bloating PL 1, feet PL 2, left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127308 - edge PL 2, #5 edge PL 3, right foot #1 fracture PL 0, #5 PL 0, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127309 - sensation PL 0, shin splints PL 0, left knee PL 0 (not swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127310 - knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127311 - intermittantly, lower back middle PL 0 - stress carrying backpack,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127312 - left elbow PL 0, when lifting.  EKG uniform with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127313 - reported HR 140 Unclassified - see below. ref SDS 0 VYTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127329 -  ..
127330 - Kardia recorded HR 053 at 0610, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127331 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127332 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127333 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127334 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127335 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127336 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127339 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127340 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250606-ecg-061024_mile_00_053_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127343 -  ..
127344 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127347 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250606-ecg-121902_mile_00_071_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127353 -  ..
127354 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127355 - hike 30 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127356 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127357 - ..
127358 -                                                                                                                                                                                                                                                                                                              x
127359 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127360 -                                                 x             z                    A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127361 -       Date          250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 250315 25031  
127362 -       Miles            13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27      0  
127363 -       HR AVG          135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128     no  
127364 -         MAX           153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160   repo  
127365 -         Min            50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53         
127366 -       El Climb Ft     431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532         
127367 -       Temp Max         83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60         
127368 -       Wind Max         15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12         
127369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127371 -              https://flow.polar.com/training/analysis/8127209183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127374 -               ..
127376 -   
127377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127380 -  ..
127381 - EKG at mile 06 time 1523 HR 134 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127382 - Unclassified... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127383 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127386 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127387 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250606-ecg-152311_mile_06_134_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127391 -  ..
127392 - EKG at mile 10 time 1637 HR 136 temp 83, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127393 - Atrial Fibrillation... heart rate looks mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127394 - considerable artifact - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127395 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127398 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127399 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250606-ecg-163737_mile_10_136_paf_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127402 -  ..
127403 - End hike EKG at mile 13, time 1755 HR 140 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127404 - Unclassified... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127405 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127408 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127409 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250606-ecg-175511_mile_13_140_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127417 -  ..
127418 - Post hike HR profile beginning 0202, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127419 - hiking 13 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127420 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127421 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127422 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127423 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127426 -        ..
127427 -       Date      250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326  250325    
127428 -       Time       0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922    1803     
127429 -       Hours         4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12       8     
127430 -       HR AVG       68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66      64     
127431 -       HR MAX      108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     108     
127432 -       HR Min       46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45      45     
127433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127436 -              https://flow.polar.com/training/analysis/8127503974                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127439 -  ..
127440 - HRV seems 100% 0 - minimal overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127443 -   
127444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127448 -  ..
127449 - Breakfast - cheerios milk.. peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127450 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127451 - Dinner - steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127453 -  ..
127454 - Vomiting: 0% - bloating PL 0 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127494 -         ..
127495 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127496 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127497 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127498 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127499 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127500 -  158.  250607 0620............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127501 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127502 -               0635....BP HR..................................................... 120  87  48  Kardia ECG reports HR status, see below. ref SDS 0 VYRU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127503 -               0640....BP HR..................................................... 132  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127504 -               0645....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127505 -               0645....40 461820 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
127506 -               1210....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127507 -               1210... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127508 -               1210....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127509 -               1210....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127510 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127511 -               1210....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127512 -               1210... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult
127513 -  ..
127514 -               1239....miles...........  18.0  31.0  301   532 minutes  temp  82 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127515 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127516 -               1509....mile 09 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127517 -               0000....Tramadol 50 mg took 2 pill - 2 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127518 -               1509....Naproxen 250 mg took 2 pills - 4 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127519 -               1509... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
127520 -               1509... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127521 -               1509... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127522 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127523 -               1656....mile 14 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127524 -               1656....Naproxen 250 mg took 2 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127525 -               1656... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
127526 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127527 -               1630... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
127528 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127529 -               1755... Hike ends mile 18..... ref SDS 0 VYTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127530 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127531 -               1810....weight.................................... 167  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127532 -               1820....BP HR..................................................... 103  77 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127533 -               1825....BP HR.....................................................  96  73  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127534 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127535 -               1800... 40 124060 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                                                                                                                                                                                                                                                                                  
127536 -               1920............ 10 21550  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
127537 -               1920............ 10 21900  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
127538 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127539 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127540 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127541 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127542 -               2250... 1000 2474000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127543 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127544 -               2330... 40 461860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127545 -               2340... 40 98720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127548 -  ..
127549 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127550 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127552 -  ..
127553 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127554 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127555 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127556 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127557 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127558 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127560 -  ..
127561 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127562 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127564 -  ..
127565 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127566 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127569 -  ..
127570 - Today, hiked 18 miles, temp in 80s - tested recovery injuries left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127571 - foot after 2 weeks not hiking.  Dropped 4 pounds.  Did not bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127572 - prior injured feet calluses - part of test, which needed minimal pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127573 - medication today - total 3 Naproxen, compared to 11 Tramadol for last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127574 - hike 2 weeks ago.  Hope this continues.  Wore newest Bondi 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127575 - extra-wide shoes to reduce pressure on injuries.  Prior hiking seems                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127576 - to have reduced dysfunctional ANS symptoms - taste for food and voice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127577 - improved, bloating and fatigue declined all after significant decline                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127578 - of HRV.  However HRV seems on the rise now due to not hiking, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127579 - critical to avoid injury recurrance, in order to maintain hiking.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127580 - hike today, got past mile 4, without having to stop due to severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127581 - fatigue and take more magnesium and CoQ10.  Did short hike (13 miles)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127582 - today, to prevent recurrance of feet injuries.  Starting PL 0 - took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127583 - Naproxen because out of Tramadol.  Weight 172 dropped 5 pounds to 167                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127584 - after hike.  Took 1 magnesium to start, and none at mile 4, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127585 - energy was okay, which may signal Ferritin labs have recovered after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127586 - reported below range in blood test on 250428 0940. ref SDS 88 VP5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127587 - Noticed fatigue about mile 6, so stopped instead of going to mile 8.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127588 - Mile 6 EKG reported HR 134 Unclassified, but looks like sinus, i.e.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127589 - uniform heart beat waves, with artifact. ref SDS 0 V2XL  Took another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127590 - magnesium and more CoQ10, but did not need more pain meds - hopeful                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127591 - signal.  Hiked back and uphill to college.  Did several loops around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127592 - main buildings.  Stopped at mile 10.  EKG looked mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127593 - considerable artifact, and reported HR 140, Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127594 - Fibrillation. ref SDS 0 VXYU  Elevated HR during hike today is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127595 - consistent with first hikes after long breaks - 2 weeks.  Pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127596 - (PL) left foot now rising, so took 1 Naproxen.  Wind strong entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127597 - hike.  Stomach not bloated.  Hike ended with PL 3, and EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127598 - mostly uniform with artifact, Kardia reported HR 140 Unclassified.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127599 - ref SDS 0 VYTS  Elevated HR after not hiking for 2 weeks will likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127600 - drop after few more hikes, based on patient history.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127604 -         ..
127605 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127606 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127607 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
127608 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
127609 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127610 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127611 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127612 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
127613 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127614 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127615 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127616 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127617 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
127618 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127619 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
127620 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127621 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
127622 -        Back.........................................   4         10  noticed about hour after hike - could have been caused lifting furniture before hike to support construction crew remodeling house - lifted 50 pound c24, and lifted container of computer cables                                                                                                                                                                                                                                                                                                                                            
127623 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127624 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127625 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127626 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Naproxen mile 00 and 2 Tramadol mile 09 and 2 at mile 14                                                                                                                                                                                                                                                                                                                                                                              
127627 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127628 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127629 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127630 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127631 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
127632 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127633 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127634 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127635 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127636 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127637 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127638 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127639 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
127640 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127641 -        Electric shocks middle 3 toes right foot.....   3         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127642 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
127643 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
127644 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
127645 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
127646 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127647 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127648 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
127649 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
127650 -        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                                                                                                                                                                                                                                                                                                                           
127651 -        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                                                                                                                                                                                                                                                                                                                                                                                    
127652 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127653 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
127654 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
127655 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127656 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127657 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
127658 -        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                                                                                                                                                                                                                                                                                                                                           
127659 -        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                                                                                                                                                                                                                                                                                                                                           
127660 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127661 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
127662 -        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                                                                                                                                                                                                                                                                                                                                                                                        
127663 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
127664 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
127665 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127666 -        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                                                                                                                                                                                                                                                                                                                                                              
127667 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
127668 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
127669 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127670 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127671 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
127672 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127673 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
127674 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
127675 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127676 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
127677 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127678 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127679 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127680 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127681 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127682 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127683 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127684 -        Wobbly disoriented staggering dizzy..........   0        100  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
127685 -        Wasted - very fatigued.......................   2         10  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127686 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127689 -  ..
127690 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127691 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127693 -  ..
127694 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127695 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127696 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127697 - to simply wide.  Calluses on left foot #1 and #5 were PL 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127698 - hike.  Much better PL result than in recent weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127700 -  ..
127701 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127702 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127703 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127705 -  ..
127706 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127708 -  ..
127709 - Callus Injuries - today on 250607, like yesterday, tried no bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127710 - Had PL 3 last 5 miles of 18 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127712 -                    2 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127713 -                    2 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127714 -                    2 Naproxen mile 14 for last 4 miles of 18 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127717 -  ..
127718 - For left foot #5... same condition as #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127721 -  ..
127722 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127723 - socks.  Mostly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127725 -  ..
127726 - Ammonium Lactate 12% lotion applied in evening after hike, to bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127727 - of feet, per above, ref SDS 0 OK9M, and wearing Smartwhool single-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127728 - socks and apply help recover and avoid blisters to Tailor's Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127729 - other calluses both feet, case study on shaving skin to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127730 - pressure, shown on 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127733 -  ..
127734 - Concord 18 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127735 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127736 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127737 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127738 - in recent months, because elevated HDL from hiking past 10 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127739 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127740 - Took only 2 instead of 3 Naproxen (out of Tramadol) for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127741 - management, because 2 Tramadol was not enough to get past mile 4 - had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127742 - to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127743 - ref SDS 0 STXU, and feet have healed past 2 weeks while not hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127744 - and even though there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127745 - hike today, and left foot #1 and #5 calluses both PL 0, treated by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127746 - Doctor Tang at VAMCSF on 250508 0930, ref SDS 90 VX5J, but before mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127747 - 8, have needed more Tramadol for pain relief anyway.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127748 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127749 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127750 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
127751 - - swallowed pill whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127752 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127753 - amount peanut butter that contains iron to elevate Farritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127754 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127755 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127756 - speed digestion Magnesium, and had small amount Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127757 - electrolytes and energy, and had some avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127758 - starting hike took Ubiquinol CoQ10, all per above. ref SDS 0 LN7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127759 - CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127760 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127761 - 200101 0701. ref SDS 18 136K  Minimal breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127762 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127763 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127764 - fibrillation (arrhythmia - variable heart rate) see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127765 - 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff - good to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127766 - build conditioning for Half Dome.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127767 - left, onto Treat.  Starting hike feet feeling swelled and like pins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127768 - and needles - actually minimal today, and - after mile 14 feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127769 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127770 - neuropathy caused by taking statins, and diabetes symptoms.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127771 - about 1 mile feet calming down.  Bottom of both feet not hurting yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127772 - with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127773 - severely painful during 8 days that led to pausing hiking for 14 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127774 - for these injuries to heal beginning on 250523, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127775 - OP4H  Left foot #1 and #5 have not been painful past few days, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127776 - not hiking past 2 weeks.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127777 - dyspnea, indicating condition has sustained, despite reduced hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127778 - last few months.  Temperature started at 75, and reached 82.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127779 - wind 15 mph and mostly 10 mph.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127780 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127781 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127782 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127783 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127784 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127785 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127786 - .5 miles slight grade 2%, on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127787 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127788 - on concrete sidewalk .5 miles.  Good energy after taking 1 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127789 - capsule this morning - did not hit fatigue "wall" so, like yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127790 - did not have to stop at mile 4, to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127791 - Feet not hurting after taking 2 Naproxen before starting hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127792 - not take more Naproxen.  Continued hiking past mile 4.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127793 - heading West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127794 - Crossed Park Highlands Road at Stop Light still heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127795 - now on asphalt shoulder.  Crossed to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127796 - hike on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127797 - Boulevard.  Turned left onto Pine Hollow and hiked 0.50 mile East past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127798 - Discovery Way.  Turned around and hiked back 0.50 miles.  Near Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127799 - Valley road turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127800 - grade.  Hiked 1 mile against wind 14 mph.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127801 - Ygnacio Valley road turned around and hiked uphill on Campus Drive 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127802 - grade.  Not extremely fatigued, as occurred on 250522.  Today, was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127803 - able to maintain normal pace for this level of effort - indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127804 - ferritin, which was below range in lab on 250428, may have recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127805 - some dysfunctional ANS that can lower ferritin, which aligns with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127806 - reduced heart rate variability, i.e., increased sinus as a result of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127807 - increased hiking last month, at least to 250522.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127808 - Parking California State University East Bay Concord Campus.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127809 - mile loop through Faculty and Student parking lots, then around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127810 - buildings, stopping at the back to do half pull ups and pushups.  Back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127811 - at Visitor Parking stopped at Administration building mile 09 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127812 - 1509 temp 82 and wind 15 mph; EKG looks mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127813 - considerable artifact - should have done another EKG.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127814 - HR 128, Possible Atrial Fibrillation - see below. ref SDS 0 VYWV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127815 - Fatigue PL 1, bloating PL 5 (continual burping to relieve stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127816 - pressure) after taking 2 naproxen at mile 0, both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127817 - PL 2.  Left foot #1 PL 2 and #5 PL 3.  Took 2 more Naproxen 250 mg for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127818 - pain.  Took 1 Magnesium complex 300 mg pill for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127819 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127820 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127821 - swallowing nutrition - peanut butter, margarine and Mayonnaise to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127822 - speed metabolizing magnesium), and chia seeds (soaked in Coca Cola)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127823 - for energy, and avocado for HDL - did not have difficulty swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127824 - this combination; today. took 3 bites.  Took Chia Seeds seperately and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127825 - swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127826 - complete hike.  High temperature today required taking Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127827 - electrolyte pill, per above. ref SDS 0 VUDS  Left college heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127828 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127829 - Hiked West on flat grade .5 miles.  At mile 10, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127830 - Ranch Road uphill 3% grade .5 miles against wind 14 mph.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127831 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127832 - camber.  Continued West .5 mile to summit - mile 11, end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127833 - traffic barrier.  At break in traffic, crossed back to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127834 - Ygnacio Valley Road in order to avoid severe camber, and to use wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127835 - asphalt shoulder.  Continued West 2 miles downhill 3% grade.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127836 - Oak Grove at traffic light.  Today, hiked 2 1-mile loops using asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127837 - path around the block at Safeway shopping complex.  Stopped About mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127838 - 14 time 1656 on 2nd lap to take 2 more Naproxen, 1 more magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127839 - sips of softdrink, per above. ref SDS 0 VUDS  Continued hiking 1-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127840 - loop around the block - turned right onto path parallel to Via Monte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127841 - hiking North .25 miles, turned right onto Shadelands hiking .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127842 - and turned left onto Oak Grove.  Hiked 1 mile North on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
127843 - shoulder.  Crossed Treat at street light.  Hiked 1 mile East on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127844 - grade concrete sidewalk.  Noticed was hiking normal pace for distance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127845 - and temperature, and not veering left or right, as occurred prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127846 - hikes when taking too many Tramadol to suppress persistent pain, e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127847 - on 231111 in case study on 230101 0654. ref SDS 28 RVVY see line                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127848 - 172870; also see letter to Doctor Wiseman at VAMCSF on 230418 0949.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127849 - ref SDS 29 RS5F  Continued past San Miguel uphill 0.75 mile 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127850 - temp 82.  Handled this better than expected - breathed through nose.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127851 - Did not stop at any time due to weak legs; At summit, mile 17, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127852 - another mile to Cuneo then home.  Ended hike mile 18 time 1755 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127853 - 80, wind 09.  Bloated PL 2, fatigue PL 3, feet PL 2, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127854 - PL 2, left foot #1 PL 2, #5 PL 3, neck/spine PL 0 momentarily turning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127855 - head, lower back right side PL 4.  EKG looks mostly variable, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127856 - significant artifact, Kardia reported HR 136, Possible Atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
127857 - Fibrillation - see below. ref SDS 0 GR4P                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127874 -  ..
127875 - Kardia recorded HR 061 at 0638, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127876 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127877 - hiking 13 miles temp 83 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127878 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127879 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127880 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127881 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127884 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127885 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250607-ecg-063808_mile_00_061_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127890 -  ..
127891 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127892 - hike 18 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127893 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127894 - ..
127895 -                                                                                                                                                                                                                                                                                                              x
127896 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127897 -                                                 x             z                    A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127898 -       Date          250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 250319 250318 250317 250316 25031  
127899 -       Miles            18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0     27      0      0     27  
127900 -       HR AVG          132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no    128     no     no    128  
127901 -         MAX           153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report report  160   report report  160  
127902 -         Min            68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                   53                   53  
127903 -       El Climb Ft     446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                  532                  532  
127904 -       Temp Max         82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                   60                   60  
127905 -       Wind Max         15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                   12                   12  
127906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127908 -              https://flow.polar.com/training/analysis/8128412758                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127911 -               ..
127913 -   
127914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127917 -  ..
127918 - EKG at mile 09 time 1509 HR 128 temp 82, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
127919 - Atrial Fibrillation... heart rate looks uniform with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127920 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127923 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127924 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250607-ecg-150940_mile_09_128_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127929 -  ..
127930 - End hike EKG at mile 18, time 1755 HR 136 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127931 - Possible Atrial Fibrillation... looks mostly variable with significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127932 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
127933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127935 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
127936 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250607-ecg-175530_mile_18_136_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127939 -  ..
127940 - About 2 hours later... looks like AFL...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
127941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127943 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250607-ecg-200720_mile_00_150_paf_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127946 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250607-ecg-221731_mile_00_091_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127949 -               ..
127950 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250607-ecg-221731_mile_00_091_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127957 -  ..
127958 - Post hike HR profile beginning 0350, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127959 - hiking 18 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127960 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
127961 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127962 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
127963 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
127964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127966 -        ..
127967 -       Date      250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327  250326    
127968 -       Time       0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032    1922     
127969 -       Hours         3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11      12     
127970 -       HR AVG       75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65      66     
127971 -       HR MAX      100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     114     
127972 -       HR Min       60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40      45     
127973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127976 -              https://flow.polar.com/training/analysis/8128412779                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127979 -  ..
127980 - HRV seems 100% 0 - minimal overnight - only 3 hours - very thin line                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
127981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127983 -   
127984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127988 -  ..
127989 - Breakfast - cheerios milk.. peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
127990 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
127991 - Dinner - steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
127993 -  ..
127994 - Vomiting: 0% - bloating PL 0 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
127995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
127999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128036 -         ..
128037 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128038 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128039 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128040 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128041 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128042 -  159.  250608 0420............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128043 -               0425....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128044 -               0435....BP HR..................................................... 158  80  80  Kardia ECG reports HR status, see below. ref SDS 0 WTAR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128045 -               0440....BP HR..................................................... 161  83  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128046 -               0445....weight.................................... 170                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128047 -               0445....40 461900 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
128048 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128049 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128050 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128051 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128052 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128053 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128054 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128055 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128056 -               1800... 40 124100 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                                                                                                                                                                                                                                                                                  
128057 -             1 0000............ 10 21550  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128058 -             1 0000............ 10 21900  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128059 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128060 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128061 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128062 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128063 -               2250... 1000 2475000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128064 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128065 -               2330... 40 461940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128066 -               2340... 40 98760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128069 -  ..
128070 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128071 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128073 -  ..
128074 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128075 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128076 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128077 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128078 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128079 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128081 -  ..
128082 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128083 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128085 -  ..
128086 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128087 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128093 -  ..
128094 - Kardia recorded HR 081 at 0353, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128095 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128096 - hiking 18 miles temp 82 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128097 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128098 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128099 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128100 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128103 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128104 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250608-ecg-035300_mile_00_081_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128108 -               ..
128109 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250608-ecg-092216_mile_00_076_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128113 -  ..
128114 - Post hike HR profile beginning 2247, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128115 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128116 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128117 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128118 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128119 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128122 -        ..
128123 -       Date      250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328  250327    
128124 -       Time       2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014    2032     
128125 -       Hours         2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11      11     
128126 -       HR AVG       80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63      65     
128127 -       HR MAX      118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     136     
128128 -       HR Min       63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40      40     
128129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128132 -              https://flow.polar.com/training/analysis/8129359379                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128135 -  ..
128136 - HRV seems 100% 0 - only 2 hours - very thin line                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128139 -   
128140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128144 -  ..
128145 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128146 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128147 - Dinner - eggs steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128149 -  ..
128150 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128191 -         ..
128192 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128193 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128194 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128195 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128196 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128197 -  160.  250609 0410............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128198 -               0410....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128199 -               0415....BP HR..................................................... 146  74  56  Kardia ECG reports HR status, see below. ref SDS 0 6PQX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128200 -               0420....BP HR..................................................... 139  77  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128201 -               0425....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128202 -               0425....40 461980 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
128203 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128204 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128205 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128206 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128207 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128208 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128209 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128210 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128211 -               1700... 40 124140 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                                                                                                                                                                                                                                                                                  
128212 -               1830............ 10 21560  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128213 -               1830............ 10 21910  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128214 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128215 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128216 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128217 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128218 -               2250... 1000 2476000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128219 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128220 -               2330... 40 462020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128221 -               2340... 40 98860 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128224 -  ..
128225 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128226 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128228 -  ..
128229 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128230 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128231 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128232 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128233 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128234 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128236 -  ..
128237 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128238 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128240 -  ..
128241 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128242 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128248 -  ..
128249 - Kardia recorded HR 050 at 0431, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128250 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128251 - hiking 18 miles temp 82 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128252 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128253 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128254 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128255 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128258 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128259 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250609-ecg-043135_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128266 -  ..
128267 - Post hike HR profile beginning 1943, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128268 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128269 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128270 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128271 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128272 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128275 -        ..
128276 -       Date      250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329  250328    
128277 -       Time       1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923    2014     
128278 -       Hours        10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12      11     
128279 -       HR AVG       70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61      63     
128280 -       HR MAX      124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     117     
128281 -       HR Min       45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39      40     
128282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128286 -              https://flow.polar.com/training/analysis/8129359418                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128288 -  ..
128289 - HRV seems 90% minimal - last few hours growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128292 -   
128293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128297 -  ..
128298 - Breakfast - eggs sausage at VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128299 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128300 - Dinner - macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128302 -  ..
128303 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128340 -         ..
128341 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128342 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128343 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128344 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128345 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128346 -  161.  250610 0550............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128347 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128348 -               0555....BP HR..................................................... 154  86  50  Kardia ECG reports HR status, see below. ref SDS 0 KQVW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128349 -               0600....BP HR..................................................... 143  87  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128350 -               0605....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128351 -               0605....40 462060 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
128352 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128353 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128354 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128355 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128356 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128357 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128358 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128359 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128360 -               1700... 40 124180 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                                                                                                                                                                                                                                                                                  
128361 -             1 0000............ 10 21560  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128362 -             1 0000............ 10 21910  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128363 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128364 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128365 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128366 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128367 -               2250... 1000 2477000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128368 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128369 -               2330... 40 462100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128370 -               2340... 40 98900 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128372 -  ..
128373 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128374 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128376 -  ..
128377 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128378 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128379 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128380 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128381 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128382 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128384 -  ..
128385 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128386 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128388 -  ..
128389 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128390 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128397 -  ..
128398 - Kardia recorded HR 053 at 0819, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128399 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128400 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128401 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128402 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128403 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128404 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128407 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128408 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250610-ecg-081959_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128413 -               ..
128414 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250610-ecg-090113_mile_00_056_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128418 -  ..
128419 - Post hike HR profile beginning 2019, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128420 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128421 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128422 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128423 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128424 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128427 -        ..
128428 -       Date      250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330  250329    
128429 -       Time       2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933    1923     
128430 -       Hours        10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13      12     
128431 -       HR AVG       80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61      61     
128432 -       HR MAX      120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     117     
128433 -       HR Min       47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40      39     
128434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128436 -              https://flow.polar.com/training/analysis/8130043674                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128439 -  ..
128440 - HRV seems 90% minimal - last few hours growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128443 -   
128444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128448 -  ..
128449 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128450 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128451 - Dinner - cheese hamburger cottage cheese asparagus onion tomato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128453 -  ..
128454 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128491 -         ..
128492 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128493 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128494 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128495 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128496 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128497 -  162.  250611 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128498 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128499 -               0655....BP HR..................................................... 147  79  51  Kardia ECG reports HR status, see below. ref SDS 0 SXRQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128500 -               0700....BP HR..................................................... 151  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128501 -               0705....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128502 -               0705....40 462140 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
128503 -               0940....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128504 -               0940... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128505 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128506 -               0940....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128507 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128508 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128509 -               0940... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult
128510 -  ..
128511 -           *   1000....miles...........  23.0  23.0  401   401 minutes  temp  75 wind 21  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128512 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128513 -               1339....mile 12 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128514 -               0000....Tramadol 50 mg took 2 pill - 2 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128515 -               1339....Naproxen 250 mg took 2 pills - 4 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128516 -               1339... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
128517 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128518 -               1339... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128519 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128520 -               1559....mile 19 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128521 -               1559....Naproxen 250 mg took 2 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128522 -               1559... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
128523 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128524 -               1559... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
128525 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128526 -               1734... Hike ends mile 23..... ref SDS 0 G2AK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128527 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128528 -               1800....weight.................................... 170  lost  2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128529 -               1820....BP HR..................................................... 124  75  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128530 -               1815....BP HR..................................................... 128  81  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128531 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128532 -               1700... 40 124220 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                                                                                                                                                                                                                                                                                  
128533 -               1830............ 10 21570  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
128534 -               1830............ 10 21920  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
128535 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128536 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128537 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128538 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128539 -               2250... 1000 2478000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128540 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128541 -               2330... 40 462180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128542 -               2340... 40 98940 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128544 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128545 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128546 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128547 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128548 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128549 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128550 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128551 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128554 -  ..
128555 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128556 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128558 -  ..
128559 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128560 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128561 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128562 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128563 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128564 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128566 -  ..
128567 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128568 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128570 -  ..
128571 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128572 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128575 -  ..
128576 - Today, hiked 23 miles, temp in 80s - tested recovery injuries left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128577 - foot after 2 weeks not hiking.  Dropped 4 pounds.  Did not bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128578 - prior injured feet calluses - part of test, which needed minimal pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128579 - medication today - total 3 Naproxen, compared to 11 Tramadol for last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128580 - hike 2 weeks ago.  Hope this continues.  Wore newest Bondi 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128581 - extra-wide shoes to reduce pressure on injuries.  New blister formed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128582 - on top of left foot #1 callus, which requires more time off to heal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128583 - Prior hiking seems to have reduced dysfunctional ANS symptoms - taste                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128584 - for food and voice improved, bloating and fatigue declined all after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128585 - significant decline of HRV.  However HRV seems on the rise now due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128586 - not hiking, so critical to avoid injury recurrance, in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128587 - maintain hiking.  On hike today, got past mile 4, without having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128588 - stop due to severe fatigue and take more magnesium and CoQ10.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128589 - short hike (13 miles) today, to prevent recurrance of feet injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128590 - Starting PL 0 - took 2 Naproxen because out of Tramadol.  Weight 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128591 - dropped 5 pounds to 167 after hike.  Took 1 magnesium to start, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128592 - none at mile 4, because energy was okay, which may signal Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128593 - labs have recovered after reported below range in blood test on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128594 - 0940. ref SDS 88 VP5H  Noticed fatigue about mile 6, so stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128595 - instead of going to mile 8.  Mile 6 EKG reported HR 134 Unclassified,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128596 - but looks like sinus, i.e., uniform heart beat waves, with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128597 - ref SDS 0 V2XL  Took another magnesium and more CoQ10, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128598 - need more pain meds - hopeful signal.  Hiked back and uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128599 - college.  Did several loops around main buildings.  Stopped at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128600 - 10.  EKG looked mostly uniform with considerable artifact, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128601 - reported HR 140, Possible Atrial Fibrillation. ref SDS 0 VXYU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128602 - Elevated HR during hike today is consistent with first hikes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128603 - long breaks - 2 weeks.  Pain level (PL) left foot now rising, so took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128604 - 1 Naproxen.  Wind strong entire hike.  Stomach not bloated.  Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128605 - ended with PL 3, and EKG looks mostly uniform with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128606 - reported HR 140 Unclassified. ref SDS 0 VYTS  Elevated HR after not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128607 - hiking for 2 weeks will likely drop after few more hikes, based on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128608 - patient history.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128612 -         ..
128613 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128614 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128615 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
128616 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
128617 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128618 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128619 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128620 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
128621 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128622 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128623 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128624 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128625 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
128626 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128627 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
128628 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128629 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
128630 -        Back.........................................   4         10  noticed about hour after hike - could have been caused lifting furniture before hike to support construction crew remodeling house - lifted 50 pound c24, and lifted container of computer cables                                                                                                                                                                                                                                                                                                                                            
128631 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128632 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128633 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128634 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Naproxen mile 00 and 2 Tramadol mile 09 and 2 at mile 14                                                                                                                                                                                                                                                                                                                                                                              
128635 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128636 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128637 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128638 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128639 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
128640 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128641 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128642 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128643 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128644 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128645 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128646 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128647 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
128648 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128649 -        Electric shocks middle 3 toes right foot.....   3         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128650 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
128651 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
128652 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
128653 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
128654 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128655 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128656 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
128657 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
128658 -        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                                                                                                                                                                                                                                                                                                                           
128659 -        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                                                                                                                                                                                                                                                                                                                                                                                    
128660 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128661 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
128662 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
128663 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128664 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128665 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
128666 -        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                                                                                                                                                                                                                                                                                                                                           
128667 -        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                                                                                                                                                                                                                                                                                                                                           
128668 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128669 -  new   Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
128670 -        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                                                                                                                                                                                                                                                                                                                                                                                        
128671 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
128672 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
128673 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128674 -        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                                                                                                                                                                                                                                                                                                                                                              
128675 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
128676 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
128677 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128678 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128679 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
128680 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128681 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
128682 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
128683 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128684 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
128685 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128686 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128687 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128688 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128689 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128690 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128691 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128692 -        Wobbly disoriented staggering dizzy..........   0        100  and 2 hours after hike took 1 Tramadol mile 04, and 2 Tramadol mile 06, and 0 Tramadol mile 17, and 0 Tramadol mile 23 - no seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                           
128693 -        Wasted - very fatigued.......................   2         10  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128694 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128697 -  ..
128698 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128699 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128701 -  ..
128702 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128703 - Bondi 8 size 10.5 extra-wide.  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128704 - laces very loose.  Extra Wide shoes reduce lateral pressure compared                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128705 - to simply wide.  Calluses on left foot #1 and #5 were PL 0 entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128706 - hike.  Much better PL result than in recent weeks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128708 -  ..
128709 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128710 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128711 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128713 -  ..
128714 - For left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128716 -  ..
128717 - Callus Injuries - today on 250607, like yesterday, tried no bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128718 - Had PL 3 last 5 miles of 18 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128720 -                    2 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128721 -                    2 Naproxen mile 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128722 -                    2 Naproxen mile 14 for last 4 miles of 18 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128725 -  ..
128726 - For left foot #5... same condition as #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128729 -  ..
128730 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Smartwool                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128731 - socks.  Mostly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128733 -  ..
128734 - Ammonium Lactate 12% lotion applied in evening after hike, to bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128735 - of feet, per above, ref SDS 0 OK9M, and wearing Smartwhool single-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128736 - socks and apply help recover and avoid blisters to Tailor's Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128737 - other calluses both feet, case study on shaving skin to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128738 - pressure, shown on 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128741 -  ..
128742 - Concord 23 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128743 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128744 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128745 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128746 - in recent months, because elevated HDL from hiking past 10 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128747 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128748 - Took only 2 instead of 3 Naproxen (out of Tramadol) for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
128749 - management, because 2 Tramadol was not enough to get past mile 4 - had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128750 - to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128751 - ref SDS 0 STXU, and feet have healed past 3 days while not hiking, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128752 - even though there is no metatarsalgia pain in feet starting the hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128753 - today, and further that left foot #1 and #5 calluses both started at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128754 - PL 0, after treatment by Doctor Tang at VAMCSF 2 days ago on 250609                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128755 - 0900, ref SDS 96 T49H, since recent hikes have needed before mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128756 - more Tramadol for pain relief anyway.  Took 2 Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128757 - pill for energy, absorbing lactic acid, and reducing inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128758 - allowing HDL to increase that together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128759 - blood vessels - see research on 200101 0701, ref SDS 18 QP6L -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128760 - swallowed pill whole after EGD Dilation on 240910, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128761 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128762 - amount peanut butter that contains iron to elevate Farritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128763 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128764 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128765 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128766 - Seeds for electrolytes and energy, and had some avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128767 - before starting hike took Ubiquinol CoQ10, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128768 - RK6H  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128769 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128770 - study on 200101 0701. ref SDS 18 136K  Minimal breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128771 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128772 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128773 - atrial fibrillation (arrhythmia - variable heart rate) see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128774 - on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128775 - Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128776 - feeling swelled and like pins and needles - minimal today, and - after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128777 - mile 14 did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128778 - due to peripheral neuropathy caused by taking statins, and diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128779 - symptoms.  After about 1 mile feet calming down.  Bottom of both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128780 - not hurting yet with metatarsalgia pain, including left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128781 - #5, which were severely painful during 2 days that led to pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128782 - hiking past 3 days, and the prior 8 days that led to pausing hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128783 - for 14 days for these injuries to heal beginning on 250523, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128784 - ref SDS 0 OP4H  Left foot #1 and #5 have not been painful past few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128785 - days, after not hiking past 3 weeks.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128786 - hike with no dyspnea, indicating condition has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128787 - reduced hiking last few months.  Temperature started at 58, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128788 - reached 75.  East wind 21 mph and mostly 16 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128789 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128790 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128791 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128792 - back today.  Continued on Turtle Creek Road uphill 4% grade.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128793 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128794 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128795 - hiking South .5 miles slight grade 2%, on asphalt pavement in parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128796 - lots of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128797 - continued on concrete sidewalk .5 miles.  Very good energy after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128798 - taking 2 magnesium capsule this morning - did not hit fatigue "wall"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128799 - so, did not have to stop at mile 4, to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128800 - CoQ10.  Feet not hurting after taking 2 Naproxen before starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128801 - - did not take more Naproxen.  Continued hiking past mile 4.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128802 - right heading West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128803 - miles.  Crossed Park Highlands Road at Stop Light still heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128804 - .25 miles now on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128805 - Valley Road to hike on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128806 - at Michigan Boulevard.  Turned left onto Pine Hollow and hiked 1.00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128807 - mile East.  At Rolling Woods Way turned around and hiked back.  Near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128808 - Ygnacio Valley road turned left onto Campus Drive heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128809 - 3% grade.  Hiked 1 mile against wind 21 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128810 - At Ygnacio Valley road turned around and hiked uphill on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128811 - 4% grade.  Not fatigued, as occurred on 250522.  Today, maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128812 - normal pace for this level of effort - indicating ferritin, which was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128813 - below range in lab on 250428, may have recovered some dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128814 - ANS that can lower ferritin, and which aligns with reduced heart rate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128815 - variability, i.e., increased sinus as a result of increased hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128816 - last month, at least to 250522.  Reached Visitor Parking California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128817 - State University East Bay Concord Campus.  Hiked 2 1.5 mile loops                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128818 - through Faculty and Student parking lots, then around main buildings,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128819 - stopping at the back to do half pull ups and pushups.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128820 - Parking stopped at Administration building mile 12 time 1339 temp 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128821 - and wind 21 mph; EKG looks mostly uniform with considerable artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128822 - should have done another EKG.  This HR study today, is considerably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128823 - better than prior 2, demonstrating how pausing hiking for 14 days for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128824 - injuries to heal weakens heart function.  This EKG today shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128825 - persistent hiking improves cardiac performance and strength - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128826 - reported HR 113, Tachycardia - see below. ref SDS 0 XSWR  Fatigue PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128827 - 2, bloating PL 4 (no continual burping to relieve stomach pressure -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128828 - seems like new affliction) after taking 2 naproxen at mile 0, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128829 - feet metatarsalgia PL 2.  Left foot #1 PL 1 except seemed like new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128830 - blister - after hike there is a bubble blister on top of the callus,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128831 - and #5 PL 2.  Took 2 more Naproxen 250 mg for pain.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128832 - complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128833 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128834 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128835 - peanut butter, margarine and Mayonnaise to speed metabolizing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
128836 - magnesium), and chia seeds (soaked in Coca Cola) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128837 - avocado for HDL - did not have difficulty swallowing this combination;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128838 - today. took 3 bites.  Took Chia Seeds seperately and swallowed okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128839 - Took Ubiquinol CoQ10 0.6 ml for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128840 - Temperature below 80, today did not require taking Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128841 - pill, per above. ref SDS 0 WYUQ  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128842 - buildings, then left college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128843 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128844 - miles.  At mile 13, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128845 - .5 miles against wind 18 mph.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128846 - side Ygnacio Valley Road to avoid severe camber.  Continued West .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128847 - mile to summit - mile 14, end of concrete traffic barrier.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128848 - in traffic, crossed back to North side Ygnacio Valley Road in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128849 - avoid severe camber, and to use wider asphalt shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128850 - West 2 miles downhill 3% grade.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128851 - Today, hiked 2 1-mile loops using asphalt path around the block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128852 - Safeway shopping complex.  Stopped at Mod Pizza mile 19 time 1559 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128853 - 74 and wind 16 mph; EKG looks mostly uniform with artifact - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128854 - reported HR 111, Tachycardia - see below. ref SDS 0 XSXT  Fatigue PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128855 - 6, bloating PL 5 after taking 2 naproxen at mile 0, and 2 more at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128856 - 12, both feet metatarsalgia PL 4.  Left foot #1 PL 4 - seemed like new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128857 - bubble blister on top of the callus, and #5 PL 4.  Took 2 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128858 - Naproxen 250 mg for pain.  Took 2 Magnesium complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128859 - energy, absorbing lactic acid, and reducing inflammation, per research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128860 - on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128861 - hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128862 - Mayonnaise to speed metabolizing magnesium), and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128863 - Coca Cola) for energy, and avocado for HDL - did not have difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128864 - swallowing this combination; today. took 3 bites.  Took Chia Seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128865 - seperately and swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128866 - and energy to complete hike.  Temperature below 80, today did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128867 - require taking Nuun electrolyte pill, per above. ref SDS 0 WYUQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128868 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128869 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128870 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128871 - mile North on asphalt shoulder.  Turned corner onto Treat heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128872 - East.  Within .25 mile at break in traffic crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128873 - Treat.  Continued 1 mile East on flat grade concrete sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128874 - Noticed was hiking normal pace for distance and temperature, and not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128875 - veering left or right, as occurred prior hikes when taking too many                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128876 - Tramadol to suppress pain, e.g., on 231111 in case study on 230101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128877 - 0654. ref SDS 28 RVVY see line 172870; also see letter to Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128878 - Wiseman at VAMCSF on 230418 0949. ref SDS 29 RS5F  Continued past San                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128879 - Miguel uphill 0.75 mile 5% grade temp 82.  Handled this better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128880 - expected - breathed through nose.  Did not stop at any time due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128881 - weak legs; At summit, mile 22, hiked another mile to Cuneo then to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128882 - .25 mile.  Turned around at Kaski and hiked back then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
128883 - hike mile 23 time 1734 temp 71, wind 17.  Bloated PL 4, fatigue PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128884 - feet PL 3, burning sensation PL 2, left foot #1 PL 4, #5 PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
128885 - neck/spine PL 0 momentarily turning head, lower back right side PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128886 - EKG looks mostly variable, with significant artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128887 - HR 116, Possible Atrial Fibrillation - see below. ref SDS 0 G2AK                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128904 -  ..
128905 - Kardia recorded HR 062 at 0645, Unclassified, looks variable heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128906 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128907 - miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
128908 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128909 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
128910 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
128911 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128914 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128915 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250611-ecg-065449_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128922 -  ..
128923 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128924 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
128925 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128926 - ..
128927 -                                                                                                                                                                                                                                                                                                              x
128928 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128929 -                                                 x             z                    A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128930 -       Date          250611 250619 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 250403 250402 250401 250331 250330 250329 250328 250327 250326 250325 250324 250323 250322 250321 250320 25031  
128931 -       Miles            23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14     33      0      0      0     21     10     23      0     12     21      0     22     30      0      0  
128932 -       HR AVG          115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107    121     no     no     no    114    105    120     no    107    131     no    110    126     no     no  
128933 -         MAX           134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121    144   report report report  134    127    142   report  129    152   report  125    152   report repo  
128934 -         Min            48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75     81                          81     57     50            80     60            69     54                
128935 -       El Climb Ft     480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491    678                         660    425    436           340    540           436    680                
128936 -       Temp Max         75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67     64                          64     57     65            56     80            65     65                
128937 -       Wind Max         21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09     12                          10     12     20            04     10            13     13                
128938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128940 -              https://flow.polar.com/training/analysis/8130416908                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
128941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128943 -               ..
128945 -   
128946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128951 -  ..
128952 - EKG at mile 12 time 1339 HR 113 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
128953 - Tachycardia... heart rate looks uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128954 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128957 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128958 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250611-ecg-133916_mile_12_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128964 -  ..
128965 - EKG at mile 19, time 1559 HR 111 temp 74 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128966 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128967 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128970 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128971 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250611-ecg-155954_mile_19_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128977 -  ..
128978 - End hike EKG at mile 23, time 1734 HR 116 temp 71 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
128979 - Possible Atrial Fibrillation... looks mostly variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
128980 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
128981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128983 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128984 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250611-ecg-173451_mile_23_116_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128987 -  ..
128988 - Did another to verify heart settled down after 2 hours...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
128990 -               ..
128991 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250611-ecg-195811_mile_23_079_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
128992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
128999 -  ..
129000 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129001 - hiking 23 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129002 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129003 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129004 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129005 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129008 -        ..
129009 -       Date      250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331  250330    
129010 -       Time       2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239    1933     
129011 -       Hours        10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9      13     
129012 -       HR AVG       72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75      61     
129013 -       HR MAX      131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     117     
129014 -       HR Min       42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46      40     
129015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129017 -              https://flow.polar.com/training/analysis/8130920938                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129020 -  ..
129021 - HRV seems 90% minimal - last few hours growing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129024 -   
129025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129029 -  ..
129030 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129031 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129032 - Dinner - steak potato broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129034 -  ..
129035 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129072 -         ..
129073 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129074 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129075 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129076 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129077 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129078 -  163.  250612 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129079 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129080 -               0655....BP HR..................................................... 165  89  48  Kardia ECG reports HR status, see below. ref SDS 0 XU1K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129081 -               0700....BP HR..................................................... 154  83  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129082 -               0705....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129083 -               0705....40 462220 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129084 -               0940....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129085 -               0940... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129086 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129087 -               0940....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129088 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129089 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129090 -               0940... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129091 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129092 -               1700... 40 124260 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                                                                                                                                                                                                                                                                                  
129093 -             1 1830............ 10 21570  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129094 -             1 1830............ 10 21920  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129095 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129096 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129097 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129098 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129099 -               2250... 1000 2479000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129100 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129101 -               2330... 40 462260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129102 -               2340... 40 98960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129104 -  ..
129105 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129106 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129108 -  ..
129109 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129110 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129111 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129112 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129113 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129114 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129116 -  ..
129117 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129118 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129120 -  ..
129121 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129122 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129128 -  ..
129129 - Kardia recorded HR 063 at 0853, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129130 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129131 - hiking 23 miles temp 75 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129132 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129133 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129134 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129135 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129138 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129139 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250612-ecg-085302_mile_00_063_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129146 -  ..
129147 - Post hike HR profile beginning 2011, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129148 - hiking 23 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129149 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129150 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129151 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129152 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129155 -        ..
129156 -       Date      250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401  250331    
129157 -       Time       2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948    2239     
129158 -       Hours         8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11       9     
129159 -       HR AVG       63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71      75     
129160 -       HR MAX      106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     143     
129161 -       HR Min       41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46      46     
129162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129164 -              https://flow.polar.com/training/analysis/8131290813                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129167 -  ..
129168 - HRV seems 80% 0 20% minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129171 -   
129172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129176 -  ..
129177 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129178 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129179 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129181 -  ..
129182 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129219 -         ..
129220 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129221 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129222 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129223 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129224 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129225 -  164.  250613 0530............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129226 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129227 -               0555....BP HR..................................................... 174  89  47  Kardia ECG reports HR status, see below. ref SDS 0 XU1K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129228 -               0500....BP HR..................................................... 153  92  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129229 -               0505....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129230 -               0505....40 462300 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129231 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129232 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129233 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129234 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129235 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129236 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129237 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129238 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129239 -               1700... 40 124300 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                                                                                                                                                                                                                                                                                  
129240 -               0000............ 10 21580  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129241 -               0000............ 10 21930  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129242 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129243 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129244 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129245 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129246 -               2250... 1000 2480000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129247 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129248 -               2330... 40 462340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129249 -               2340... 40 99000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129252 -  ..
129253 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129254 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129256 -  ..
129257 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129258 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129259 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129260 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129261 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129262 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129264 -  ..
129265 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129266 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129268 -  ..
129269 - Reflux slept in recliner chair after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129270 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129276 -  ..
129277 - Kardia recorded HR 048 at 0525, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129278 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129279 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129280 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129281 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129282 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129283 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129286 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129287 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250613-ecg-052521_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129293 -  ..
129294 - Post hike HR profile beginning 2320, aligns with indoor activity after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129295 - hiking 00 miles and showing no continuous extended period steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129296 - elevated HR > 130, indicates no AFL, and no likely atrial fibrillation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129297 - and after stopping Apixaban on 240711, after 6th ablation on 240611,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129298 - 240611 0930, ref SDS 53 MC6F, See patient history on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129299 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129302 -        ..
129303 -       Date      250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402  250401    
129304 -       Time       2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349    1948     
129305 -       Hours         6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8      11     
129306 -       HR AVG       69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64      71     
129307 -       HR MAX      111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     162     
129308 -       HR Min       42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41      46     
129309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129311 -              https://flow.polar.com/training/analysis/8131896850                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129314 -  ..
129315 - HRV seems 50% 0 and 50% minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129318 -   
129319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129323 -  ..
129324 - Breakfast - cream of wheat with rasins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129325 - Lunch - sandwich balogna cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129326 - Dinner - steak potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129328 -  ..
129329 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129366 -         ..
129367 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129368 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129369 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129370 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129371 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129372 -  165.  250614 0545............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129373 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129374 -               0555....BP HR..................................................... 130  84  47  Kardia ECG reports HR status, see below. ref SDS 0 SA8C                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129375 -               0500....BP HR..................................................... 143  89  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129376 -               0505....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129377 -               0505....40 462380 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129378 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129379 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129380 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129381 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129382 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129383 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129384 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129385 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129386 -               1700... 40 124340 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                                                                                                                                                                                                                                                                                  
129387 -             1 0000............ 10 21580  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129388 -             1 0000............ 10 21930  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129389 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129390 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129391 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129392 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129393 -               2250... 1000 2481000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129394 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129395 -               2330... 40 462420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129396 -               2340... 40 99040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129399 -  ..
129400 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129401 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129403 -  ..
129404 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129405 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129406 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129407 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129408 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129409 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129411 -  ..
129412 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129413 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129415 -  ..
129416 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129417 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129423 -  ..
129424 - Kardia recorded HR 050 at 0547, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129425 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129426 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129427 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129428 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129429 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129430 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129433 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129434 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250614-ecg-054716_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129439 -               ..
129440 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250614-ecg-073133_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129447 -  ..
129448 - Post hike 250614 HR profile beginning 2144, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129449 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129450 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129451 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129452 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129453 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129456 -        ..
129457 -       Date      250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403  250402    
129458 -       Time       2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050    2349     
129459 -       Hours         9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10       8     
129460 -       HR AVG       63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63      64     
129461 -       HR MAX      116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     145     
129462 -       HR Min       43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40      41     
129463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129465 -              https://flow.polar.com/training/analysis/8131896850                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129468 -  ..
129469 - HRV seems 20% 0 and 80% minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129472 -   
129473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129477 -  ..
129478 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129479 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129480 - Dinner - pancake eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129482 -  ..
129483 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129520 -         ..
129521 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129522 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129523 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129524 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129525 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129526 -  166.  250615 0540............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129527 -               0550....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129528 -               0555....BP HR..................................................... 130  88  63  Kardia ECG reports HR status, see below. ref SDS 0 DTPR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129529 -               0500....BP HR..................................................... 131  70  74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129530 -               0505....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129531 -               0505....40 462460 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129532 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129533 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129534 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129535 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129536 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129537 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129538 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129539 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129540 -               1700... 40 124380 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                                                                                                                                                                                                                                                                                  
129541 -               1830............ 10 21590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129542 -               1830............ 10 21940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129543 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129544 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129545 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129546 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129547 -               2250... 1000 2482000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129548 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129549 -               2330... 40 462500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129550 -               2340... 40 99080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129553 -  ..
129554 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129555 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129557 -  ..
129558 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129559 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129560 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129561 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129562 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129563 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129565 -  ..
129566 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129567 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129569 -  ..
129570 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129571 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129577 -  ..
129578 - Kardia recorded HR 061 at 0542, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129579 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129580 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129581 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129582 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129583 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129584 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129587 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129588 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250615-ecg-054254_mile_00_061_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129593 -  ..
129594 - Post hike 250615 HR profile beginning 2247, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129595 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129596 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129597 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129598 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129599 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129602 -        ..
129603 -       Date      250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404  250403    
129604 -       Time       2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111    2050     
129605 -       Hours         8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10      10     
129606 -       HR AVG       63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62      63     
129607 -       HR MAX      117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     134     
129608 -       HR Min       42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40      40     
129609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129611 -              https://flow.polar.com/training/analysis/8133121231                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129614 -  ..
129615 - HRV seems 40% 0 and 60% minimal - moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129618 -   
129619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129623 -  ..
129624 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129625 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129626 - Dinner - hamburger potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129628 -  ..
129629 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129668 -         ..
129669 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129670 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129671 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129672 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129673 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129674 -  167.  250616 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129675 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129676 -               0725....BP HR..................................................... 133  88  64  Kardia ECG reports HR status, see below. ref SDS 0 BUS9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129677 -               0730....BP HR..................................................... 135  74  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129678 -               0735....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129679 -               0735....40 462540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129680 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129681 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129682 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129683 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129684 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129685 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129686 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129687 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129688 -               1700... 40 124420 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                                                                                                                                                                                                                                                                                  
129689 -             1 0000............ 10 21590  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129690 -             1 0000............ 10 21940  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129691 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129692 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129693 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129694 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129695 -               2250... 1000 2483000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129696 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129697 -               2330... 40 462580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129698 -               2340... 40 99120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129700 -  ..
129701 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129702 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129704 -  ..
129705 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129706 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129707 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129708 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129709 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129710 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129712 -  ..
129713 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129714 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129716 -  ..
129717 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129718 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129724 -  ..
129725 - Kardia recorded HR 050 at 0720, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129726 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129727 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129728 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129729 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129730 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129731 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129734 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129735 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250616-ecg-072015_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129741 -  ..
129742 - Post hike 250616 HR profile beginning 2212, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129743 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129744 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129745 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129746 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129747 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129750 -        ..
129751 -       Date      250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405  250404    
129752 -       Time       2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032    2111     
129753 -       Hours        13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11      10     
129754 -       HR AVG       67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69      62     
129755 -       HR MAX      107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     148     
129756 -       HR Min       44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42      40     
129757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129759 -              https://flow.polar.com/training/analysis/8133978725                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129762 -  ..
129763 - HRV seems 20% 0 and 80% minimal - moderate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129766 -   
129767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129771 -  ..
129772 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129773 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129774 - Dinner - hamburger potato broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129776 -  ..
129777 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129819 -         ..
129820 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129821 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129822 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129823 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129824 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129825 -  168.  250617 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129826 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129827 -               0705....BP HR..................................................... 129  84  52  Kardia ECG reports HR status, see below. ref SDS 0 XKYL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129828 -               0710....BP HR..................................................... 134  86  71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129829 -               0725....weight.................................... 171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129830 -               0725....40 462620 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129831 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129832 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129833 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129834 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129835 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129836 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129837 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129838 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129839 -               1700... 40 124460 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                                                                                                                                                                                                                                                                                  
129840 -               1830............ 10 21600  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129841 -               1830............ 10 21950  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129842 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129843 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129844 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129845 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129846 -               2250... 1000 2484000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129847 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129848 -               2330... 40 462660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129849 -               2340... 40 99160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129852 -  ..
129853 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129854 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129856 -  ..
129857 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129858 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129859 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129860 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129861 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129862 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129864 -  ..
129865 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129866 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129868 -  ..
129869 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129870 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129875 -  ..
129876 - Kardia recorded HR 058 at 0658, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129877 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129878 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129879 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129880 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129881 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
129882 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129885 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129886 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250617-ecg-065800_mile_00_058_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
129887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129892 -  ..
129893 - Post hike 250617 HR profile beginning 2018, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129894 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
129895 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129896 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129897 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129898 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129901 -        ..
129902 -       Date      250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406  250405    
129903 -       Time       2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203    2032     
129904 -       Hours         8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9      11     
129905 -       HR AVG       81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78      69     
129906 -       HR MAX      116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     123     
129907 -       HR Min       60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48      42     
129908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129910 -              https://flow.polar.com/training/analysis/8134379043                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129913 -  ..
129914 - HRV seems 20% 0 and 80% moderate - severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129917 -   
129918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129922 -  ..
129923 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
129924 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129925 - Dinner - hamburger potato broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129927 -  ..
129928 - Vomiting: 0% - bloating PL 3 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
129929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
129968 -         ..
129969 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129970 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129971 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129972 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129973 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129974 -  169.  250618 0420............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129975 -               0420....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129976 -               0425....BP HR..................................................... 155 102  78  Kardia ECG reports HR status, see below. ref SDS 0 FLGM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129977 -               0430....BP HR..................................................... 158  98  78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129978 -               0435....weight.................................... 172                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
129979 -               0435....40 462700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
129980 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129981 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129982 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
129983 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
129984 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129985 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
129986 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129987 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
129988 -               1700... 40 124500 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                                                                                                                                                                                                                                                                                  
129989 -             1 0000............ 10 21600  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
129990 -             1 0000............ 10 21950  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
129991 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129992 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129993 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129994 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
129995 -               2250... 1000 2485000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
129996 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
129997 -               2330... 40 462740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
129998 -               2340... 40 99200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
129999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130001 -  ..
130002 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130003 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130005 -  ..
130006 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130007 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130008 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130009 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130010 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130011 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130013 -  ..
130014 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130015 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130017 -  ..
130018 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130019 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130025 -  ..
130026 - Kardia recorded HR 085 at 0423, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130027 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130028 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130029 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130030 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130031 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130032 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130035 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130036 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250618-ecg-042349_mile_00_085_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130041 -  ..
130042 - Post hike 250618 HR profile beginning 2151, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130043 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130044 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130045 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130046 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130047 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130050 -        ..
130051 -       Date      250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407  250406    
130052 -       Time       2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930    2203     
130053 -       Hours        10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11       9     
130054 -       HR AVG       64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70      78     
130055 -       HR MAX      103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     117     
130056 -       HR Min       42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42      48     
130057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130059 -              https://flow.polar.com/training/analysis/8135129093                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130062 -  ..
130063 - HRV seems 30% 0 and 70% minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130066 -   
130067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130071 -  ..
130072 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130073 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130074 - Dinner - hamburger potato broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130076 -  ..
130077 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130115 -         ..
130116 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130117 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130118 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130119 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130120 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130121 -  170.  250619 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130122 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130123 -               0725....BP HR..................................................... 143  82  92  Kardia ECG reports HR status, see below. ref SDS 0 3369                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130124 -               0730....BP HR..................................................... 152  87  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130125 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130126 -               0735....40 462780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
130127 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130128 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130129 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130130 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130131 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130132 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130133 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130134 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130135 -               1700... 40 124540 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                                                                                                                                                                                                                                                                                  
130136 -               1830............ 10 21610  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130137 -               1830............ 10 21960  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130138 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130139 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130140 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130141 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130142 -               2250... 1000 2486000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130143 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130144 -               2330... 40 462820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130145 -               2340... 40 99240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130148 -  ..
130149 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130150 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130152 -  ..
130153 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130154 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130155 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130156 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130157 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130158 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130160 -  ..
130161 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130162 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130164 -  ..
130165 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130166 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130172 -  ..
130173 - Kardia recorded HR at 0744, Normal Sinus Rhythm, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130174 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130175 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130176 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130177 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130178 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130179 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130182 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130183 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250619-ecg-074448_mile_00_054_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130189 -  ..
130190 - Post hike 250619 HR profile beginning 2032, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130191 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130192 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130193 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130194 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130195 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130198 -        ..
130199 -       Date      250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408  250407    
130200 -       Time       2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301    1930     
130201 -       Hours        11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8      11     
130202 -       HR AVG       70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68      70     
130203 -       HR MAX      172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     163     
130204 -       HR Min       36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42      42     
130205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130207 -              https://flow.polar.com/training/analysis/8135729650                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130210 -  ..
130211 - HRV seems 60% 0 and 40% minimal - good overenight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130214 -   
130215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130219 -  ..
130220 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130221 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130222 - Dinner - steak potato broccoli cauliflower onion cheese - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130224 -  ..
130225 - Vomiting: 0% - bloating PL 2 - Mylanta won't refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130262 -         ..
130263 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130264 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130265 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130266 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130267 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130268 -  171.  250620 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130269 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130270 -               0725....BP HR..................................................... 136  75  62  Kardia ECG reports HR status, see below. ref SDS 0 ALBY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130271 -               0730....BP HR..................................................... 143  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130272 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130273 -               0735....40 462860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
130274 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130275 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130276 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130277 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130278 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130279 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130280 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130281 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130282 -               1700... 40 124580 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                                                                                                                                                                                                                                                                                  
130283 -             1 0000............ 10 21610  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130284 -             1 0000............ 10 21960  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130285 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130286 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130287 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130288 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130289 -               2250... 1000 2487000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130290 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130291 -               2330... 40 462900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130292 -               2340... 40 99280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130295 -  ..
130296 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130297 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130299 -  ..
130300 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130301 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130302 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130303 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130304 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130305 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130307 -  ..
130308 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130309 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130311 -  ..
130312 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130313 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130317 -  ..
130318 - Kardia recorded HR 55 at 0603, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130319 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130320 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130321 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130322 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130323 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130324 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130327 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130328 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250620-ecg-060337_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130334 -  ..
130335 - Post hike 250620 HR profile beginning 0050, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130336 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130337 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130338 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130339 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130340 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130343 -        ..
130344 -       Date      250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411  250408    
130345 -       Time       0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330    2301     
130346 -       Hours         6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7       8     
130347 -       HR AVG       66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72      68     
130348 -       HR MAX      118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     114     
130349 -       HR Min       43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49      42     
130350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130352 -              https://flow.polar.com/training/analysis/8136339618                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130355 -  ..
130356 - HRV seems 20% 0 and 80% minimal - good overenight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130359 -   
130360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130364 -  ..
130365 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130366 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130367 - Dinner - steak potato broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130369 -  ..
130370 - Vomiting: 0% - bloating PL 2 - Mylanta received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130408 -         ..
130409 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130410 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130411 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130412 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130413 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130414 -  172.  250621 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130415 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130416 -               0725....BP HR..................................................... 150  87  53  Kardia ECG reports HR status, see below. ref SDS 0 J3K9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130417 -               0730....BP HR..................................................... 153  82  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130418 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130419 -               0735....40 462940 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
130420 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130421 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130422 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130423 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130424 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130425 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130426 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130427 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130428 -               1700... 40 124620 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                                                                                                                                                                                                                                                                                  
130429 -               1830............ 10 21620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130430 -               1830............ 10 21970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130431 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130432 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130433 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130434 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130435 -               2250... 1000 2488000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130436 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130437 -               2330... 40 462980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130438 -               2340... 40 99320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130440 -  ..
130441 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130442 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130444 -  ..
130445 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130446 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130447 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130448 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130449 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130450 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130452 -  ..
130453 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130454 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130456 -  ..
130457 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130458 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130462 -  ..
130463 - Kardia recorded HR 55 at 0941, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130464 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130465 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130466 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130467 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130468 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130469 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130472 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130473 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250621-ecg-094157_mile_00_055_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130478 -  ..
130479 - Post hike 250621 HR profile beginning 2116, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130480 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130481 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130482 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130483 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130484 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130487 -        ..
130488 -       Date      250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412  250411    
130489 -       Time       2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128    2330     
130490 -       Hours         8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11       7     
130491 -       HR AVG       65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75      72     
130492 -       HR MAX      101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     110     
130493 -       HR Min       45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42      49     
130494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130496 -              https://flow.polar.com/training/analysis/8136820295                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130499 -  ..
130500 - HRV seems 60% 0 and 40% minimal - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130503 -   
130504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130508 -  ..
130509 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130510 - Lunch - avocado cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130511 - Dinner - steak potato broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130513 -  ..
130514 - Vomiting: 0% - bloating PL 3 - Mylanta received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130552 -         ..
130553 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130554 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130555 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130556 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130557 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130558 -  173.  250622 0530............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130559 -               0530....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130560 -               0535....BP HR..................................................... 144  94  53  Kardia ECG reports HR status, see below. ref SDS 0 J3K9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130561 -               0540....BP HR..................................................... 137  72  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130562 -               0545....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130563 -               0545....40 463020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
130564 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130565 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130566 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130567 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130568 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130569 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130570 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130571 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130572 -               1700... 40 124660 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                                                                                                                                                                                                                                                                                  
130573 -             1 0000............ 10 21620  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130574 -             1 0000............ 10 21970  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130575 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130576 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130577 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130578 -               2130... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130579 -               2250... 1000 2489000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130580 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130581 -               2330... 40 463060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130582 -               2340... 40 99360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130585 -  ..
130586 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130587 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130589 -  ..
130590 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130591 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130592 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130593 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130594 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130595 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130597 -  ..
130598 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130599 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130601 -  ..
130602 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130603 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130607 -  ..
130608 - Kardia recorded HR 57 at 0552, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130609 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130610 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130611 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130612 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130613 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130614 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130617 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130618 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250622-ecg-055208_mile_00_057_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130624 -  ..
130625 - Post hike 250622 HR profile beginning 2202, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130626 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130627 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130628 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130629 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130630 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130633 -        ..
130634 -       Date      250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413  250412    
130635 -       Time       2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128    2128     
130636 -       Hours         9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09      11     
130637 -       HR AVG       72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63      75     
130638 -       HR MAX      163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     157     
130639 -       HR Min       47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40      42     
130640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130642 -              https://flow.polar.com/training/analysis/8137484847                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130645 -  ..
130646 - HRV seems 100% 0 and 0% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130649 -   
130650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130654 -  ..
130655 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130656 - Lunch - tuna cottage cheese onion relish mayonaise                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130657 - Dinner - steak potato broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130659 -  ..
130660 - Vomiting: 0% - bloating PL 0 - Mylanta received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130699 -         ..
130700 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130701 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130702 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130703 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130704 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130705 -  174.  250623 0800............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130706 -               0810....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130707 -               0815....BP HR..................................................... 134  82  56  Kardia ECG reports HR status, see below. ref SDS 0 JGHU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130708 -               0820....BP HR..................................................... 133  75  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130709 -               0825....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130710 -               0825....40 463100 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
130711 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130712 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130713 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130714 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130715 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130716 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130717 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130718 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130719 -               1700... 40 124700 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                                                                                                                                                                                                                                                                                  
130720 -               1830............ 10 21630  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130721 -               1830............ 10 21980  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130722 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130723 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130724 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130725 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130726 -               2250... 1000 2490000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130727 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130728 -               2330... 40 463140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130729 -               2340... 40 99400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130732 -  ..
130733 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130734 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130736 -  ..
130737 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130738 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130739 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130740 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130741 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130742 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130744 -  ..
130745 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130746 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130748 -  ..
130749 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130750 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130756 -  ..
130757 - Kardia recorded HR 58 at 0604, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130758 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130759 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130760 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130761 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130762 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130763 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130766 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130767 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250623-ecg-060422_mile_00_058_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130773 -  ..
130774 - Post hike 250623 HR profile beginning 2351, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130775 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130776 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130777 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130778 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130779 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130782 -        ..
130783 -       Date      250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414  250413    
130784 -       Time       2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009    2128     
130785 -       Hours         2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11      09     
130786 -       HR AVG       60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69      63     
130787 -       HR MAX       99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     117     
130788 -       HR Min       45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46      40     
130789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130791 -              https://flow.polar.com/training/analysis/8138108522                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130794 -  ..
130795 - HRV seems 100% 0 and 0% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130798 -   
130799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130803 -  ..
130804 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130805 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130806 - Dinner - rice hamburger broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130808 -  ..
130809 - Vomiting: 0% - bloating PL 0 - Mylanta received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130849 -         ..
130850 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130851 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130852 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130853 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130854 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130855 -  175.  250624 0800............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130856 -               0810....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130857 -               0815....BP HR..................................................... 144  82  51  Kardia ECG reports HR status, see below. ref SDS 0 TRHW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130858 -               0820....BP HR..................................................... 141  78  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130859 -               0825....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130860 -               0825....40 463180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
130861 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130862 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130863 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130864 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130865 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130866 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130867 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130868 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130869 -               1700... 40 124740 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                                                                                                                                                                                                                                                                                  
130870 -             1 0000............ 10 21630  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
130871 -             1 0000............ 10 21980  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
130872 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130873 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130874 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130875 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130876 -               2250... 1000 2491000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130877 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130878 -               2330... 40 463220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130879 -               2340... 40 99440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130881 -  ..
130882 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130883 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130885 -  ..
130886 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130887 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130888 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130889 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130890 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130891 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130893 -  ..
130894 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130895 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130897 -  ..
130898 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130899 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130903 -  ..
130904 - Kardia recorded HR 59 at 0634, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130905 - uniform heart beat lengths with p-waves and artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130906 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130907 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130908 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130909 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130910 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130913 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130914 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250624-ecg-063458_mile_00_059_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130919 -  ..
130920 - Post hike 250624 HR profile beginning 2025, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130921 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130922 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130923 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130924 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130925 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130928 -        ..
130929 -       Date      250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415  250414    
130930 -       Time       2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000    2009     
130931 -       Hours         9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7      11     
130932 -       HR AVG       68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68      69     
130933 -       HR MAX      118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     123     
130934 -       HR Min       43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44      46     
130935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130937 -              https://flow.polar.com/training/analysis/8138697471                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130940 -  ..
130941 - HRV seems 100% 0 and 0% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
130942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130944 -   
130945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130949 -  ..
130950 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130951 - Lunch - hot dog cottage cheese onion relish                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
130952 - Dinner - steak potato broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130954 -  ..
130955 - Vomiting: 0% - bloating PL 0 - Mylanta received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130996 -         ..
130997 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130998 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130999 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131000 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131001 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131002 -  176.  250625 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131003 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131004 -               0715....BP HR..................................................... 134  79  51  Kardia ECG reports HR status, see below. ref SDS 0 YFPJ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131005 -               0720....BP HR..................................................... 135  82  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131006 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131007 -               0725....40 463260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
131008 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131009 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131010 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131011 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131012 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131013 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131014 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131015 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131016 -               1700... 40 124780 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                                                                                                                                                                                                                                                                                  
131017 -               1830............ 10 21640  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131018 -               1830............ 10 21990  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131019 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131020 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131021 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131022 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131023 -               2250... 1000 2492000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131024 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131025 -               2330... 40 463300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131026 -               2340... 40 99480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131028 -  ..
131029 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131030 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131032 -  ..
131033 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131034 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131035 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131036 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131037 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131038 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131040 -  ..
131041 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131042 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131044 -  ..
131045 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131046 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131051 -  ..
131052 - Kardia recorded HR 53 at 0707, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131053 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131054 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131055 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131056 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131057 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131058 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131061 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131062 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250625-ecg-070700_mile_00_053_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131067 -  ..
131068 - Post hike 250625 HR profile beginning 0106, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131069 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131070 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131071 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131072 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131073 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131076 -        ..
131077 -       Date      250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416  250415    
131078 -       Time       0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032    2000     
131079 -       Hours         5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10       7     
131080 -       HR AVG       55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72      68     
131081 -       HR MAX      113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     109     
131082 -       HR Min       43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49      44     
131083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131085 -              https://flow.polar.com/training/analysis/8139288556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131088 -  ..
131089 - HRV seems 0% 0 and 100% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131092 -   
131093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131097 -  ..
131098 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131099 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131100 - Dinner - steak potato broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131102 -  ..
131103 - Vomiting: 0% - bloating PL 0 - Mylanta received                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131143 -         ..
131144 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131145 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131146 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131147 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131148 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131149 -  177.  250626 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131150 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131151 -               0645....BP HR..................................................... 143  81  62  Kardia ECG reports HR status, see below. ref SDS 0 DH8P                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131152 -               0650....BP HR..................................................... 132  80  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131153 -               0655....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131154 -               0655....40 463340 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
131155 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131156 -               1215....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131157 -               1215... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131158 -               1215....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131159 -               1215....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131160 -               1215....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131161 -               1215....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131162 -               1215... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult
131163 -  ..
131164 -               1235....miles...........  17.0  17.0  336   336 minutes  temp  87 wind 15  rain  0% light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131165 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131166 -               1509....mile 08 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131167 -               1509....Tramadol 50 mg took 2 pills - 2 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131168 -               0000....Naproxen 250 mg took 0 pills - 4 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131169 -               1509... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
131170 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131171 -               1509... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131172 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131173 -               1707....mile 13 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131174 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131175 -               0000....Tramadol 50 mg took 0 pills - 4 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131176 -               1707... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
131177 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131178 -               1707... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
131179 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131180 -               1917... Hike ends mile 17..... ref SDS 0 BW78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131181 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131182 -               1947....weight.................................... 170  lost  4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131183 -               1953....BP HR..................................................... 129  78 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131184 -               2023....BP HR..................................................... 129  78  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131185 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131186 -               1950... 40 124820 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                                                                                                                                                                                                                                                                                  
131187 -             1 0000............ 10 21640  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131188 -             1 0000............ 10 21990  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131189 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131190 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131191 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131192 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131193 -               2250... 1000 2493000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131194 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131195 -               2330... 40 463380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131196 -               2340... 40 99520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131198 -  ..
131199 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131200 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131202 -  ..
131203 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131204 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131205 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131206 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131207 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131208 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131210 -  ..
131211 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131212 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131214 -  ..
131215 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131216 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131219 -  ..
131220 - Summary - hiked 17 miles, dropped 4 pounds with temp in 80s - tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131221 - recovery injuries left foot after 2 weeks not hiking, and test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131222 - recovery from HRV, after EKGs show reduced arrhythmias.  Applied only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131223 - 1 donut bandage on left foot #1 callus - should have used 2 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131224 - increased protection, and 1 on #5 - didn't because this widens                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131225 - forefoot profile, which increases lateral pressure in a fixed shoe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131226 - box.  Took 2 Tramadol to start hike, and 2 more at mile 8.  Wore new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131227 - Bondi 9 extra-wide shoes to reduce pressure on injuries.  Prior hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131228 - seems to have reduced dysfunctional ANS symptoms - taste for food and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131229 - voice have improved, bloating and fatigue declined all after evident                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131230 - decline of HRV from hiking 20 mpd for 10 days ending on 250522.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131231 - However HRV seems on the rise now due to hiking only 3 days the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131232 - 35 days, attempting to heal left foot, as has occurred with right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131233 - foot.  However, left foot injuries recurred during hike today.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131234 - indicates have to further pause hiking for left foot to heal, in order                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131235 - to resume therapeutic hiking to treat IHD, including dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131236 - ANS.  On hike today, got past mile 4, without having to stop due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131237 - severe fatigue and take more magnesium and CoQ10.  Starting hike at PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131238 - 0 - besides taking 2 Tramadol - took 1 magnesium, and 6 flz CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131239 - Got past mile 4 without having to stop and take another magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131240 - more CoQ10.  This may signal Ferritin labs recovered after reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131241 - below range in blood test on 250428 0940, ref SDS 88 VP5H, following                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131242 - more severe HRV from dysfunctional ANS after cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131243 - 240611, but have since begun getting worse shown by more recent daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131244 - EKGs showing increased frequency of HRV.  Seems to be latency between                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131245 - rising HRVs and energy impact.  Today, noticed fatigue rising about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131246 - mile 6.  Tried waiting to stop at mile 9, but fatigue PL 8 (scale 1 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131247 - 10 with 10 "dead") forced stopping at mile 8, on reaching college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131248 - Visitor Parking at top of Campus Drive, for rest, hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131249 - nutrition, more magnesium and CoQ10.  Also took 2 more Tramadol -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131250 - total 4 so far - because left foot #1 callus PL 7, and #5 PL 4.  EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131251 - reporting HR 122 Tachycardia, indicates the heart is in sinus, rather                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131252 - than arrhythmia.  This is surprisingly favorable compared to patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131253 - history showing that,,after 2 week layoff from hiking, and temp > 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131254 - as today, then EKGs near mile 10 yields HR > 140 and Unclassified or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131255 - Possible Atrial Fibrillation, occur for 2 - 3 hikes that "train" the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131256 - heart back into a healthy sinus condition.  This record of sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131257 - rather than arrhythmia therefore may suggest latency between increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131258 - hiking and lower HRV, and likewise, between paused hiking and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131259 - increased HRV with symptoms of dysfunctional ANS: e.g., bloating,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131260 - fatigue, elevated BP and HR, frequent urination, voice disruption,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131261 - fainting, hallucinations, falling, as listed in the record on 250408                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131262 - 1030. ref SDS 86 VA8H  This improvement aligns with relying on hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131263 - to resolve HRV symptoms proposed in Doctor Pellegrini's letter on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131264 - 250115 1023, ref SDS 70 H480, and later on 250207 0941. ref SDS 72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131265 - PS49  After 10 minutes for EKG, hydration, nutrition and meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131266 - continued hike around main college buildings.  Then left campus hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131267 - 4 miles over summit Ygnacio Valley Road.  On the way downhill about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131268 - mile 12 began slowing despite not feeling fatigued, indicating loss of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131269 - motor control due to seizure effects.  A woman hiking the other way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131270 - asked if I was "Okay," weaving, staggering and stepping backward to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131271 - maintain balance?  Indicated condition was noticably abnormal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131272 - Stopped at mile 13, for hydration, nutrition and energy meds.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131273 - take more pain meds, because having adverse reaction taking 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131274 - Tramadol.  Took another magnesium and CoQ10.  Hiked 4 miles home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131275 - Initially, hiked with more normal pace.  After 2 miles, began slowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131276 - again involuntarily again - last mile seizure-like symptoms staggering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131277 - and going backwards - barely got home.  This may indicate relying on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131278 - Tramadol to enable hiking needs to be reduced, which requires reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131279 - PL from left foot calluses #1 and #5.  Need injuries to heal, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131280 - requires longer pausing hiking, which means recurrance dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131281 - ANS afflictions - a mess.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131284 -         ..
131285 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131286 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131287 -        Stomach pain ischemic colitis bloating.......   4         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
131288 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
131289 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131290 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131291 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131292 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
131293 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131294 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131295 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131296 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131297 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
131298 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131299 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
131300 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131301 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
131302 -        Back.........................................   4         10  noticed about hour after hike - could have been caused lifting furniture before hike to support construction crew remodeling house - lifted 50 pound c24, and lifted container of computer cables                                                                                                                                                                                                                                                                                                                                            
131303 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131304 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131305 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131306 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Naproxen mile 00 and 2 Tramadol mile 09 and 2 at mile 14                                                                                                                                                                                                                                                                                                                                                                              
131307 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131308 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131309 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131310 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131311 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
131312 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131313 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131314 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131315 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131316 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131317 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131318 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131319 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
131320 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131321 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131322 -        Metatarsalgia left foot...PRP 210705.........   2         30  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
131323 -        Metatarsalgia right foot..PRP 210705.........   2         30  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
131324 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
131325 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
131326 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131327 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131328 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
131329 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
131330 -        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                                                                                                                                                                                                                                                                                                                           
131331 -        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                                                                                                                                                                                                                                                                                                                                                                                    
131332 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131333 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
131334 -        Callus big toe left foot...PRP 210705........   7         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
131335 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131336 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131337 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
131338 -        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                                                                                                                                                                                                                                                                                                                                           
131339 -        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                                                                                                                                                                                                                                                                                                                                           
131340 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131341 -  new   Callus little toe right foot..top of toe.....   2        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
131342 -        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                                                                                                                                                                                                                                                                                                                                                                                        
131343 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
131344 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
131345 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131346 -        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                                                                                                                                                                                                                                                                                                                                                              
131347 -  new   Callus little toe #5 left foot...PRP 210705..   4         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
131348 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
131349 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131350 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131351 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
131352 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131353 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
131354 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
131355 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131356 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
131357 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131358 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131359 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131360 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131361 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131362 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131363 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131364 -        Wobbly disoriented staggering dizzy..........   9        100  took 2 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 13, and 0 Tramadol mile __ - possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                            
131365 -        Wasted - very fatigued.......................   2         10  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131366 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131369 -  ..
131370 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131371 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131373 -  ..
131374 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131375 - Hoka Bondi 9 size 10.5 extra-wide, received yesterday on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131376 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131377 - then double weave to keep lower laces loose to avoid lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131378 - on #1 and #5.  Calluses on left foot #1 and #5 were PL 0 for about 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131379 - miles, then gradually increased to PL 5 and reduced to PL 3 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131380 - taking Tramadol pills.  After taking 4th Tramadol, may have had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131381 - seizure side effects where speed reduced to 0, even going backwards a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131382 - few times.  Bondi 9 shoes provide very good cushioning to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131383 - metatarsalgia pain, have good rebound energy, enabling long hikes that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131384 - increase HDL and EPCs essential to treat IHD.  Shoe covering over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131385 - forefoot is difficult to loosen, even by not lacing eyelets.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131387 -  ..
131388 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131389 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131390 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131392 -  ..
131393 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Rightsocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131394 - dual ply, but only 1 pair instead of 2 pair, and in order to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131395 - lateral streas on #1 and #5.  Just 1 pair may have avoided higher PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131396 - on left foot #1 and #5, not sure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131398 -  ..
131399 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131401 -  ..
131402 - Callus Injuries - today on 250626, donut bandage.  With Tramadol had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131403 - PL 3 last 4 miles of 17 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131405 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131406 -                    2 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131407 -                    0 Tramadol mile 13 for last 4 miles of 17 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131409 -  ..
131410 - 4th Tramadol tripped ANS into seizure about mile 11, for rest of 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131411 - mile hike.  Unable to maintain speed.  Drugged brain continually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131412 - throttling down to 0, and staggeering backwards a few times to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131413 - maintain balance.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131415 -  ..
131416 - For left foot #5... same condition as #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131419 -  ..
131420 - Ammonium Lactate 12% lotion applied in evening after hike, to bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131421 - of feet, per above, ref SDS 0 OK9M, and wearing Smartwhool single-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131422 - socks and apply help recover and avoid blisters to Tailor's Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131423 - other calluses both feet, case study on shaving skin to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131424 - pressure, shown on 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131427 -  ..
131428 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131429 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131430 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131431 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131432 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131433 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131434 - Took only 2 instead of 3 Tramadol for pain management, despite 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131435 - Tramadol was not enough to get past mile 4 - had to take more to reach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131436 - mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131437 - have healed past 3 days, while not hiking, and even though there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131438 - metatarsalgia pain in feet starting the hike today, and further that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131439 - left foot #1 and #5 calluses both started at PL 0, after treatment by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131440 - Doctor Tang at VAMCSF 2 days ago on 250609 0900, ref SDS 96 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131441 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131442 - relief, despite starting at PL 0.  Took 1 Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131443 - pill for energy, absorbing lactic acid, and reducing inflammation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131444 - allowing HDL to increase that together with EPCs regress plaque in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131445 - blood vessels - see research on 200101 0701, ref SDS 18 QP6L -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131446 - swallowed pill whole after EGD Dilation on 250408, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131447 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131448 - amount peanut butter that contains iron to elevate Farritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131449 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131450 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131451 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131452 - Seeds for electrolytes and energy, and had 1/4 avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131453 - before starting hike took Ubiquinol CoQ10, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131454 - MQ9G  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131455 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131456 - study on 200101 0701. ref SDS 18 136K  Minimal breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131457 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131458 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131459 - atrial fibrillation (arrhythmia - variable heart rate) see case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131460 - on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131461 - Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131462 - feeling swelled and like "pins and needles" due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131463 - neuropathy caused by taking statins, diabetes symptoms and the past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131464 - year HRV from dysfunctional ANS - actually minimal today.  After about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131465 - 1 mile feet calming down.  Bottom of both feet not hurting yet with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131466 - metatarsalgia pain, including left foot #1 and #5, which were severely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131467 - painful during 2 days that led to pausing hiking past 13 days, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131468 - also pausing hiking another 14 days for these injuries to heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131469 - beginning on 250523, per above. ref SDS 0 OP4H  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131470 - entire hike today, with no dyspnea, indicating condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131471 - sustained, despite reduced hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131472 - started at 77, and reached 87.  East wind 15 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131473 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131474 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131475 - places 3% uphill, and very light traffic.  Significantly improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131476 - cardiovascular diagnostics.  Typically, on resuming hiking after a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131477 - long interlude (more than 6 days), Polar health monitor reports HR in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131478 - 140+ range starting hike, and for initial several days.  Today, HR was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131479 - below 130 for 1st 10 miles. and remained below 130 mostly for rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131480 - hike.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131481 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131482 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131483 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131484 - .5 miles slight grade 2%, on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131485 - shopping complex.  Crossed Alberto Way at traffic light and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131486 - on concrete sidewalk .5 miles.  Very good energy after taking only 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131487 - magnesium capsule this morning - did not hit fatigue "wall" so, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131488 - not have to stop at mile 4, to take interim magnesium and CoQ10.  Feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131489 - not hurting after taking 2 Tramadol before starting hike - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131490 - take more Tramadol at mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131491 - Valley Road using concrete sidewalk .5 miles.  Crossed Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131492 - Road at Stop Light still heading West .25 miles now on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131493 - shoulder.  Crossed to South side Ygnacio Valley Road to hike on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131494 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131495 - Turned left onto Pine Hollow and hiked 0.75 mile East.  At Rolling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131496 - Woods Way turned around and hiked back.  Adverse effects of tempeature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131497 - in 85 range was reduced by cool wind mostly in 10 mph range.  Near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131498 - Ygnacio Valley road turned left onto Campus Drive heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131499 - 3% grade.  Hiked 1 mile against wind 15 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131500 - At Ygnacio Valley road turned around and hiked uphill on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131501 - 4% grade.  On this .25 mile stretch began to fatigue, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131502 - 250522.  Pace for this level of effort gradually declined, indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131503 - ferritin, which was below range in lab on 250428, may have recovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131504 - recovered some ANS dysfunction, that enables ferritin to rise, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131505 - which aligns with reduced heart rate variability, i.e., increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131506 - sinus as a result of increased hiking last month, at least to 250522.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131507 - However, near total drop in hiking past 4 weeks, allowed dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131508 - ANS to recur, with negative effects on related afflictions, including                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131509 - ferritin to drop.  On reaching Visitor Parking at California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131510 - University East Bay Concord Campus, normally would hike a few miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131511 - through parking lots, and at least .5 mile around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131512 - Today, had to stop at Administration building mile 08 time 1509 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131513 - 86 and wind 09 mph; EKG looks mostly uniform with some artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131514 - Kardia reported HR 122, Tachycardia - see below. ref SDS 0 MIN8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131515 - Fatigue PL 8, bloating PL 5 (continual burping to relieve stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131516 - pressure - seems like new affliction) after taking 2 Tramadol at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131517 - 0, both feet metatarsalgia PL 2.  Left foot #1 PL 7 seems like new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131518 - blister that occurred during prior hike on 250611, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131519 - ref SDS 0 XPQV, - after hike there is another bubble blister on top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131520 - the callus, and #5 PL 2.  Took 2 more Tramadol 50 mg for pain.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131521 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131522 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131523 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131524 - nutrition - peanut butter, margarine and Mayonnaise to speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131525 - metabolizing magnesium), and Chia Seeds (soaked in Coca Cola) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131526 - energy, and avocado for HDL - did not have difficulty swallowing this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131527 - combination; today. took 3 bites.  Took Chia Seeds seperately and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131528 - swallowed okay.  Took Ubiquinol liquid CoQ10 0.6 ml for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131529 - to complete hike.  Despite temperature above 80, to save money did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131530 - take Nuun electrolyte pill, per above. ref SDS 0 ZC4Z  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131531 - around main buildings, stopping at the back to do half-pullups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131532 - pushups.  Back at Visitor Parking, left college heading North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131533 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131534 - flat grade .5 miles.  At mile 10, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131535 - uphill 3% grade .5 miles against wind 09 mph.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131536 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131537 - Continued West .5 mile to summit - mile 11, end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131538 - barrier.  At break in traffic, crossed back to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131539 - Valley Road in order to use wider asphalt shoulder.  Continued West 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131540 - miles downhill 3% grade.  Did not feel electrical shocks in balls of
131541 -  ..
131542 - feet today.  About halfway down, mile 12, noticed speed involuntairly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131543 - slowing.  Was able to speed up a little; yet, after less than 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131544 - yards body slowed over and over.  Seems like stroke behavior, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131545 - from taking too much Tramadol.  Along the way, encountered several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131546 - pieces of splintered lumber, 2x4 about 3' long, which likely fell from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131547 - a passing truck, and presented a distraction/danger to drivers.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131548 - break in traffic moved this refuse to side of road next to asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131549 - curb.  Continuing the hike was increaslingly slowed by stroke-like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131550 - behavior.  Nearing Oak Grove a woman passed on foot going the other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131551 - way at this point on sidewalk.  I was staggering with discursive gait.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131552 - The woman asked if I needed help?  Explained nearing Oak Grove and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131553 - would get hydration and eat something, take energy pills there.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131554 - Crossed Oak Grove at traffic light.  Today, hiked 0 1-mile loops using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131555 - asphalt path around the block at Safeway shopping complex.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131556 - Mod Pizza mile 13 time 1707 temp 86 and wind 16 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131557 - uniform with no artifact - Kardia reported HR 129, Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131558 - below. ref SDS 0 ZJBE  Fatigue PL 6, bloating PL 5 after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131559 - Tramadol at mile 0, and 2 more at mile 08, both feet metatarsalgia PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131560 - 4.  Left foot #1 PL 5 - seemed like new bubble blister on top of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131561 - callus, and #5 PL 4.  Maybe endorphins reducing pain sensation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131562 - Decided not to take more Tramadol in order to avoid further over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131563 - medicating with opioids.  Took 2 Magnesium complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131564 - energy, absorbing lactic acid, and reducing inflammation, per research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131565 - on 200101 0701. ref SDS 18 QP6L  Mod Pizza provided complimentary cups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131566 - and ice, helpful with temp 86 - took sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131567 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131568 - Mayonnaise to speed metabolizing magnesium), and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131569 - Coca Cola) for energy, and avocado for HDL - did not have difficulty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131570 - swallowing this combination; today. took 3 bites.  Took Chia Seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131571 - seperately and swallowed okay.  Took Ubiquinol CoQ10 0.6 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131572 - and energy to complete hike.  Temperature abovw 80, yet avoided taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131573 - Nuun electrolyte pill again, per above. ref SDS 0 ZC4Z  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131574 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131575 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131576 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131577 - on asphalt shoulder.  At stop light crossed to North side and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131578 - right heading East.  Continued 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131579 - sidewalk.  Was hiking slower and slower, as occurred during prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131580 - hikes when taking too much Tramadol to suppress pain, e.g., on 231111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131581 - in case study on 230101 0654. ref SDS 28 RVVY see line 172870; also                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131582 - see letter to Doctor Wiseman at VAMCSF on 230418 0949. ref SDS 29 RS5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131583 - On 250522, wound up taking 11 Tramadol, and flipped into AFL, albeit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131584 - briefly, see above. ref SDS 0 STXU, but yielding reduced dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131585 - ANS symptoms for next weeks.  Continued past San Miguel uphill 0.75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131586 - mile 5% grade temp 82.  Could not handle this well.  Slowed to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131587 - and had several movements backward to regain balance, before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131588 - recovering and continuing forward along this ending part of the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131589 - At summit, mile 16, hiked another mile to Cuneo then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131590 - mile 17 time 1919 temp 78, wind 16.  Bloated PL 3, fatigue PL 8, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131591 - PL 2, burning sensation PL 2, left foot #1 PL 5, #5 PL 3, neck/spine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131592 - PL 0 momentarily turning head, lower back right side PL 0.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131593 - mostly uniform, with minor artifact, Kardia reported HR 118,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131594 - Tachycardia - see below. ref SDS 0 BW78                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131611 -  ..
131612 - Kardia recorded HR 50 at 0638, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131613 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131614 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131615 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131616 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131617 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131618 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131621 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131622 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250626-ecg-063819_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131628 -  ..
131629 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131630 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131631 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131632 - ..
131633 -                                                                                                                                                                                                                                                                                                              x
131634 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131635 -                                                 x             z                    A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131636 -       Date          250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 250417 250416 250415 250414 250413 250412 250408 250407 250406 250405 250404 25040  
131637 -       Miles            17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25      0      0      0     16     20      0      0     21     20     21     14  
131638 -       HR AVG          123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113     no     no     no    114    119     no     no    117    115    114    107  
131639 -         MAX           138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128   report report report  127    134   report report  144    131    129    121  
131640 -         Min            57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65                          77     49                   42     50     64     75  
131641 -       El Climb Ft     454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469                         469    505                  504    431    431    491  
131642 -       Temp Max         87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65                          82     73                   74     77     73     67  
131643 -       Wind Max         15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8                           8     10                   14     12     14     09  
131644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131646 -              https://flow.polar.com/training/analysis/8139621769                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131649 -               ..
131651 -   
131652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131657 -  ..
131658 - EKG at mile 08 time 1509 HR 122 temp 86, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131659 - Tachycardia... heart rate looks uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131660 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131663 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131664 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250626-ecg-150935_mile_08_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131670 -  ..
131671 - EKG at mile 13, time 1707 HR 129 temp 86 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131672 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131673 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131676 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131677 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250626-ecg-170741_mile_13_129_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131683 -  ..
131684 - End hike EKG at mile 23, time 1917 HR 118 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131685 - Tachycardia... looks entirely uniforme with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131686 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131689 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131690 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250626-ecg-191721_mile_17_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131697 -  ..
131698 - Post hike 250626 HR profile beginning 0313, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131699 - activity after hiking 17 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131700 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131701 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131702 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131703 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131706 -        ..
131707 -       Date      250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417  250416    
131708 -       Time       0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027    2032     
131709 -       Hours         4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12      10     
131710 -       HR AVG       62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65      72     
131711 -       HR MAX      116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     111     
131712 -       HR Min       46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41      49     
131713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131715 -              https://flow.polar.com/training/analysis/8139928649                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131718 -  ..
131719 - HRV seems 80% 0 and 20% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131722 -   
131723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131727 -  ..
131728 - Breakfast - cream of wheat straberries - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131729 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131730 - Dinner - hamburger rice broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131732 -  ..
131733 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131772 -         ..
131773 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131774 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131775 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131776 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131777 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131778 -  178.  250627 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131779 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131780 -               0645....BP HR..................................................... 131  78  52  Kardia ECG reports HR status, see below. ref SDS 0 AJFM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131781 -               0650....BP HR..................................................... 126  74  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131782 -               0655....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131783 -               0655....40 463420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
131784 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131785 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131786 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131787 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131788 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131789 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131790 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131791 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131792 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131793 -               1700... 40 124860 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                                                                                                                                                                                                                                                                                  
131794 -               1830............ 10 21650  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131795 -               1830............ 10 22000  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131796 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131797 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131798 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131799 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131800 -               2250... 1000 2494000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131801 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131802 -               2330... 40 463460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131803 -               2340... 40 99560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131805 -  ..
131806 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131807 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131809 -  ..
131810 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131811 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131812 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131813 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131814 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131815 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131817 -  ..
131818 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131819 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131821 -  ..
131822 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131823 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131827 -  ..
131828 - Kardia recorded HR 57 at 0733, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131829 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131830 - hiking 17 miles temp 86 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131831 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131832 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131833 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131834 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131837 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131838 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250627-ecg-073335_mile_00_057_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131843 -  ..
131844 - Post hike 250627 HR profile beginning 2328, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131845 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131846 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131847 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131848 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131849 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131852 -        ..
131853 -       Date      250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418  250417    
131854 -       Time       2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343    2027     
131855 -       Hours         7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6      12     
131856 -       HR AVG       67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60      65     
131857 -       HR MAX      102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     130     
131858 -       HR Min       44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39      41     
131859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131861 -              https://flow.polar.com/training/analysis/8140436569                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131864 -  ..
131865 - HRV seems 90% 0 and 10% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
131866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131868 -   
131869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131873 -  ..
131874 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131875 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131876 - Dinner - hamburger rice broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131878 -  ..
131879 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131920 -         ..
131921 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131922 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131923 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131924 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131925 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131926 -  179.  250628 0620............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131927 -               0620....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131928 -               0625....BP HR..................................................... 141  76  64  Kardia ECG reports HR status, see below. ref SDS 0 ZAXY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131929 -               0630....BP HR..................................................... 137  78  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131930 -               0635....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131931 -               0635....40 463420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
131932 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131933 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131934 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131935 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131936 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
131937 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131938 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131939 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131940 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131941 -               1700... 40 124860 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                                                                                                                                                                                                                                                                                  
131942 -             1 0000............ 10 21650  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
131943 -             1 0000............ 10 22000  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
131944 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131945 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131946 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131947 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131948 -               2250... 1000 2494000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131949 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131950 -               2330... 40 463460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131951 -               2340... 40 99560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131953 -  ..
131954 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131955 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
131957 -  ..
131958 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131959 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131960 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131961 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131962 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131963 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131965 -  ..
131966 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131967 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131969 -  ..
131970 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131971 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131975 -  ..
131976 - Kardia recorded HR 70 at 1132, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131977 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131978 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131979 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131980 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
131981 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
131982 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131985 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
131986 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250628-ecg-113210_mile_00_070_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131990 -  ..
131991 - Post hike 250628 HR profile beginning 2149, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131992 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
131993 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131994 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131995 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
131996 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131999 -        ..
132000 -       Date      250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419  250418    
132001 -       Time       2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013    0343     
132002 -       Hours         8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7       6     
132003 -       HR AVG       59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63      60     
132004 -       HR MAX       98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     114     
132005 -       HR Min       40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39      39     
132006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132008 -              https://flow.polar.com/training/analysis/8141012421                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132011 -  ..
132012 - HRV seems 20% 0 and 80% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132015 -   
132016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132020 -  ..
132021 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132022 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132023 - Dinner - hamburger rice broccoli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132025 -  ..
132026 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132066 -         ..
132067 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132068 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132069 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132070 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132071 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132072 -  180.  250629 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132073 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132074 -               0725....BP HR..................................................... 134  82  53  Kardia ECG reports HR status, see below. ref SDS 0 MKHM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132075 -               0730....BP HR..................................................... 141  88  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132076 -               0735....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132077 -               0735....40 463500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132078 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132079 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132080 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132081 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132082 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132083 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132084 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132085 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132086 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132087 -               1700... 40 124900 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                                                                                                                                                                                                                                                                                  
132088 -               1830............ 10 21660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132089 -               1830............ 10 22010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132090 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132091 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132092 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132093 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132094 -               2250... 1000 2495000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132095 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132096 -               2330... 40 463540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132097 -               2340... 40 99600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132099 -  ..
132100 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132101 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132103 -  ..
132104 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132105 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132106 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132107 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132108 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132109 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132111 -  ..
132112 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132113 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132115 -  ..
132116 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132117 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132122 -  ..
132123 - Kardia recorded HR 62 at 1503, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132124 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132125 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132126 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132127 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132128 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132129 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132132 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132133 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250629-ecg-150338_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132137 -  ..
132138 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132140 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250629-ecg-153630_mile_00_062_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132143 -  ..
132144 - ...and another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132146 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250629-ecg-162550_mile_00_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132152 -  ..
132153 - Post hike 250629 HR profile beginning 0413, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132154 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132155 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132156 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132157 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132158 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132161 -        ..
132162 -       Date      250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420  250419    
132163 -       Time       0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308    0013     
132164 -       Hours         5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9       7     
132165 -       HR AVG       66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59      63     
132166 -       HR MAX      197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     125     
132167 -       HR Min       42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38      39     
132168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132170 -              https://flow.polar.com/training/analysis/8141681506                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132173 -  ..
132174 - HRV seems 100% 0 and 0% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132177 -   
132178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132182 -  ..
132183 - Breakfast - cream of wheat straberries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132184 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132185 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132187 -  ..
132188 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132226 -         ..
132227 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132228 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132229 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132230 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132231 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132232 -  181.  250630 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132233 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132234 -               0715....BP HR..................................................... 148  89  50  Kardia ECG reports HR status, see below. ref SDS 0 7XTD                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132235 -               0720....BP HR..................................................... 141  84  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132236 -               0725....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132237 -               0725....40 463580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132238 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132239 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132240 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132241 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132242 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132243 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132244 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132245 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132246 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132247 -               1700... 40 124940 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                                                                                                                                                                                                                                                                                  
132248 -             1 0000............ 10 21660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132249 -             1 0000............ 10 22010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132250 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132251 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132252 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132253 -               2150... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132254 -               2250... 1000 2496000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132255 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132256 -               2330... 40 463620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132257 -               2340... 40 99640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132260 -  ..
132261 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132262 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132264 -  ..
132265 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132266 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132267 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132268 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132269 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132270 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132272 -  ..
132273 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132274 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132276 -  ..
132277 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132278 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132285 -  ..
132286 - Kardia recorded HR 54 at 0724, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132287 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132288 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132289 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132290 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132291 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132292 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132295 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132296 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250630-ecg-072425_mile_00_054_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132301 -  ..
132302 - Post hike 250630 HR profile beginning 0011, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132303 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132304 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132305 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132306 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132307 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132310 -        ..
132311 -       Date      250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421  250420    
132312 -       Time       0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350    2308     
132313 -       Hours         7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9       9     
132314 -       HR AVG       60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67      59     
132315 -       HR MAX      112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     120     
132316 -       HR Min       41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35      38     
132317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132319 -              https://flow.polar.com/training/analysis/8142214577                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132322 -  ..
132323 - HRV seems 60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132326 -   
132327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132331 -  ..
132332 - Breakfast - cream of wheat straberries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132333 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132334 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132336 -  ..
132337 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132377 -         ..
132378 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132379 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132380 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132381 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132382 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132383 -  182.  250701 0830............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132384 -               0830....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132385 -               0835....BP HR..................................................... 148  89  50  Kardia ECG reports HR status, see below. ref SDS 0 JWE9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132386 -               0840....BP HR..................................................... 137  82  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132387 -               0845....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132388 -               0845....40 463580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132389 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132390 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132391 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132392 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132393 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132394 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132395 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132396 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132397 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132398 -               1700... 40 124940 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                                                                                                                                                                                                                                                                                  
132399 -               1830............ 10 21660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132400 -               1830............ 10 22010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132401 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132402 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132403 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132404 -               2150... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132405 -               2250... 1000 2496000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132406 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132407 -               2330... 40 463620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132408 -               2340... 40 99640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132410 -  ..
132411 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132412 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132414 -  ..
132415 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132416 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132417 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132418 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132419 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132420 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132422 -  ..
132423 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132424 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132426 -  ..
132427 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132428 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132434 -  ..
132435 - Kardia recorded HR 72 at 1031, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132436 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132437 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132438 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132439 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132440 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132441 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132444 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132445 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250701-ecg-103148_mile_00_072_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132450 -  ..
132451 - Post hike 250701 HR profile beginning 1949, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132452 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132453 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132454 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132455 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132456 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132459 -        ..
132460 -       Date      250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422  250421    
132461 -       Time       1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944    2350     
132462 -       Hours        10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11       9     
132463 -       HR AVG       69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63      67     
132464 -       HR MAX      108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     159     
132465 -       HR Min       43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38      35     
132466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132468 -              https://flow.polar.com/training/analysis/8142925171                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132471 -  ..
132472 - HRV seems 60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132475 -   
132476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132479 -  ..
132480 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132481 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132482 - Dinner - rice hamburger broccoli onion olives cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132484 -  ..
132485 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132521 -         ..
132522 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132523 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132524 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132525 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132526 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132527 -  183.  250702 0645............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132528 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132529 -               0645....BP HR..................................................... 148  89  50  Kardia ECG reports HR status, see below. ref SDS 0 M6GN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132530 -               0650....BP HR..................................................... 133  77  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132531 -               0655....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132532 -               0655....40 463660 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132533 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132534 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132535 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132536 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132537 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132538 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132539 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132540 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132541 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132542 -               1700... 40 124980 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                                                                                                                                                                                                                                                                                  
132543 -             1 0000............ 10 21660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132544 -             1 0000............ 10 22010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132545 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132546 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132547 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132548 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132549 -               2250... 1000 2497000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132550 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132551 -               2330... 40 463700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132552 -               2340... 40 99680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132555 -  ..
132556 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132557 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132559 -  ..
132560 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132561 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132562 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132563 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132564 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132565 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132567 -  ..
132568 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132569 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132571 -  ..
132572 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132573 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132579 -  ..
132580 - Kardia recorded HR 56 at 1236, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132581 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132582 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132583 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132584 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132585 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132586 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132589 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132590 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250702-ecg-123640_mile_00_056_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132594 -  ..
132595 - Post hike 250702 HR profile beginning 2024, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132596 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132597 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132598 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132599 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132600 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132603 -        ..
132604 -       Date      250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423  250422    
132605 -       Time       2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209    1944     
132606 -       Hours         9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7      11     
132607 -       HR AVG       63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61      63     
132608 -       HR MAX       95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     135     
132609 -       HR Min       42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39      38     
132610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132612 -              https://flow.polar.com/training/analysis/8143550715                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132615 -  ..
132616 - HRV seems 60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132619 -   
132620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132624 -  ..
132625 - Breakfast - eggs asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132626 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132627 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132629 -  ..
132630 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132667 -         ..
132668 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132669 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132670 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132671 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132672 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132673 -  184.  250703 0630............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132674 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132675 -               0645....BP HR..................................................... 135  79  50  Kardia ECG reports HR status, see below. ref SDS 0 PXG9                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132676 -               0650....BP HR..................................................... 135  86  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132677 -               0655....weight.................................... 173                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132678 -               0655....40 463660 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132679 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132680 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132681 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132682 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132683 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132684 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132685 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132686 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132687 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132688 -               1700... 40 124980 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                                                                                                                                                                                                                                                                                  
132689 -               1830............ 10 21660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132690 -               1830............ 10 22010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132691 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132692 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132693 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132694 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132695 -               2250... 1000 2497000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132696 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132697 -               2330... 40 463700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132698 -               2340... 40 99680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132700 -  ..
132701 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132702 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132704 -  ..
132705 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132706 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132707 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132708 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132709 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132710 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132712 -  ..
132713 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132714 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132716 -  ..
132717 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132718 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132725 -  ..
132726 - Kardia recorded HR 58 at 0633, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132727 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132728 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132729 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132730 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132731 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132732 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132735 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132736 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250703-ecg-063317_mile_00_058_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132739 -  ..
132740 - Did another EKG to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132743 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250703-ecg-091223_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132748 -  ..
132749 - Post hike 250703 HR profile beginning 2352, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132750 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132751 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132752 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132753 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132754 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132757 -        ..
132758 -       Date      250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424  250423    
132759 -       Time       2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935    2209     
132760 -       Hours         6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12       7     
132761 -       HR AVG       63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54      61     
132762 -       HR MAX       96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     122     
132763 -       HR Min       41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37      39     
132764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132766 -              https://flow.polar.com/training/analysis/8144166510                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132769 -  ..
132770 - HRV seems 100% 0 and 00% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132773 -   
132774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132778 -  ..
132779 - Breakfast - cream of wheat straberries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132780 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132781 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132783 -  ..
132784 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132822 -         ..
132823 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132824 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132825 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132826 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132827 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132828 -  185.  250704 0610............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132829 -               0615....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132830 -               0625....BP HR..................................................... 135  90  67  Kardia ECG reports HR status, see below. ref SDS 0 9SHI                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132831 -               0630....BP HR..................................................... 138  86  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132832 -               0635....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132833 -               0635....40 463740 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132834 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132835 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132836 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132837 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132838 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132839 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132840 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132841 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132842 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132843 -               1700... 40 125020 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                                                                                                                                                                                                                                                                                  
132844 -             1 0000............ 10 21660  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132845 -             1 0000............ 10 22010  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132846 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132847 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132848 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132849 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132850 -               2250... 1000 2498000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132851 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132852 -               2330... 40 463780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132853 -               2340... 40 99720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132855 -  ..
132856 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132857 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132859 -  ..
132860 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132861 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132862 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132863 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132864 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132865 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132867 -  ..
132868 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132869 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132871 -  ..
132872 - Reflux slept in chair after EGD dilation on 250211 0830. ref SDS 73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132873 - 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132879 -  ..
132880 - Kardia recorded HR 49 at 0610, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132881 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132882 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132883 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132884 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132885 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132886 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132889 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
132890 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250704-ecg-061049_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
132891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132897 -  ..
132898 - Post hike 250704 HR profile beginning 1951, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132899 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132900 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
132901 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132902 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132903 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132906 -        ..
132907 -       Date      250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425  250424    
132908 -       Time       1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008    1935     
132909 -       Hours        10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12      12     
132910 -       HR AVG       64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65      54     
132911 -       HR MAX      106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     115     
132912 -       HR Min       43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40      37     
132913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132915 -              https://flow.polar.com/training/analysis/8144762280                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132918 -  ..
132919 - HRV seems 30% 0 and 70% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
132920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132922 -   
132923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132928 -  ..
132929 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132930 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132931 - Dinner - steak potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132933 -  ..
132934 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132972 -         ..
132973 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132974 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132975 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132976 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132977 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
132978 -  186.  250705 0620............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132979 -               0625....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132980 -               0635....BP HR..................................................... 131  81  72  Kardia ECG reports HR status, see below. ref SDS 0 9W37                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132981 -               0640....BP HR..................................................... 138  86  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132982 -               0645....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
132983 -               0645....40 463820 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
132984 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132985 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
132986 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132987 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
132988 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
132989 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
132990 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
132991 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
132992 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
132993 -               1700... 40 125060 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                                                                                                                                                                                                                                                                                  
132994 -               1830............ 10 21670  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
132995 -               1830............ 10 22020  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
132996 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
132997 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
132998 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
132999 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133000 -               2250... 1000 2499000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133001 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133002 -               2330... 40 463860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133003 -               2340... 40 99760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133005 -  ..
133006 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133007 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133009 -  ..
133010 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133011 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133012 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133013 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133014 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133015 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133017 -  ..
133018 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133019 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133021 -  ..
133022 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133023 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133030 -  ..
133031 - Kardia recorded HR 53 at 0623, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133032 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133033 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133034 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133035 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133036 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133037 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133040 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133041 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250705-ecg-062322_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133047 -  ..
133048 - Post hike 250705 HR profile beginning 2043, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133049 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133050 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133051 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133052 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133053 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133056 -        ..
133057 -       Date      250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426  250425    
133058 -       Time       2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946    2008     
133059 -       Hours        10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15      12     
133060 -       HR AVG       60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63      65     
133061 -       HR MAX      117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     122     
133062 -       HR Min       41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42      40     
133063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133065 -              https://flow.polar.com/training/analysis/8145388672                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133068 -  ..
133069 - HRV seems 75% 0 and 25% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133072 -   
133073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133077 -  ..
133078 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133079 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133080 - Dinner - macaroni cheese rice hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133082 -  ..
133083 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133122 -         ..
133123 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133124 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133125 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133126 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133127 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133128 -  187.  250706 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133129 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133130 -               0710....BP HR..................................................... 155  83  71  Kardia ECG reports HR status, see below. ref SDS 0 N18X                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133131 -               0715....BP HR..................................................... 151  77  63                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133132 -               0720....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133133 -               0720....40 463900 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
133134 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133135 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133136 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133137 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133138 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133139 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133140 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133141 -               0000... 05   CoQ10 Ubiquinol Liquid - on 250308 hiked without CoQ10 - much more difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133142 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133143 -               1700... 40 125100 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                                                                                                                                                                                                                                                                                  
133144 -             1 0000............ 10 21670  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133145 -             1 0000............ 10 22020  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133146 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133147 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133148 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133149 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133150 -               2250... 1000 2500000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133151 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133152 -               2330... 40 463940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133153 -               2340... 40 99800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133156 -  ..
133157 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133158 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133160 -  ..
133161 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133162 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133163 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133164 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133165 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133166 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133168 -  ..
133169 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133170 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133172 -  ..
133173 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133174 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133179 -  ..
133180 - Kardia recorded HR 47 at 0707, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133181 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133182 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133183 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133184 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133185 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133186 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133189 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133190 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250706-ecg-070702_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133196 -  ..
133197 - Post hike 250706 HR profile beginning 2341, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133198 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133199 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133200 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133201 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133202 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133205 -        ..
133206 -       Date      250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427  250426    
133207 -       Time       2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326    1946     
133208 -       Hours         3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5      15     
133209 -       HR AVG       53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62      63     
133210 -       HR MAX      110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     126     
133211 -       HR Min       42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42      42     
133212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133214 -              https://flow.polar.com/training/analysis/8145825175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133217 -  ..
133218 - HRV seems 100% 0 and 0% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133221 -   
133222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133226 -  ..
133227 - Breakfast - cheerios milk banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133228 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133229 - Dinner - macaroni cheese hamburger broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133231 -  ..
133232 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133271 -         ..
133272 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133273 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133274 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133275 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133276 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133277 -  188.  250707 0300............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133278 -               0305....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133279 -               0310....BP HR..................................................... 134  79  49  Kardia ECG reports HR status, see below. ref SDS 0 VXU2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133280 -               0315....BP HR..................................................... 132  75  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133281 -               0320....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133282 -               0320....40 463900 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
133283 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133284 -               0450....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133285 -               0450... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133286 -               0450....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133287 -               0450....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133288 -               0330....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133289 -               0450....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133290 -               0450... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
133291 -  ..
133292 -               0506....miles...........  15.0  15.0  263   263 minutes  temp  55 wind 14  rain 15% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133293 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133294 -               0643....mile 06 stopped EKG - no Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133295 -               0000....Naproxen 250 mg took 0 pills - 4 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133296 -               0643... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
133297 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133298 -               0643... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133299 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133300 -               0720....Tramadol 50 mg took 1 pill - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133301 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133302 -               0000....mile 13 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133303 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133304 -               0000....Tramadol 50 mg took 0 pills - 4 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133305 -               0000... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
133306 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133307 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
133308 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133309 -               0831... Hike ends mile 15..... ref SDS 0 Z1TJ 12 + 3 miles hiking at Costco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133310 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133311 -               0835....weight.................................... 172  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133312 -               0835....BP HR..................................................... 115  79 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133313 -               0840....BP HR..................................................... 112  72 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133314 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133315 -               1700... 40 125100 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                                                                                                                                                                                                                                                                                  
133316 -               1830............ 10 21680  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133317 -               1830............ 10 22030  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133318 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133319 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133320 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133321 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133322 -               2250... 1000 2500000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133323 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133324 -               2330... 40 463940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133325 -               2340... 40 99800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133328 -  ..
133329 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133330 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133332 -  ..
133333 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133334 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133335 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133336 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133337 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133338 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133340 -  ..
133341 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133342 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133344 -  ..
133345 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133346 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133349 -  ..
133350 - Today, hiked 15 miles in San Francisco Golden Gate Park and later at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133351 - Costco - took Tramadol for calluses and metatarsalgia feet pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133352 - Magnesium and some nutrition with CoQ10 -- begin from VA Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133353 - Center on Clement at 42nd street, hike to Point Lobos, then West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133354 - mile to Cliff House.  Continued hike South 1 mile on Great Highway.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133355 - Turn East onto JFK through Golden Gate Park past Buffalo compound, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133356 - Sprekles Lake.  Past De Young museum, then the Conservatory.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133357 - at mile 6 for EKG, magnesium and CoQ10.  Hiked back same route to VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133358 - hospital.  Stopped at mile 8 for Tramadol.  Samsung GPS reported 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133359 - miles.  After meeting with Podiatry at VA, drove home to Concord.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133360 - Stopped at Costco for groceries - hiked another 3 miles for total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133361 - today of 15 miles.  Stomach bloated starting hike - seemed less so at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133362 - the end back at the VA mile 12.  Did hike uphill for 2 miles from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133363 - Great Highway along Ocean Beach to Cliff House then on Point Lobos to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133364 - 42nd and the hospital, all without breathing through mouth indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133365 - effect taking magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133368 -         ..
133369 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133370 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133371 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
133372 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
133373 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133374 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133375 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133376 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
133377 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133378 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133379 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133380 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133381 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
133382 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133383 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
133384 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133385 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
133386 -        Back.........................................   0         10  noticed about hour after hike - could have been caused lifting furniture before hike to support construction crew remodeling house - lifted 50 pound c24, and lifted container of computer cables                                                                                                                                                                                                                                                                                                                                            
133387 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133388 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133389 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133390 -        Knee left meniscus...PRP 231121..............   2         30  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 2 Naproxen mile 00 and 2 Tramadol mile 09 and 2 at mile 14                                                                                                                                                                                                                                                                                                                                                                              
133391 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133392 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133393 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133394 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133395 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
133396 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133397 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133398 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133399 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133400 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133401 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133402 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133403 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
133404 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133405 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133406 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
133407 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250428 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 04 and 2 Tramadol at mile 12 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
133408 -  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 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
133409 -  new   Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
133410 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133411 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133412 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
133413 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
133414 -        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                                                                                                                                                                                                                                                                                                                           
133415 -        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                                                                                                                                                                                                                                                                                                                                                                                    
133416 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133417 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
133418 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
133419 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133420 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133421 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
133422 -        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                                                                                                                                                                                                                                                                                                                                           
133423 -        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                                                                                                                                                                                                                                                                                                                                           
133424 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133425 -  new   Callus little toe right foot..top of toe.....   3        100  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
133426 -        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                                                                                                                                                                                                                                                                                                                                                                                        
133427 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
133428 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
133429 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133430 -        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                                                                                                                                                                                                                                                                                                                                                              
133431 -  new   Callus little toe #5 left foot...PRP 210705..   3         30  Doctor Tang shaved calluses 250508 - took 1 Tramadol mile 04 and 2 Tramadol at mile 12 wore old Brooks Ghost x-wide shoes and 2 pair double layer socks                                                                                                                                                                                                                                                                                                                                                                                      
133432 -  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                                                                                                                                                                                                                                                                                                                                                                                                             
133433 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133434 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133435 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
133436 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133437 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
133438 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
133439 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133440 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
133441 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133442 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133443 -   new  Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133444 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133445 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133446 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133447 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133448 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 13, and 0 Tramadol mile __ - possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                            
133449 -        Wasted - very fatigued.......................   0         10  and 2 hours after hike slow last 4 miles, but legs not burning with pain due to magneseum                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133450 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133453 -  ..
133454 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133455 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133457 -  ..
133458 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133459 - Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133460 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133461 - then double weave to keep lower laces loose to avoid lateral pressure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133462 - on #1 and #5.  Calluses on left foot #1 and #5 were initially PL 2, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133463 - took 1 Tramadol.  Left foot injuries declined to PL 0 after a mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133464 - and continued for 3 miles, then gradually increased to PL 5 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133465 - reduced to PL 2 after taking another Tramadol at mile 8.  Bondi 9                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133466 - shoes provide exceptional cushioning to prevent metatarsalgia pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133467 - have good rebound energy, enabling long hikes that increase HDL and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133468 - EPCs essential to treat IHD.  Shoe covering over forefoot is difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133469 - to loosen, even by not lacing eyelets.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133471 -  ..
133472 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133473 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133474 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133476 -  ..
133477 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Rightsocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133478 - dual ply, but only 1 pair instead of 2 pair, and in order to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133479 - lateral streas on #1 and #5.  Just 1 pair may have avoided higher PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133480 - on left foot #1 and #5, not sure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133482 -  ..
133483 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133485 -  ..
133486 - Callus Injuries - today on 250707, donut bandage.  With Tramadol had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133487 - PL 2 last 7 miles of 15 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133489 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133490 -                    1 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133491 -                    0 Tramadol ....... for last 7 miles of 15 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133493 -  ..
133494 - 2nd Tramadol did not trip ANS into seizure for rest of 15 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133495 - Able to maintain speed.  Drugged brain did not throttle down, and no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133496 - staggeering backwards today, to maintain balance, as occurred with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133497 - seizures on prior hikes, see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133498 - 8K6H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133500 -  ..
133501 - For left foot #5... same condition as #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133504 -  ..
133505 - Ammonium Lactate 12% lotion applied in evening after hike, to bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133506 - of feet, per above, ref SDS 0 OK9M, and wearing Smartwhool single-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133507 - socks and apply help recover and avoid blisters to Tailor's Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133508 - other calluses both feet, case study on shaving skin to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133509 - pressure, shown on 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133512 -  ..
133513 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133514 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133515 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133516 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133517 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133518 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133519 - Took only 1 instead of 2 Tramadol for pain management, despite 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133520 - Tramadol was not enough to get past mile 4 on Concord route - had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133521 - take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133522 - ref SDS 0 STXU, and feet have healed past 3 days, while not hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133523 - and even though there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133524 - hike today, and further that left foot #1 and #5 calluses both started                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133525 - at PL 0, after treatment by Doctor Tang at VAMCSF on 250609 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133526 - ref SDS 96 T49H, since recent hikes have needed more Tramadol before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133527 - mile 8, for pain relief, despite starting at PL 0.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133528 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133529 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133530 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133531 - - swallowed pill whole after EGD Dilation on 250408, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133532 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133533 - amount peanut butter that contains iron to elevate Farritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133534 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133535 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133536 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133537 - Seeds for electrolytes and energy, and had 1/4 avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133538 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133539 - all per above. ref SDS 0 D9GI  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133540 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133541 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133542 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133543 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133544 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133545 - rate from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133546 - study on 200101 0701. ref SDS 18 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133547 - stuff today, because 1st hike after several weeks layoff and only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133548 - going 12 miles or so through the park, then a few more at Costco.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133549 - Want to avoid overstressing feet injuries.  Temperature mild 54 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133550 - wind 15 mph.  Slightly misty, and ended within 20 minutes.  Departed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133551 - VAMCSF campus in dark at 0506.  Hiked slowly downhill on 42nd Street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133552 - to warm up.  Turned corner still heading downhill West on Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133553 - to Cliff House at mile 1.  Road bends and changes to "Great Highway"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133554 - going South along ocean beach.  Pace picked up as CoQ10 and magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133555 - was digested and increased strength.  At mile 2 turned onto John F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133556 - Kennedy (JFK) Drive entering Golden Gate Park.  Maintained pace going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133557 - slightly uphill into the park for .5 miles.  Did not pass early                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133558 - morning jogger going West - normally this pass occurs nearer to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133559 - Highway 1 bridge, but today, did not cross paths.  Since this hasn't                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133560 - happened for several months, he may have stopped after 10 years.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133561 - Turned corner and continued East on JFK.  Unlike usual hikes that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133562 - start OA 0300 - 0400 in total dar, this morning can see the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133563 - Passed Buffalo compound, then Spreckles Lake.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133564 - Meadow.  Encountered a few bikers, runners and hikers passing Helman                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133565 - Hollow.  Both feet pain level 1.  Hiked under bridge at Crossover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133566 - Drive (part of highway 1 that goes to Golden Gate Bridge). - JFK is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133567 - blocked to vehicle traffic the rest of the way through the park to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133568 - Stanyon, limiting attendance to keep people separated that minimizes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133569 - spreading coronavirus.  Now that the epidemic has been declared over,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133570 - the park continues to deny access to drivers on JFK.  At mile 5, hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133571 - past De Young Museum.  Encountering more hikers and bikers heading in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133572 - both directions.  Past Conservatory near Nancy Pelosi Way stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133573 - before reaching Stanyon at mile 6, time 0643, temp 54, wind 04; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133574 - mostly uniform with some artifact.  Kardia reported HR 114 Tachycardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133575 - - see below. ref SDS 0 YDRJ  Bloating PL 0.  Both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133576 - PL 2, burning sensation PL 0, left foot #1 PL 2 and #5 PL 1; right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133577 - foot #5 PL 2; left knee PL 1, and left hamstring PL 0.  Took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133578 - Tramadol.  Took Magnesium.  No sips softdrink because did not bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133579 - backpack to carry anything for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133580 - nutrition.  As a result did not have peanut butter, margarine,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133581 - Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange juice)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133582 - for energy, and avocado for HDL, did not take Nuun electrolyte pill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133583 - Did swallow Ubiquinol CoQ10 100 mg softgel pill, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133584 - ref SDS 0 XMBC  Hiked back on JFK heading West toward the Ocean.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133585 - Stayed on South side against traffic (no actual vehicle traffic in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133586 - park).  Increased pace with endorphins rising, and effects of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133587 - magnesium and CoQ10.  Past DeYoung Museum - about 0720, mile 8, right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133588 - foot #5 PL 3.  Took another Tramadol to complete hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133589 - ref SDS 0 XMBC  Continuing hike noticed Waterfall running this morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133590 - at 0730, before hiking under Crossover Road bridge at highway 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133591 - Hiked past Hellman Hollow then Lindley Meadow, where 10 years ago, a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133592 - truck backed up because missed a turn, and struck Kathy's car; this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133593 - got her a new car, reported on 150729 0942. ref SDS 6 0001  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133594 - hiking past Spreckles Lake, then saw 20 Buffalo or so grazing in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133595 - South-East area of compound.  Crossed to North side of JFK going with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133596 - traffic.  Turned corner and headed toward the ocean.  Hiked past the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133597 - Soccor fields then turned North onto Great Highway.  Hiked parallel to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133598 - ocean toward the Cliff House and hospital.  Halfway to Cliff House                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133599 - decided not to take another CoQ10 softgel tablet for energy.  This                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133600 - will test if the tablet taken at mile 6 is sufficient to hike 6 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133601 - including 1.5 miles uphill 6% grade.  Slowed pace hiking up steep hill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133602 - - 5% - 6% grade - did not stop, and maintained breathing without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133603 - dyspnea today, i.e., did not breath through mouth last mile uphill to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133604 - the hospital, similar to hike on 240829, ref SDS 36 QTSP  Indicates                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133605 - condition still okay after not hiking past 10 days in order to heal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133606 - feet injuries.  At the Cliff House, turned onto Point Lobos Avenue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133607 - going East; hiked uphill for 1 mile.  Had to slow pace by 20%, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133608 - continued hiking without stopping to rest.  Turned onto 42nd street                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133609 - and maintained pace going up final hill to the VA campus.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133610 - mile 12, time 0831 temp 54, wind 12, bloating PL 3, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133611 - metatarsalgia PL 3, burning sensation PL 0, left foot #1 PL 2, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133612 - 3.  Right foot #5 PL 3.  Both ankles PL 0.  Left knee meniscus PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133613 - best hike in a year.  EKG mostly uniform with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133614 - reported HR 114 Tachycardia - see below. ref SDS 0 Z1TJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133616 -  ..
133617 - After leaving VAMCSF cellphone recorded hiked another 3 miles shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133618 - at Costco and putting groceries in the house.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133631 -  ..
133632 - Kardia recorded HR 51 at 0311, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133633 - mostly uniform heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133634 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133635 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133636 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133637 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133638 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133641 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133642 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250707-ecg-031136_mile_00_051_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133648 -  ..
133649 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133650 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133651 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133652 - ..
133653 -                                                                                                                                                                                                                                                                                                              x
133654 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133655 -                                                 x             z                    A                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133656 -       Date          250607 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 250430 250429 250428 250427 250426 250425 250424 250423 250422 250421 250420 250419 250418 25041  
133657 -       Miles            15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0      0      0     22      0      0     22     25     20     26     22     28     23     25  
133658 -       HR AVG          115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no     no     no    119     no     no    102    108    104    119    114    110    117    113  
133659 -         MAX           140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report report report report  141   report report  119    159    120    135    131    127    133    128  
133660 -         Min            66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                                                                           58                   57     41     69     60     53     44     50     65  
133661 -       El Climb Ft     328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                                                                          489                  489    489    489    489    489    489    469    469  
133662 -       Temp Max         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                                                                           65                   63     65     77     82     74     71     74     65  
133663 -       Wind Max         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                                                                           08                   18     21     21      9     12     15     12      8  
133664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133666 -              https://flow.polar.com/training/analysis/8146078084                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133669 -               ..
133671 -   
133672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133677 -  ..
133678 - EKG at mile 06 time 0643 HR 114 temp 52, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133679 - Tachycardia... heart rate looks uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133680 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133683 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133684 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250707-ecg-064356_mile_06_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133688 -  ..
133689 - End hike EKG at mile 12, time 0831 HR 114 temp 54 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133690 - Tachycardia... looks entirely uniforme with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133691 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133694 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133695 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250707-ecg-083110_mile_12_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133698 -  ..
133699 - After hiking 12 miles at VAMCSF, shopped at Best Buy to submit recycle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133700 - computer hardware, then shopping at Costco and finally, putting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133701 - groceries in the house added 3 miles, making total 15 miles recorded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133702 - by cellphone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133709 -  ..
133710 - Post hike 250707 HR profile beginning 2051, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133711 - activity after hiking 15 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133712 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133713 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133714 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133715 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133718 -        ..
133719 -       Date      250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428  250427    
133720 -       Time       2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946    2326     
133721 -       Hours         9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15       5     
133722 -       HR AVG       57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63      62     
133723 -       HR MAX      113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     115     
133724 -       HR Min       40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42      42     
133725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133727 -              https://flow.polar.com/training/analysis/8146653030                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133730 -  ..
133731 - HRV seems 60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133734 -   
133735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133739 -  ..
133740 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133741 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133742 - Dinner - steak potato asparagus brocolli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133744 -  ..
133745 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133783 -         ..
133784 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133785 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133786 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133787 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133788 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133789 -  189.  250708 0610............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133790 -               0615....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133791 -               0620....BP HR..................................................... 131  79  49  Kardia ECG reports HR status, see below. ref SDS 0 IUMW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133792 -               0625....BP HR..................................................... 127  78  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133793 -               0630....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133794 -               0630....40 463980 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
133795 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133796 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133797 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133798 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133799 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133800 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133801 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133802 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133803 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133804 -               1700... 40 125140 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                                                                                                                                                                                                                                                                                  
133805 -             1 0000............ 10 21680  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133806 -             1 0000............ 10 22030  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133807 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133808 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133809 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133810 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133811 -               2250... 1000 2501000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133812 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133813 -               2330... 40 464020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133814 -               2340... 40 99840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133817 -  ..
133818 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133819 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133821 -  ..
133822 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133823 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133824 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133825 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133826 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133827 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133829 -  ..
133830 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133831 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133833 -  ..
133834 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133835 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133841 -  ..
133842 - Kardia not recorded today....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133846 -  ..
133847 - Post hike 250708 HR profile beginning 2026, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133848 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133849 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133850 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133851 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133852 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133855 -        ..
133856 -       Date      250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429  250428    
133857 -       Time       2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017    1946     
133858 -       Hours        11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14      15     
133859 -       HR AVG       61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71      63     
133860 -       HR MAX      109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     126     
133861 -       HR Min       42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45      42     
133862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133864 -              https://flow.polar.com/training/analysis/8147241248                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133867 -  ..
133868 - HRV seems 60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133871 -   
133872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133876 -  ..
133877 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133878 - Lunch - tuna avocado onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133879 - Dinner - steak potato asparagus brocolli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133881 -  ..
133882 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133921 -         ..
133922 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133923 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133924 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133925 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133926 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133927 -  190.  250709 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133928 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133929 -               0730....BP HR..................................................... 137  84  52  Kardia ECG reports HR status, see below. ref SDS 0 CRVV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133930 -               0735....BP HR..................................................... 134  81  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133931 -               0740....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133932 -               0740....40 464060 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
133933 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133934 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133935 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133936 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133937 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
133938 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133939 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133940 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133941 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133942 -               1700... 40 125180 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                                                                                                                                                                                                                                                                                  
133943 -               1830............ 10 21690  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
133944 -               1830............ 10 22040  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
133945 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133946 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133947 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133948 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133949 -               2250... 1000 2502000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133950 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
133951 -               2330... 40 464100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133952 -               2340... 40 99880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133954 -  ..
133955 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133956 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
133958 -  ..
133959 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133960 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133961 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133962 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
133963 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133964 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133966 -  ..
133967 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133968 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133970 -  ..
133971 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133972 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133976 -  ..
133977 - Kardia recorded HR 83 at 1712, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
133978 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
133979 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133980 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133981 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
133982 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
133983 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133986 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
133987 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250709-ecg-171204_mile_00_083_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
133988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
133991 -  ..
133992 - Post hike 250709 HR profile beginning 2051, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
133993 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
133994 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
133995 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133996 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
133997 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
133998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134000 -        ..
134001 -       Date      250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430  250429    
134002 -       Time       2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110    2017     
134003 -       Hours        10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10      14     
134004 -       HR AVG       69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80      71     
134005 -       HR MAX      124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     115     
134006 -       HR Min       42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49      45     
134007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134009 -              https://flow.polar.com/training/analysis/8147865177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134012 -  ..
134013 - HRV seems 90% 0 and 10% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134016 -   
134017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134021 -  ..
134022 - Breakfast - cheerios bananas milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134023 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134024 - Dinner - steak rice asparagus brocolli cauliflower onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134026 -  ..
134027 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134066 -         ..
134067 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134068 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134069 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134070 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134071 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134072 -  191.  250710 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134073 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134074 -               0720....BP HR..................................................... 143  85  54  Kardia ECG reports HR status, see below. ref SDS 0 EL7T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134075 -               0725....BP HR..................................................... 151  82  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134076 -               0730....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134077 -               0730....40 464140 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134078 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134079 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134080 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134081 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134082 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134083 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134084 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134085 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134086 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134087 -               1700... 40 125220 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                                                                                                                                                                                                                                                                                  
134088 -             1 0000............ 10 21690  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134089 -             1 0000............ 10 22040  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134090 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134091 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134092 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134093 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134094 -               2250... 1000 2503000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134095 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134096 -               2330... 40 464180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134097 -               2340... 40 99920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134099 -  ..
134100 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134101 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134103 -  ..
134104 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134105 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134106 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134107 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134108 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134109 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134111 -  ..
134112 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134113 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134115 -  ..
134116 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134117 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134123 -  ..
134124 - Kardia recorded HR 50 at 0710, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134125 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134126 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134127 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134128 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134129 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134130 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134133 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134134 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250710-ecg-071014_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134140 -  ..
134141 - Post hike 250710 HR profile beginning 2046, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134142 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134143 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134144 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134145 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134146 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134149 -        ..
134150 -       Date      250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501  250430    
134151 -       Time       2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033    2110     
134152 -       Hours         9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10      10     
134153 -       HR AVG       60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78      80     
134154 -       HR MAX      109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     123     
134155 -       HR Min       40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48      49     
134156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134158 -              https://flow.polar.com/training/analysis/8148458493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134161 -  ..
134162 - HRV seems 90% 0 and 10% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134165 -   
134166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134170 -  ..
134171 - Breakfast - cheerios bananas milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134172 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134173 - Dinner - eggs steak asparagus brocolli cauliflower onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134175 -  ..
134176 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134214 -         ..
134215 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134216 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134217 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134218 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134219 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134220 -  192.  250711 0620............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134221 -               0625....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134222 -               0630....BP HR..................................................... 157  84  53  Kardia ECG reports HR status, see below. ref SDS 0 AFG8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134223 -               0635....BP HR..................................................... 146  84  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134224 -               0640....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134225 -               0640....40 464220 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134226 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134227 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134228 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134229 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134230 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134231 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134232 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134233 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134234 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134235 -               1700... 40 125260 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                                                                                                                                                                                                                                                                                  
134236 -               1830............ 10 21700  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134237 -               1830............ 10 22050  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134238 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134239 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134240 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134241 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134242 -               2250... 1000 2504000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134243 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134244 -               2330... 40 464260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134245 -               2340... 40 99960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134247 -  ..
134248 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134249 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134251 -  ..
134252 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134253 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134254 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134255 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134256 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134257 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134259 -  ..
134260 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134261 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134263 -  ..
134264 - Reflux slept in recliner chair most of night after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134265 - 250211 0830. ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134270 -  ..
134271 - Kardia recorded HR 47 at 0620, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134272 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134273 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134274 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134275 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134276 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134277 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134280 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134281 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250711-ecg-062050_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134287 -  ..
134288 - Post hike 250711 HR profile beginning 2009, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134289 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134290 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134291 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134292 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134293 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134296 -        ..
134297 -       Date      250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502  250501    
134298 -       Time       2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223    2033     
134299 -       Hours        10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10      10     
134300 -       HR AVG       59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65      78     
134301 -       HR MAX      126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     116     
134302 -       HR Min       40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48      48     
134303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134305 -              https://flow.polar.com/training/analysis/8148458493                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134308 -  ..
134309 - HRV seems 20% 0 and 80% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134312 -   
134313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134317 -  ..
134318 - Breakfast - banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134319 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134320 - Dinner - eggs pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134322 -  ..
134323 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134360 -         ..
134361 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134362 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134363 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134364 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134365 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134366 -  193.  250712 0620............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134367 -               0625....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134368 -               0630....BP HR..................................................... 120  78  57  Kardia ECG reports HR status, see below. ref SDS 0 FI1U                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134369 -               0635....BP HR..................................................... 132  86  64                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134370 -               0640....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134371 -               0640....40 464300 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134372 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134373 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134374 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134375 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134376 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134377 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134378 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134379 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134380 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134381 -               1700... 40 125300 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                                                                                                                                                                                                                                                                                  
134382 -             1 0000............ 10 21700  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134383 -             1 0000............ 10 22050  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134384 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134385 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134386 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134387 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134388 -               2250... 1000 2505000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134389 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134390 -               2330... 40 464340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134391 -               2340... 40 100000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134394 -  ..
134395 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134396 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134398 -  ..
134399 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134400 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134401 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134402 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134403 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134404 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134406 -  ..
134407 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134408 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134410 -  ..
134411 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134412 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134416 -  ..
134417 - Kardia recorded HR 49 at 0635, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134418 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134419 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134420 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134421 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134422 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134423 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134426 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134427 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250712-ecg-063504_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134432 -  ..
134433 - Post hike 250712 HR profile beginning 2335, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134434 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134435 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134436 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134437 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134438 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134441 -        ..
134442 -       Date      250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503  250502    
134443 -       Time       2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023    2223     
134444 -       Hours         7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10      10     
134445 -       HR AVG       74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69      65     
134446 -       HR MAX      120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     128     
134447 -       HR Min       48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46      48     
134448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134450 -              https://flow.polar.com/training/analysis/8149699032                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134453 -  ..
134454 - HRV seems 50% 0 and 50% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134457 -   
134458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134462 -  ..
134463 - Breakfast - cheerios bananas milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134464 - Lunch - hamburger avocado onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134465 - Dinner - eggs steak asparagus brocolli cauliflower onion mushroom cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134467 -  ..
134468 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134506 -         ..
134507 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134508 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134509 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134510 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134511 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134512 -  194.  250713 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134513 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134514 -               0650....BP HR..................................................... 158  83  58  Kardia ECG reports HR status, see below. ref SDS 0 RA3C                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134515 -               0655....BP HR..................................................... 151  89  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134516 -               0700....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134517 -               0700....40 464380 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134518 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134519 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134520 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134521 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134522 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134523 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134524 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134525 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134526 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134527 -               1700... 40 125340 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                                                                                                                                                                                                                                                                                  
134528 -               1830............ 10 21710  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134529 -               1830............ 10 22060  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134530 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134531 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134532 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134533 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134534 -               2250... 1000 2506000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134535 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134536 -               2330... 40 464420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134537 -               2340... 40 100040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134539 -  ..
134540 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134541 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134543 -  ..
134544 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134545 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134546 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134547 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134548 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134549 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134551 -  ..
134552 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134553 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134555 -  ..
134556 - Reflux slept in chair few hours then in bed after EGD dilation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134557 - 250211 0830. ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134562 -  ..
134563 - Kardia recorded HR 54 at 0651, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134564 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134565 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134566 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134567 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134568 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134569 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134572 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134573 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250713-ecg-065119_mile_00_054_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134578 -  ..
134579 - Post hike 250713 HR profile beginning 2331, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134580 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134581 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134582 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134583 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134584 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134587 -        ..
134588 -       Date      250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504  250503    
134589 -       Time       2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943    2023     
134590 -       Hours         7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11      10     
134591 -       HR AVG       58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77      69     
134592 -       HR MAX      116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     106     
134593 -       HR Min       41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47      46     
134594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134596 -              https://flow.polar.com/training/analysis/8150279991                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134599 -  ..
134600 - HRV seems 90% 0 and 10% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134603 -   
134604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134608 -  ..
134609 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134610 - Lunch - hamburger avocado asperagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134611 - Dinner - potato                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134613 -  ..
134614 - Vomiting: 0% - bloating PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134654 -         ..
134655 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134656 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134657 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134658 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134659 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134660 -  195.  250714 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134661 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134662 -               0700....BP HR..................................................... 144  81  57  Kardia ECG reports HR status, see below. ref SDS 0 XE6K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134663 -               0705....BP HR..................................................... 142  81  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134664 -               0710....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134665 -               0710....40 464460 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134666 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134667 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134668 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134669 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134670 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134671 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134672 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134673 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134674 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134675 -               1700... 40 125380 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                                                                                                                                                                                                                                                                                  
134676 -             1 0000............ 10 21710  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134677 -             1 0000............ 10 22060  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134678 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134679 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134680 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134681 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134682 -               2250... 1000 2507000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134683 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134684 -               2330... 40 464480 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134685 -               2340... 40 100080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134688 -  ..
134689 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134690 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134692 -  ..
134693 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134694 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134695 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134696 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134697 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134698 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134700 -  ..
134701 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134702 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134704 -  ..
134705 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134706 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134711 -  ..
134712 - Kardia recorded HR 51 at 0653, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134713 - variable heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134714 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134715 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134716 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134717 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134718 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134721 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134722 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250714-ecg-065329_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134727 -  ..
134728 - Post hike 250714 HR profile beginning 2103, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134729 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134730 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134731 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134732 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134733 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134736 -        ..
134737 -       Date      250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505  250504    
134738 -       Time       2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111    1943     
134739 -       Hours        10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10      11     
134740 -       HR AVG       64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70      77     
134741 -       HR MAX      114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     119     
134742 -       HR Min       40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45      47     
134743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134745 -              https://flow.polar.com/training/analysis/8150938265                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134748 -  ..
134749 - HRV seems 100% 0 and 0% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134752 -   
134753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134757 -  ..
134758 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134759 - Lunch - tuna avocado onion mushroom cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134760 - Dinner - steak macaroni cheese rice asparagus brocolli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134762 -  ..
134763 - Vomiting: 0% - bloating PL 6 - most of day and night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134801 -         ..
134802 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134803 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134804 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134805 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134806 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134807 -  196.  250715 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134808 -               0655....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134809 -               0700....BP HR..................................................... 148  79  78  Kardia ECG reports HR status, see below. ref SDS 0 7G6V                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134810 -               0705....BP HR..................................................... 142  80  73                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134811 -               0710....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134812 -               0710....40 464540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134813 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134814 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134815 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134816 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134817 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134818 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134819 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134820 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134821 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134822 -               1700... 40 125420 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                                                                                                                                                                                                                                                                                  
134823 -               1830............ 10 21720  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134824 -               1830............ 10 22070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134825 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134826 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134827 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134828 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134829 -               2250... 1000 2508000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134830 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134831 -               2330... 40 464580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134832 -               2340... 40 100120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134834 -  ..
134835 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134836 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134838 -  ..
134839 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134840 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134841 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134842 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134843 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134844 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134846 -  ..
134847 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134848 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134850 -  ..
134851 - Reflux slept in recliner chair several hours then bed after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134852 - dilation on 250211 0830. ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134859 -  ..
134860 - Kardia recorded HR 54 at 0828, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134861 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134862 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134863 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134864 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134865 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
134866 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134869 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134870 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250715-ecg-082800_mile_00_054_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
134871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134874 -  ..
134875 - Post hike 250715 HR profile beginning 1949, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134876 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
134877 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
134878 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134879 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134880 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134883 -        ..
134884 -       Date      250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506  250505    
134885 -       Time       1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049    2111     
134886 -       Hours        10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7      10     
134887 -       HR AVG       64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68      70     
134888 -       HR MAX      131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     117     
134889 -       HR Min       40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45      45     
134890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134892 -              https://flow.polar.com/training/analysis/8151570810                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134895 -  ..
134896 - HRV seems  20% 0 and 80% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
134897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134899 -   
134900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134904 -  ..
134905 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134906 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134907 - Dinner - eggs potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134909 -  ..
134910 - Vomiting: 0% - bloating PL 6 - most of day and night                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134947 -         ..
134948 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134949 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134950 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134951 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134952 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134953 -  197.  250716 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134954 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134955 -               0650....BP HR..................................................... 141  83  51  Kardia ECG reports HR status, see below. ref SDS 0 AI7S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134956 -               0655....BP HR..................................................... 129  78  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134957 -               0700....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134958 -               0700....40 464620 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
134959 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134960 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134961 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
134962 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134963 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134964 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134965 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
134966 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134967 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134968 -               1700... 40 125460 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                                                                                                                                                                                                                                                                                  
134969 -             1 0000............ 10 21720  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
134970 -             1 0000............ 10 22070  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
134971 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134972 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134973 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134974 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
134975 -               2250... 1000 2509000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134976 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
134977 -               2330... 40 464660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134978 -               2340... 40 100160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
134980 -  ..
134981 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134982 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
134984 -  ..
134985 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134986 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134987 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134988 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
134989 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
134990 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134992 -  ..
134993 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
134994 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134996 -  ..
134997 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
134998 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
134999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135004 -  ..
135005 - Kardia recorded HR 48 at 0639, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135006 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135007 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135008 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135009 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135010 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135011 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135014 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135015 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250716-ecg-063920_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135021 -  ..
135022 - Post hike 250716 HR profile beginning 2007, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135023 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135024 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135025 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135026 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135027 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135030 -        ..
135031 -       Date      250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507  250506    
135032 -       Time       2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833    0049     
135033 -       Hours         9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7       7     
135034 -       HR AVG       62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79      68     
135035 -       HR MAX       95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     107     
135036 -       HR Min       41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51      45     
135037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135039 -              https://flow.polar.com/training/analysis/8152163515                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135042 -  ..
135043 - HRV seems  60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135046 -   
135047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135051 -  ..
135052 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135053 - Lunch - tuna asparagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135054 - Dinner - potato asparagus broccoli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135056 -  ..
135057 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135095 -         ..
135096 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135097 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135098 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135099 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135100 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135101 -  198.  250717 0455............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135102 -               0450....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135103 -               0500....BP HR..................................................... 159  90  52  Kardia ECG reports HR status, see below. ref SDS 0 AI7S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135104 -               0505....BP HR..................................................... 137  81  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135105 -               0510....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135106 -               0510....40 464700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
135107 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135108 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135109 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135110 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135111 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135112 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135113 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135114 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135115 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135116 -               1700... 40 125500 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                                                                                                                                                                                                                                                                                  
135117 -               1830............ 10 21730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
135118 -               1830............ 10 22080  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
135119 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135120 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135121 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135122 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135123 -               2250... 1000 2510000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135124 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135125 -               2330... 40 464740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135126 -               2340... 40 100200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135128 -  ..
135129 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135130 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135132 -  ..
135133 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135134 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135135 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135136 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135137 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135138 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135140 -  ..
135141 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135142 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135144 -  ..
135145 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135146 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135152 -  ..
135153 - Kardia EKG not recorded for 250717.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135159 -  ..
135160 - Post hike 250717 HR profile beginning 1951, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135161 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135162 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135163 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135164 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135165 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135168 -        ..
135169 -       Date      250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508  250507    
135170 -       Time       1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106    1833     
135171 -       Hours         9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10       7     
135172 -       HR AVG       56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69      79     
135173 -       HR MAX      103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     112     
135174 -       HR Min       39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43      51     
135175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135177 -              https://flow.polar.com/training/analysis/8152780644                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135180 -  ..
135181 - HRV seems  60% 0 and 40% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135184 -   
135185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135189 -  ..
135190 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135191 - Lunch - tuna asparagus onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135192 - Dinner - steak potato onion broccoli                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135194 -  ..
135195 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135233 -         ..
135234 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135235 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135236 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135237 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135238 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135239 -  199.  250718 0445............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135240 -               0445....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135241 -               0450....BP HR..................................................... 140  84  53  Kardia ECG reports HR status, see below. ref SDS 0 R8SH                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135242 -               0455....BP HR..................................................... 136  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135243 -               0500....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135244 -               0590....40 464780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
135245 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135246 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135247 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135248 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135249 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135250 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135251 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135252 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135253 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135254 -               1700... 40 125540 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                                                                                                                                                                                                                                                                                  
135255 -             1 0000............ 10 21730  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
135256 -             1 0000............ 10 22080  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
135257 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135258 -               2140... Amonium Lactate 12% lotion applied to feet, see below. ref SDS 28 UTYY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135259 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135260 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135261 -               2250... 1000 2511000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135262 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135263 -               2330... 40 464820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135264 -               2340... 40 100240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135266 -  ..
135267 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135268 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135270 -  ..
135271 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135272 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135273 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135274 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135275 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135276 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135278 -  ..
135279 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135280 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135282 -  ..
135283 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135284 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135290 -  ..
135291 - Kardia recorded HR 49 at 0509, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135292 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135293 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135294 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135295 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135296 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135297 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135300 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135301 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250718-ecg-050952_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135305 -  ..
135306 - Post hike 250718 HR profile beginning 2230, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135307 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135308 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135309 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135310 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135311 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135314 -        ..
135315 -       Date      250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509  250508    
135316 -       Time       1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027    2106     
135317 -       Hours         9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11      10     
135318 -       HR AVG       56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71      69     
135319 -       HR MAX      103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     134     
135320 -       HR Min       39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43      43     
135321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135323 -              https://flow.polar.com/training/analysis/8153556912                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135326 -  ..
135327 - HRV seems 100% 0 and 00% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135330 -   
135331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135335 -  ..
135336 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135337 - Lunch - hamburger fries after EGD dilation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135338 - Dinner - pizza cake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135340 -  ..
135341 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135378 -         ..
135379 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135380 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135381 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135382 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135383 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135384 -  200.  250719 0445............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135385 -               0445....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135386 -               0450....BP HR..................................................... 159  83  61  Kardia ECG reports HR status, see below. ref SDS 0 MR2E                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135387 -               0455....BP HR..................................................... 153  77  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135388 -               0500....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135389 -               0500....40 464860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
135390 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135391 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135392 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135393 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135394 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135395 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135396 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135397 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135398 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135399 -               1700... 40 125580 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                                                                                                                                                                                                                                                                                  
135400 -               1830............ 10 21740  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
135401 -               1830............ 10 22090  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
135402 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135403 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719 - did not apply Ammonium Lactate 12% to bottom of feet to treat metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135404 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135405 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135406 -               2250... 1000 2512000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135407 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135408 -               2330... 40 464900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135409 -               2340... 40 100280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135412 -  ..
135413 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135414 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135416 -  ..
135417 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135418 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135419 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135420 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135421 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135422 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135424 -  ..
135425 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135426 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135428 -  ..
135429 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135430 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135435 -  ..
135436 - Kardia recorded HR 52 at 1105, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135437 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135438 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135439 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135440 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135441 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135442 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135445 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135446 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250719-ecg-110538_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135451 -  ..
135452 - Post hike 250719 HR profile beginning 2011, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135453 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135454 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135455 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135456 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135457 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135460 -        ..
135461 -       Date      250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510  250509    
135462 -       Time       2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154    2027     
135463 -       Hours        10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9      11     
135464 -       HR AVG       60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71      71     
135465 -       HR MAX      125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     122     
135466 -       HR Min       40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43      43     
135467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135469 -              https://flow.polar.com/training/analysis/8154031009                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135472 -  ..
135473 - HRV seems 50% 0 and 50% - good overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135476 -   
135477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135481 -  ..
135482 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135483 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135484 - Dinner - hamburger potato broccoli cauliflower onion mushroom, cake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135486 -  ..
135487 - Vomiting: 0% - bloating PL 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135525 -         ..
135526 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135527 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135528 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135529 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135530 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135531 -  201.  250720 0630............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135532 -               0635....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135533 -               0640....BP HR..................................................... 144  88  83  Kardia ECG reports HR status, see below. ref SDS 0 2T3G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135534 -               0645....BP HR..................................................... 144  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135535 -               0650....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135536 -               0650....40 464980 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
135537 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135538 -               0830....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135539 -               0830... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135540 -               0830....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135541 -               0830....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135542 -               0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135543 -               0830....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135544 -               0830... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
135545 -  ..
135546 -               0954....miles...........  16.0  16.0  289   289 minutes  temp  80 wind 21  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135547 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135548 -               1216....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135549 -               1216....Tramadol 50 mg took 1 pill - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135550 -               1216... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
135551 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135552 -               1216... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135553 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135554 -               0000....mile 13 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135555 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135556 -               0000....Tramadol 50 mg took 0 pills - 4 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135557 -               0000... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
135558 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135559 -               0000... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
135560 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135561 -               0831... Hike ends mile 15..... ref SDS 0 Z1TJ 12 + 3 miles hiking at Costco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135562 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135563 -               1515....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135564 -               1520....BP HR..................................................... 107  68 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135565 -               1530....BP HR..................................................... 112  71 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135566 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135567 -               1700... 40 125620 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                                                                                                                                                                                                                                                                                  
135568 -             1 0000............ 10 21740  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
135569 -             1 0000............ 10 22090  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
135570 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135571 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135572 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135573 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135574 -               2250... 1000 2513000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135575 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135576 -               2330... 40 465020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135577 -               2340... 40 100320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135580 -  ..
135581 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135582 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135584 -  ..
135585 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135586 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135587 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135588 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135589 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135590 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135592 -  ..
135593 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135594 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135596 -  ..
135597 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135598 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135601 -  ..
135602 - Today, hiked 16 miles - Temp 80 and very windy.  Starting PL 0, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135603 - Tramadol to start.  Needed 1 more at mile 11.  Took magnesium to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135604 - start, and at mile 11, energy did not drop abnormally today, which may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135605 - align less "impaired" HRV, cited in the record on 250726 1318.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135606 - ref SDS A0 LFAN  Next hike will try again to avoid Tramadol at start.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135607 - Heart rate in sinus all the way tracking changes in elevation.  Tried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135608 - again Corn bandaging with "donut hole" to protect calluses on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135609 - foot #1 and #5.  Had PL 0 initially, that increased to PL 4 - 5 after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135610 - 3 miles, which led to taking 1 Tramadol at mile 08 in order to finish                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135611 - the hike.  The record may indicate some healing has occurred while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135612 - hiking paused the past 13 days.  Stomach bloated causing numerous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135613 - major burps - seemed less so at the end back home.  Feet, especially                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135614 - left foot #1 and #5 had more pain at end of hike.  Will try switching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135615 - from Ammonium Lactate 12% to Urea 40% in order heal calluses left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135616 - foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135619 -         ..
135620 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135621 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135622 -        Stomach pain ischemic colitis bloating.......   3         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
135623 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
135624 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135625 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135626 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135627 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
135628 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135629 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135630 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135631 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135632 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
135633 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135634 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
135635 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135636 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
135637 -        Back.........................................   0         10  noticed about hour after hike - could have been caused lifting furniture before hike to support construction crew remodeling house - lifted 50 pound c24, and lifted container of computer cables                                                                                                                                                                                                                                                                                                                                            
135638 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135639 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135640 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135641 -        Knee left meniscus...PRP 231121..............   3         20  forgot to take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 00 and 1 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                     
135642 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135643 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135644 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135645 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135646 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
135647 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135648 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135649 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135650 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135651 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135652 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135653 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135654 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
135655 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135656 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135657 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 1 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
135658 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 1 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
135659 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
135660 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
135661 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135662 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135663 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
135664 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
135665 -        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                                                                                                                                                                                                                                                                                                                           
135666 -        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                                                                                                                                                                                                                                                                                                                                                                                    
135667 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135668 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
135669 -        Callus big toe left foot...PRP 210705........   5         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 08 wore new Hoka Bondi 9 x-wide shoes and 1 pair Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                         
135670 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135671 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135672 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
135673 -        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                                                                                                                                                                                                                                                                                                                                           
135674 -        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                                                                                                                                                                                                                                                                                                                                           
135675 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135676 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 08 wore new Hoka Bondi 9 x-wide shoes and 1 pair Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                         
135677 -        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                                                                                                                                                                                                                                                                                                                                                                                        
135678 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
135679 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
135680 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135681 -        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                                                                                                                                                                                                                                                                                                                                                              
135682 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 08 wore new Hoka Bondi 9 x-wide shoes and 1 pair Smartwool socks                                                                                                                                                                                                                                                                                                                                                                                         
135683 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
135684 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135685 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135686 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
135687 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135688 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
135689 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
135690 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135691 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
135692 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135693 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135694 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135695 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135696 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135697 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135698 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135699 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
135700 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135701 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135704 -  ..
135705 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135706 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135708 -  ..
135709 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135710 - Bondi 9 size 10.5 extra-wide, received on 250624 1923. ref SDS 97 EQ7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135711 - First eyelets not laced, and first laces very loose, then double weave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135712 - to keep lower laces loose to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135713 - Calluses on left foot #1 and #5 were initially PL 0, so took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135714 - Tramadol.  Post hike think this is a mistake.  Should try to start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135715 - with no pain meds with aim to not exceed 3 for entire hike.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135716 - injuries declined to PL 0 after a mile, and continued for 3 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135717 - then gradually increased to PL 5 and reduced to PL 2 after taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135718 - another Tramadol at mile 8.  Bondi 9 shoes provide exceptional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135719 - cushioning to prevent metatarsalgia pain, have good rebound energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135720 - enabling long hikes that increase HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135721 - Shoe covering over forefoot is difficult to loosen, even by not lacing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135722 - eyelets.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135724 -  ..
135725 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135726 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135727 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135729 -  ..
135730 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore Smartwool 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135731 - pair with cushioning in order to reduce lateral stress on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135733 -  ..
135734 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135736 -  ..
135737 - Callus Injuries - today on 250720, donut bandage.  With Tramadol had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135738 - PL 4 last 2 miles of 16 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135740 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135741 -                    1 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135742 -                    0 Tramadol mile 12 for last 4 miles of 16 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135744 -  ..
135745 - Keeping below 4 Tramadol avoided tripping ANS into seizure at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135746 - for rest of 16 mile hike.  As a result, able to maintain speed without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135747 - drugged brain continually throttling down to 0, and staggeering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135748 - backwards a few times to maintain balance, as occurred on 250626, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135749 - above. ref SDS 0 8HUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135751 -  ..
135752 - In sum, bandaging not successful.  Concern is that hiking today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135753 - PL > 3 last 4 miles, injury worsened, rather than was stimulated to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135754 - heal with influx of oxygen and nutrients.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135757 -  ..
135758 - For left foot #5... tried avoiding bandaging.  This mainly worked.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135759 - PL < 4 entire hike.  Cautiously optimistic did not make this injury
135760 - worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135764 -  ..
135765 - Ammonium Lactate 12% lotion applied in evening after hike, to bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135766 - of feet, per above, ref SDS 0 OK9M, and wearing Smartwhool single-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135767 - socks and apply help recover and avoid blisters to Tailor's Bunion and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135768 - other calluses both feet, case study on shaving skin to reduce                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135769 - pressure, shown on 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135772 -  ..
135773 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135774 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135775 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135776 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135777 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135778 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135779 - Took only 1 instead of 2 Tramadol for pain management, despite 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135780 - Tramadol was not enough to get past mile 4 on Concord route - had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135781 - take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135782 - ref SDS 0 STXU, and feet have healed past 2 weeks, while not hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135783 - and even though there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135784 - hike today, and further that left foot #1 and #5 calluses both start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135785 - at PL 0, after treatment by Doctor Tang at VAMCSF on 250707 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135786 - ref SDS 98 T49H, since recent hikes have needed more Tramadol before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135787 - mile 8, for pain relief, despite starting at PL 0.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135788 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135789 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135790 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
135791 - - swallowed pill whole after EGD Dilation yesterday on 250718, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135792 - capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135793 - small amount peanut butter that contains iron to elevate Farritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135794 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135795 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135796 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135797 - Seeds for electrolytes and energy, and had 1/4 avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135798 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135799 - all per above. ref SDS 0 YQF8  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135800 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135801 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135802 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135803 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135804 - diabetes, colitis and atrial fibrillation (arrhythmia - variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135805 - rate from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135806 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135807 - today.  Temperature mild 80 and wind 21 mph.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135808 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135809 - pins and needles - actually minimal today, and - feeling electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135810 - shocks in balls of feet this morning - due to peripheral neuropathy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135811 - caused by taking statins, diabetes symptoms, and dysfunctional ANS.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135812 - After 1 mile feet calming down.  Bottom of both feet not hurting yet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135813 - with metatarsalgia pain, including left foot #1 and #5, which were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135814 - severely painful during 8 days that led to pausing hiking for 14 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135815 - for these injuries to heal beginning on 250523, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135816 - OP4H  Left foot #1 and #5 have not been painful past few days, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135817 - not hiking past 2 weeks.  Breathed through nose entire hike with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135818 - dyspnea, indicating condition has sustained, despite minimal hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135819 - last few months.  Temperature started at 63, and reached 80.  East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135820 - wind 21 mph and mostly 14 mph.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135821 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135822 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135823 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135824 - Continued on Turtle Creek Road uphill 4% grade.  At end of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135825 - Creek Road turned left onto Ayers hiking East .75 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135826 - road shoulder.  At mile 3, turned right onto Clayton Road hiking South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135827 - .5 miles on asphalt pavement in parking lots of shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135828 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135829 - sidewalk .5 miles.  Good energy after taking 1 magnesium capsule this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135830 - morning - did not hit fatigue "wall" so did not have to stop near mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135831 - 4, at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135832 - CoQ10.  This was major question for the hike.  Feet not hurting again,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135833 - after taking 1 Tramadol before starting hike - did not take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135834 - Tramadol.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135835 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135836 - crossing Park Highlands Road at Stop Light still heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135837 - miles now on asphalt shoulder.  Crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135838 - Road to hike on wider shoulder.  Continued West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135839 - Michigan Boulevard.  Turned left onto Pine Hollow and hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135840 - East past Camino Solano.  Turned around and hiked back on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135841 - 1.00 miles.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135842 - heading West uphill 3% grade.  Hiked 1 mile against wind 21 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135843 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135844 - uphill on Campus Drive 4% grade.  Not extremely fatigued, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135845 - on 250522, i.e., normal pace for this level of effort - indicating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135846 - ferritin, which was below range in lab on 250428, may have improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135847 - from improving dysfunctional ANS that can lower ferritin, which aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135848 - with reduced heart rate variability, i.e., increased sinus as a result                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135849 - of increased hiking last month, at least to 250522, and despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135850 - significantly reduced hiking since then.  Reached Visitor Parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135851 - California State University East Bay Concord Campus.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135852 - Administration building mile 08 time 1216 temp 72 and wind 15 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135853 - looks mostly uniform with minor artifact.  Kardia reported HR 120,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135854 - Tachycardia - see below. ref SDS 0 Z4HE  Fatigue PL 2, bloating PL 6,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135855 - after taking 1 Tramadol at mile 0, both feet metatarsalgia PL 1.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135856 - foot #1 PL 3 and #5 PL 2.  Took 1 Tramadol 50 mg for pain.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135857 - Magnesium complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135858 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135859 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
135860 - nutrition - peanut butter, margarine and Mayonnaise and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135861 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135862 - HDL - did not have difficulty swallowing this combination; today, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135863 - 3 bites, Took Chia Seeds seperately and swallowed okay.  Took new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135864 - Ubiquinol CoQ10 100 mg softgel tablet for HDL and energy to complete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135865 - hike.  Did not take Nuun electrolyte pill, per above. ref SDS 0 TDZL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135866 - Hiked around main buildings, stopping at the back to do half pull ups                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135867 - and pushups.  Hiked 2 2-mile loops through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135868 - lots, stopping to do more half pullups and pushups.  At mile 12, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135869 - college heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135870 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 13,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135871 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135872 - wind 21 mph.  Crossed Cowell at stop light.  Continued 0.5 mile uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135873 - 3% grade.  At summit mile 14, turned around at end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135874 - barriar.  Hiked back and turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135875 - miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135876 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135877 - traffic.  Pace slow due to temperature and care to avoid oncoming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135878 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135879 - then home.  Ended hike mile 16 time 1501 temp 78, wind 18, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135880 - 2, fatigue PL 2, feet metatarsalgia PL 2, left foot #1 edge PL 5, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135881 - edge PL 2, right foot #1 fracture PL 0, #5 PL 0, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135882 - 0, shin splints PL 0, left knee PL 0 (not swollen), right knee PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135883 - left shoulder PL 0, neck and right shoulder PL 0 intermittantly, lower                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135884 - back middle PL 0 - stress carrying backpack, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
135885 - lifting.  EKG uniform with no artifact, Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135886 - Tachycardia - see below. ref SDS 0 FKSP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135897 -  ..
135898 - Kardia recorded HR 49 at 0630, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135899 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135900 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135901 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135902 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135903 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
135904 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135907 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135908 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250720-ecg-063010_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135914 -  ..
135915 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135916 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135917 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135918 - ..
135919 -                                                                                                                                                                                                                                                                                                              x
135920 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135921 -                                                                                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
135922 -       Date          250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 250504 250503 250502 250501 25043  
135923 -       Miles            16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0      0      0      0      0  
135924 -       HR AVG          128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no     no     no     no     no  
135925 -         MAX           145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report report report report report repo  
135926 -         Min            82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                                                          
135927 -       El Climb Ft     533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                                                          
135928 -       Temp Max         80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                                                          
135929 -       Wind Max         21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                                                          
135930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135932 -              https://flow.polar.com/training/analysis/8154322100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135935 -               ..
135937 -   
135938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135943 -  ..
135944 - EKG at mile 08 time 1216 HR 120 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135945 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135946 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135949 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135950 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250720-ecg-121636_mile_08_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135954 -  ..
135955 - End hike EKG at mile 16, time 1501 HR 122 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135956 - Tachycardia... looks entirely uniforme with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135957 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
135958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135960 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
135961 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250720-ecg-150103_mile_16_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
135962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135967 -  ..
135968 - Post hike 250720 HR profile beginning 2359, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
135969 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
135970 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
135971 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135972 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
135973 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135976 -        ..
135977 -       Date      250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511  250510    
135978 -       Time       2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152    2154     
135979 -       Hours         5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10       9     
135980 -       HR AVG       63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68      71     
135981 -       HR MAX      100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     105     
135982 -       HR Min       42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33      43     
135983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135985 -              https://flow.polar.com/training/analysis/8154585384                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
135986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135988 -  ..
135989 - HRV seems 25% 0 and 35% - good and 40% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
135990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135992 -   
135993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
135997 -  ..
135998 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
135999 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136000 - Dinner - pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136002 -  ..
136003 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136040 -         ..
136041 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136042 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136043 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136044 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136045 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136046 -  202.  250721 0520............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136047 -               0525....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136048 -               0530....BP HR..................................................... 155  86  53  Kardia ECG reports HR status, see below. ref SDS 0 2T3G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136049 -               0535....BP HR..................................................... 146  81  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136050 -               0540....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136051 -               0540....40 465060 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
136052 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136053 -               0830....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136054 -               0830... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136055 -               0830....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136056 -               0830....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136057 -               0830....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136058 -               0830....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136059 -               0830... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136060 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136061 -               1700... 40 125660 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                                                                                                                                                                                                                                                                                  
136062 -               1830............ 10 21750  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136063 -               1830............ 10 22100  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136064 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136065 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136066 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136067 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136068 -               2250... 1000 2514000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136069 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136070 -               2330... 40 465100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136071 -               2340... 40 100360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136073 -  ..
136074 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136075 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136077 -  ..
136078 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136079 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136080 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136081 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136082 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136083 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136085 -  ..
136086 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136087 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136089 -  ..
136090 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136091 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136098 -  ..
136099 - Kardia recorded HR 49 at 0522, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136100 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136101 - 16 miles temp 79 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136102 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136103 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136104 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136105 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136108 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136109 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250721-ecg-052254_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136113 -  ..
136114 - Post hike 250721 HR profile beginning 1916, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136115 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136116 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136117 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136118 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136119 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136122 -        ..
136123 -       Date      250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512  250511    
136124 -       Time       1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135    2152     
136125 -       Hours         9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6      10     
136126 -       HR AVG       66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61      68     
136127 -       HR MAX      113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     157     
136128 -       HR Min       36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42      33     
136129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136131 -              https://flow.polar.com/training/analysis/8155201553                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136134 -  ..
136135 - HRV seems 25% 0 and 35% - good and 40% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136138 -   
136139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136143 -  ..
136144 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136145 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136146 - Dinner - macaroni cheese hamburger asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136148 -  ..
136149 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136184 -         ..
136185 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136186 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136187 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136188 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136189 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136190 -  203.  250722 0455............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136191 -               0455....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136192 -               0500....BP HR..................................................... 153  80  48  Kardia ECG reports HR status, see below. ref SDS 0 8L3Z                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136193 -               0505....BP HR..................................................... 155  85  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136194 -               0510....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136195 -               0510....40 465140 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
136196 -               0000....Naproxen 250 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136197 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136198 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136199 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136200 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136201 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136202 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136203 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136204 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136205 -               1700... 40 125700 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                                                                                                                                                                                                                                                                                  
136206 -             1 0000............ 10 21750  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136207 -             1 0000............ 10 22100  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136208 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136209 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719 - did not apply Ammonium Lactate 12% for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136210 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136211 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136212 -               2250... 1000 2515000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136213 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136214 -               2330... 40 465180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136215 -               2340... 40 100400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136218 -  ..
136219 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136220 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136222 -  ..
136223 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136224 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136225 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136226 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136227 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136228 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136230 -  ..
136231 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136232 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136234 -  ..
136235 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136236 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136241 -  ..
136242 - Kardia recorded HR 57 at 0459, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136243 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136244 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136245 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136246 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136247 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136248 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136251 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136252 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250722-ecg-045951_mile_00_057_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136257 -  ..
136258 - Post hike 250722 HR profile beginning 1919, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136259 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136260 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136261 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136262 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136263 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136266 -        ..
136267 -       Date      250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513  250512    
136268 -       Time       1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006    2135     
136269 -       Hours        11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10       6     
136270 -       HR AVG       63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81      61     
136271 -       HR MAX      130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     135     
136272 -       HR Min       40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54      42     
136273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136275 -              https://flow.polar.com/training/analysis/8155937643                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136278 -  ..
136279 - HRV seems 25% 0 and 35% - good and 40% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136282 -   
136283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136287 -  ..
136288 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136289 - Lunch - hot dog cottage cheese avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136290 - Dinner - hamburger potato asparagus onion mushroom, peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136292 -  ..
136293 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136327 -         ..
136328 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136329 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136330 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136331 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136332 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136333 -  204.  250723 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136334 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136335 -               0700....BP HR..................................................... 155  95  67  Kardia ECG reports HR status, see below. ref SDS 0 93HC                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136336 -               0705....BP HR..................................................... 142  82  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136337 -               0710....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136338 -               0710....40 465220 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
136339 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136340 -               1700... 40 125740 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                                                                                                                                                                                                                                                                                  
136341 -               1830............ 10 21760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136342 -               1830............ 10 22110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136343 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136344 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719 - did not apply Ammonium Lactate 12% for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136345 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136346 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136347 -               2200... 10   80 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136348 -               2250... 1000 2516000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136349 -               2330... 40 465260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136350 -               2340... 40 100440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136353 -  ..
136354 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136355 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136357 -  ..
136358 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136359 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136360 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136361 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136362 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136363 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136365 -  ..
136366 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136367 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136369 -  ..
136370 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136371 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136376 -  ..
136377 - Kardia recorded HR 50 at 0700, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136378 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136379 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136380 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136381 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136382 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136383 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136386 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136387 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250723-ecg-070051_mile_00_050_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136393 -  ..
136394 - Post hike 250723 HR profile beginning 2123, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136395 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136396 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136397 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136398 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136399 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136402 -        ..
136403 -       Date      250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514  250513    
136404 -       Time       2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002    2006     
136405 -       Hours        11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9      10     
136406 -       HR AVG       58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71      81     
136407 -       HR MAX      116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     111     
136408 -       HR Min       41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48      54     
136409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136411 -              https://flow.polar.com/training/analysis/8156623432                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136414 -  ..
136415 - HRV seems 25% 0 and 35% - good and 40% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136418 -   
136419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136423 -  ..
136424 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136425 - Lunch - tuna avocado broccoli cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136426 - Dinner - eggs hamburger potato asparagus onion mushroom, ice cream strawberries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136428 -  ..
136429 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136467 -         ..
136468 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136469 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136470 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136471 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136472 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136473 -  205.  250724 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136474 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136475 -               0710....BP HR..................................................... 149  87  52  Kardia ECG reports HR status, see below. ref SDS 0 93HC                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136476 -               0715....BP HR..................................................... 142  80  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136477 -               0720....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136478 -               0720....40 465300 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
136479 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136480 -               1110... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136481 -               1110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136482 -               1110....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136483 -               1110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136484 -               1110....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136485 -               1110... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
136486 -  ..
136487 -               1134....miles...........  18.0  18.0  308   308 minutes  temp  78 wind 15  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136488 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136489 -               1352....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136490 -               1352....Tramadol 50 mg took 1 pill - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136491 -               1352... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
136492 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136493 -               1352... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136494 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136495 -               1559....mile 14 stopped EKG and Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136496 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136497 -               0000....Tramadol 50 mg took 0 pills - 4 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136498 -               1559... Magnesium 300 mg 2 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
136499 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136500 -               1559... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
136501 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136502 -               1718... Hike ends mile 18..... ref SDS 0 9NRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136503 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136504 -               1740....weight.................................... 170  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136505 -               1745....BP HR..................................................... 100  74 114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136506 -               1805....BP HR..................................................... 112  74 111                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136507 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136508 -               1830... 40 125780 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                                                                                                                                                                                                                                                                                  
136509 -             1 0000............ 10 21760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
136510 -             1 0000............ 10 22110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
136511 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136512 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136513 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136514 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136515 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136516 -               2250... 1000 2516000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136517 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136518 -               2330... 40 465340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136519 -               2340... 40 100480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136522 -  ..
136523 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136524 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136526 -  ..
136527 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136528 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136529 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136530 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136531 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136532 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136534 -  ..
136535 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136536 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136538 -  ..
136539 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136540 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136543 -  ..
136544 - Today, hiked 18 miles - Temp 78 and windy.  Starting PL 0, took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136545 - Tramadol to start, per planning after last hike on 250720, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136546 - ref SDS 0 S9TI  Feet held up well to mile 8.  Took magnesium to start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136547 - and at mile 08, energy did not drop abnormally today, which aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136548 - with improved HRV.  Heart rate in sinus all the way tracking changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136549 - in elevation.  Tried again Corn bandaging with "donut hole" to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136550 - calluses on left foot #1 and #5.  Had PL 0 initially, that increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136551 - to PL 3 at mile 1 curve turning from Treat onto Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136552 - Thought would have to take Tramadol in middle of road.  Pain dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136553 - to PL 0 over next half mile.  Seems like callus may be stiff tissue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136554 - starting, after mile 1 sweat softens tissue and pain subsides, or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136555 - something like that.  Planned to turn around at mile 6, like last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136556 - hike, but kept going to end of Pine Hollow at mile 8.  Feet handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136557 - this well.  Energy was okay with extra distance before taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136558 - and magnesium and CoQ10.  Hiked back to college.  Energy was good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136559 - better than hike 4 days ago, when had to stop beause energy was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136560 - wasted, so needed magnesium and CoQ10.  Today, did loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136561 - parking lots, then stopped for pain meds, magnesium and CoQ10.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136562 - not take Tramadol, because pills spilled out of container -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136563 - over-filled.  Stomach bloated causing numerous major burps - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136564 - less so at the end back home.  Feet, especially left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136565 - had more pain at end of hike, I think because donut hole bandage was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136566 - not positioned correctly.  This is difficult without help.  Adding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136567 - Urea 40% for treating calluses seems very helpful, and using Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136568 - Lactate 12% for rest of feet to treat metatarsalgia worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136569 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136572 -         ..
136573 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136574 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136575 -        Stomach pain ischemic colitis bloating.......   3         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
136576 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
136577 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136578 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136579 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136580 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
136581 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136582 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136583 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136584 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136585 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
136586 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136587 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
136588 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136589 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
136590 -        Back.........................................   2         10  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136591 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136592 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136593 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136594 -        Knee left meniscus...PRP 231121..............   3         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                            
136595 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136596 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136597 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136598 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136599 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
136600 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136601 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136602 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136603 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136604 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136605 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136606 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136607 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
136608 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136609 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136610 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
136611 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
136612 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
136613 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
136614 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136615 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136616 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
136617 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
136618 -        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                                                                                                                                                                                                                                                                                                                           
136619 -        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                                                                                                                                                                                                                                                                                                                                                                                    
136620 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136621 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
136622 -        Callus big toe left foot...PRP 210705........   5         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
136623 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136624 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136625 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
136626 -        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                                                                                                                                                                                                                                                                                                                                           
136627 -        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                                                                                                                                                                                                                                                                                                                                           
136628 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136629 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
136630 -        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                                                                                                                                                                                                                                                                                                                                                                                        
136631 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
136632 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
136633 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136634 -        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                                                                                                                                                                                                                                                                                                                                                              
136635 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
136636 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
136637 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136638 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136639 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
136640 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136641 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
136642 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
136643 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136644 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
136645 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136646 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136647 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136648 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136649 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136650 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136651 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136652 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
136653 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136654 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136657 -  ..
136658 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136659 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136661 -  ..
136662 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136663 - Bondi 9 size 10.5 extra-wide, received on 250624 1923. ref SDS 97 EQ7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136664 - First eyelets not laced, and first laces very loose, then double weave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136665 - to keep lower laces loose to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136666 - Calluses on left foot #1 and #5 were initially PL 0, so took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136667 - Tramadol.  Post hike think this was correct, per planning post last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136668 - hike on 250720, above. ref SDS 0 V6GU  Left foot injuries PL 0 1 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136669 - then PL 3 1 mile, then PL 0 to mile 8, where PL 3.  Took Tramadol at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136670 - mile 8, PL 3 mile 12, took no Tramadol.  PL 5 at mile 18.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136672 -  ..
136673 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136674 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136675 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136677 -  ..
136678 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136679 - ply Rightsocks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136681 -  ..
136682 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136684 -  ..
136685 - Callus Injuries - today on 250720, donut bandage.  With Tramadol had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136686 - PL 4 last 2 miles of 16 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136688 -                    0 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136689 -                    1 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136690 -                    0 Tramadol mile 14 for last 4 miles of 18 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136692 -  ..
136693 - Keeping below 4 Tramadol avoided tripping ANS into seizure at mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136694 - for rest of 16 mile hike.  As a result, able to maintain speed without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136695 - drugged brain continually throttling down to 0, and staggeering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136696 - backwards a few times to maintain balance, as occurred on 250626, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136697 - above. ref SDS 0 8HUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136699 -  ..
136700 - In sum, bandaging not successful.  Concern is that hiking today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136701 - PL > 3 last 4 miles, injury worsened, rather than was stimulated to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136702 - heal with influx of oxygen and nutrients.  The problem is poor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136703 - alignment of the round opening in the bandage was not centered on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136704 - high point of the callus.  Needs to be moved .08" left.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136707 -  ..
136708 - For left foot #5... tried avoiding bandaging.  This mainly worked.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136709 - PL < 4 entire hike.  Cautiously optimistic did not make this injury
136710 - worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136714 -  ..
136715 - Urea $0% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136716 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136717 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136718 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136719 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136720 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136723 -  ..
136724 - Concord 16 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136725 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136726 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136727 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136728 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136729 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136730 - Took only 0 instead of 2 Tramadol for pain management, despite 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136731 - Tramadol was not enough to get past mile 4 on Concord route - had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136732 - take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136733 - ref SDS 0 STXU, and feet have healed past 2 weeks, while not hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136734 - and even though there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136735 - hike today, and further that left foot #1 and #5 calluses both start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136736 - at PL 0, after treatment by Doctor Tang at VAMCSF on 250707 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136737 - ref SDS 98 T49H, since recent hikes have needed more Tramadol before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136738 - mile 8, for pain relief, despite starting at PL 0 - it is very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136739 - complicated.  Took 1 Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136740 - absorbing lactic acid, and reducing inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136741 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136742 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136743 - EGD Dilation on 250718, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136744 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136745 - iron to elevate Farritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136746 - below range on 250428 0940, ref SDS 88 VP5H; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136747 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136748 - and had small amount Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136749 - 1/4 avocado for HDL.  Just before starting hike took new Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136750 - CoQ10 100 mg softgel tablet all per above. ref SDS 0 KS8D  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136751 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136752 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136753 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136754 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136755 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
136756 - (arrhythmia - variable heart rate from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136757 - system - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136758 - backpack to carry stuff today.  Temperature mild 78 and wind 15 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136759 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136760 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136761 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136762 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136763 - symptoms, and dysfunctional ANS.  After 1 mile feet calming down.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136764 - Bottom of both feet not hurting yet with metatarsalgia pain, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136765 - #1 PL 3 and #5 PL 1, which were severely painful during 8 days that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136766 - led to pausing hiking for 14 days for these injuries to heal beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136767 - on 250523, per above. ref SDS 0 OP4H  Left foot #1 and #5 have not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136768 - been painful past few days, after not hiking past 2 weeks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136769 - switching to Urea 40% cream to heal calluses past 4 days.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136770 - through nose entire hike with no dyspnea, indicating condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136771 - sustained, despite minimal hiking last few months.  Temperature                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136772 - started at 61, and reached 78.  East wind 15 mph and mostly 10 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136773 - Hiked East on Treat .5 miles.  Turned right hiking South on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136774 - shoulder of Turtle Creek Road for 1.5 miles mostly flat grade, some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136775 - places 3% uphill, and very light traffic.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136776 - Community park and back today.  Left foot #1 PL 0.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136777 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136778 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136779 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136780 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136781 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136782 - Good energy after taking 1 magnesium capsule this morning - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136783 - hit fatigue "wall" so did not have to stop near mile 4, at Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136784 - Mike's Pizza restaurant to take interim magnesium and CoQ10.  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136785 - major question for the hike.  Feet not hurting again, after taking 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136786 - Tramadol before starting hike - did not take more Tramadol.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136787 - hiking past mile 4.  Turned right heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136788 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136789 - Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136790 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136791 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136792 - Boulevard.  Turned left onto Pine Hollow and hiked 2.5 miles East to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136793 - end of Pine Hollow.  Stopped mile 8 time 1352 temp 75 and wind 12 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136794 - EKG looks uniform with no artifact.  Kardia reported HR 127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136795 - Tachycardia - see below. ref SDS 0 SCGH  Bloating PL 3, fatigue PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136796 - both feet metatarsalgia PL 2.  Left foot #1 PL 3 and #5 PL 1, Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136797 - Tramadol 50 mg for pain.  Took 1 more Magnesium complex 300 mg pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136798 - for energy, absorbing lactic acid, and reducing inflammation, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136799 - research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136800 - home for hydration and swallowing nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136801 - and Mayonnaise, and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136802 - juice) for energy, and avocado for HDL - few bites.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136803 - CoQ10 100 mg for HDL and energy to continue hike.  Did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136804 - electrolyte pill, per above. ref SDS 0 YFLX  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136805 - back on Pine Hollow 2.50 miles.  Near Ygnacio Valley road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136806 - onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136807 - wind 12 mph.  Pace slow because of wind.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136808 - Ygnacio Valley road turned around and hiked uphill on Campus Drive 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136809 - grade.  Reached Visitor Parking California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136810 - Concord Campus.  Hiked loop around main buildings, then loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136811 - Faculty and Student Parking, and another loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136812 - Back at Visitor Parking stopped at Administration building mile 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136813 - time 1559 temp 78 and wind 10 mph; EKG looks uniform with mild                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136814 - artifact.  Kardia reported HR 143 Unclassified, - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136815 - ref SDS 0 FDES  Bloating PL 4, fatigue PL 2, both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136816 - PL 2.  Left foot #1 PL 3 and #5 PL 2.  Right foot #5 PL 2.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136817 - take more Tramadol 50 mg for pain.  Took 1 more Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136818 - mg pill for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136819 - per research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136820 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136821 - margarine and Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136822 - Cola/orange juice) for energy, and avocado for HDL - few bites.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136823 - Ubiquinol CoQ10 100 mg for HDL and energy to complete hike.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136824 - temperature 78 which causes sweating that ejects electrolytes, took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136825 - Nuun electrolyte pill, per above. ref SDS 0 YFLX  Left campus heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136826 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136827 - Hiked West on flat grade .5 miles.  At mile 15, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136828 - Ranch Road uphill 3% grade .5 miles with wind 12 mph.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136829 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136830 - Valley Road to avoid severe camber.  Continued West .5 mile to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136831 - - mile 16 end of concrete traffic barrier.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136832 - back.  Turned left onto Cowell heading North .25 miles using asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136833 - shoulder downhill 5% grade then flat grade .25 miles, then .5 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136834 - narrow shoulder against oncoming commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136835 - Treat hiking West .25 miles back to Cuneo, then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136836 - 18 time 1718 temp 78, wind 14, bloating PL 2, feet metatarsalgia PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136837 - left foot #1 edge PL 5, #5 edge PL 2, right foot #1 fracture PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136838 - PL 2, burning sensation PL 0, shin splints PL 0, left knee PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136839 - (slightly swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136840 - right shoulder PL 0 intermittantly, lower back middle PL 0 - stress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136841 - carrying backpack, left elbow PL 0, when lifting.  EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136842 - minor artifact, Kardia reported HR 140 Unclassified - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136843 - ref SDS 0 9NRS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136858 -  ..
136859 - Kardia recorded HR 47 at 0843, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136860 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136861 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136862 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136863 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136864 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
136865 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136868 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136869 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250724-ecg-084359_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136879 -  ..
136880 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136881 - hike 18 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136882 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136883 - ..
136884 -                                                                                                                                                                                                                                                                                                              x
136885 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136886 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
136887 -       Date          250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 250509 250508 250507 250426 250505 25050  
136888 -       Miles            18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0     12      0      0      0      0  
136889 -       HR AVG          132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no    117     no     no     no     no  
136890 -         MAX           152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   report  157   report report report repo  
136891 -         Min            56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68            34                              
136892 -       El Climb Ft     467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483           330                              
136893 -       Temp Max         78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91            54                              
136894 -       Wind Max         15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12            00                              
136895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136897 -              https://flow.polar.com/training/analysis/8156881986                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136900 -               ..
136902 -   
136903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136908 -  ..
136909 - EKG at mile 08 time 1352 HR 127 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136910 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136911 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136914 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136915 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250724-ecg-135209_mile_08_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136920 -  ..
136921 - EKG at mile 14 time 1559 HR 143 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136922 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136923 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136926 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136927 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250724-ecg-155956_mile_14_143_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136932 -  ..
136933 - End hike EKG at mile 18, time 1718 HR 140 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136934 - Unclassified... looks entirely uniforme with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136935 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
136936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136938 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
136939 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250724-ecg-171808_mile_18_140_ucl_atfl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
136940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136945 -  ..
136946 - Post hike 250724 HR profile beginning 2027, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
136947 - activity after hiking 18 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
136948 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
136949 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136950 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
136951 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136954 -        ..
136955 -       Date      250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515  250514    
136956 -       Time       2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941    2002     
136957 -       Hours        11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11       9     
136958 -       HR AVG       72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78      71     
136959 -       HR MAX      172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     112     
136960 -       HR Min       41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39      48     
136961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136963 -              https://flow.polar.com/training/analysis/8157203804                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
136964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136966 -  ..
136967 - HRV seems 70% 0 and 30% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
136968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136970 -   
136971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136975 -  ..
136976 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
136977 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
136978 - Dinner - hot dog eggs hamburger potato asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136980 -  ..
136981 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
136982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
136999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137018 -         ..
137019 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137020 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137021 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137022 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137023 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137024 -  206.  250725 0745............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137025 -               0745....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137026 -               0750....BP HR..................................................... 136  81  62  Kardia ECG reports HR status, see below. ref SDS 0 O1XF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137027 -               0755....BP HR..................................................... 124  65  79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137028 -               0800....weight.................................... 174                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137029 -               0800....40 465380 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
137030 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137031 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137032 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137033 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137034 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137035 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137036 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137037 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137038 -               1700... 40 125820 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                                                                                                                                                                                                                                                                                  
137039 -               1830............ 10 21760  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137040 -               1830............ 10 22110  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137041 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137042 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137043 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137044 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137045 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137046 -               2250... 1000 2517000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137047 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137048 -               2330... 40 465420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137049 -               2340... 40 100520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137052 -  ..
137053 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137054 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137056 -  ..
137057 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137058 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137059 - feet are elevated in reclining chair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137061 -  ..
137062 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137063 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137065 -  ..
137066 - Reflux slept in bed after EGD dilation on 250211 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137067 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137072 -  ..
137073 - Kardia recorded HR 52 at 0819, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137074 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137075 - hiking 18 miles temp 78 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137076 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137077 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137078 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137079 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137082 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137083 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250725-ecg-081948_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137087 -  ..
137088 - Post hike 250725 HR profile beginning 0003, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137089 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137090 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137091 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137092 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137093 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137096 -        ..
137097 -       Date      250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516  250515    
137098 -       Time       0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940    1941     
137099 -       Hours         8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11      11     
137100 -       HR AVG       59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80      78     
137101 -       HR MAX      113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     142     
137102 -       HR Min       43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49      39     
137103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137105 -              https://flow.polar.com/training/analysis/8157801889                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137108 -  ..
137109 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137112 -   
137113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137117 -  ..
137118 - Breakfast - cheerios milk peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137119 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137120 - Dinner - salmon potato asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137122 -  ..
137123 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137161 -         ..
137162 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137163 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137164 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137165 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137166 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137167 -  207.  250726 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137168 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137169 -               0740....BP HR..................................................... 132  75  55  Kardia ECG reports HR status, see below. ref SDS 0 LGSM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137170 -               0745....BP HR..................................................... 136  84  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137171 -               0750....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137172 -               0750....40 465460 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
137173 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137174 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137175 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137176 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137177 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137178 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137179 -               1000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137180 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137181 -               1700... 40 125860 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                                                                                                                                                                                                                                                                                  
137182 -             1 0000............ 10 21770  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137183 -             1 0000............ 10 22120  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137184 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137185 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137186 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137187 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137188 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137189 -               2250... 1000 2518000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137190 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137191 -               2330... 40 465500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137192 -               2340... 40 100560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137196 -  ..
137197 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137198 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137200 -  ..
137201 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137202 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137203 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137204 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137205 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137206 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137208 -  ..
137209 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137210 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137212 -  ..
137213 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137214 - ref SDS 73 433O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137218 -  ..
137219 - Kardia recorded HR 51 at 0837, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137220 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137221 - hiking 18 miles temp 78 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137222 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137223 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137224 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137225 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137228 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137229 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250726-ecg-083746_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137233 -  ..
137234 - Post hike 250726 HR profile beginning 2031, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137235 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137236 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137237 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137238 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137239 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137242 -        ..
137243 -       Date      250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517  250516    
137244 -       Time       2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005    1940     
137245 -       Hours        10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8      11     
137246 -       HR AVG       77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63      80     
137247 -       HR MAX      142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     120     
137248 -       HR Min       43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44      49     
137249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137251 -              https://flow.polar.com/training/analysis/8158489422                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137254 -  ..
137255 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137258 -   
137259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137263 -  ..
137264 - Breakfast - pancake eggs milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137265 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137266 - Dinner - hamburger salmon potato asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137268 -  ..
137269 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137310 -         ..
137311 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137312 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137313 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137314 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137315 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137316 -  208.  250727 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137317 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137318 -               0710....BP HR..................................................... 132  75  55  Kardia ECG reports HR status, see below. ref SDS 0 LGSM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137319 -               0715....BP HR..................................................... 132  71  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137320 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137321 -               0720....40 465540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
137322 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137323 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137324 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137325 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137326 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137327 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137328 -               1000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137329 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137330 -               1700... 40 125900 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                                                                                                                                                                                                                                                                                  
137331 -               1830............ 10 21780  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137332 -               1830............ 10 22130  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137333 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137334 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137335 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137336 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137337 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137338 -               2250... 1000 2519000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137339 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137340 -               2330... 40 465580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137341 -               2340... 40 100600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137344 -  ..
137345 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137346 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137348 -  ..
137349 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137350 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137351 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137352 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137353 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137354 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137356 -  ..
137357 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137358 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137360 -  ..
137361 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137362 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137366 -  ..
137367 - Kardia recorded HR 51 at 0709, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137368 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137369 - hiking 18 miles temp 78 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137370 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137371 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137372 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137373 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137376 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137377 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250727-ecg-070913_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137382 -  ..
137383 - Post hike 250727 HR profile beginning 1946, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137384 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137385 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137386 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137387 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137388 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137391 -        ..
137392 -       Date      250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518  250517    
137393 -       Time       1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939    0005     
137394 -       Hours        11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11       8     
137395 -       HR AVG       65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64      63     
137396 -       HR MAX      121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     111     
137397 -       HR Min       42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43      44     
137398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137400 -              https://flow.polar.com/training/analysis/8158923914                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137403 -  ..
137404 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137407 -   
137408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137412 -  ..
137413 - Breakfast - cheerios banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137414 - Lunch - hamburber avocado cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137415 - Dinner - hamburger salmon potato asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137417 -  ..
137418 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137456 -         ..
137457 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137458 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137459 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137460 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137461 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137462 -  209.  250728 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137463 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137464 -               0730....BP HR..................................................... 144  81  58  Kardia ECG reports HR status, see below. ref SDS 0 6UTZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137465 -               0735....BP HR..................................................... 141  80  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137466 -               0740....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137467 -               0740....40 465620 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
137468 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137469 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137470 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137471 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137472 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137473 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137474 -               1000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137475 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137476 -               1700... 40 125940 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                                                                                                                                                                                                                                                                                  
137477 -             1 0000............ 10 21780  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137478 -             1 0000............ 10 22130  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137479 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137480 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137481 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137482 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137483 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137484 -               2250... 1000 2520000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137485 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137486 -               2330... 40 465660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137487 -               2340... 40 100640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137490 -  ..
137491 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137492 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137494 -  ..
137495 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137496 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137497 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137498 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137499 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137500 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137502 -  ..
137503 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137504 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137506 -  ..
137507 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137508 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137514 -  ..
137515 - Kardia recorded HR 48 at 0740, Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137516 - lengths with p-waves and no artifact, likely no AFL after hiking 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137517 - miles temp 78 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137518 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137519 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137520 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137521 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137524 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137525 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250728-ecg-074020_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137530 -  ..
137531 - Post hike 250728 HR profile beginning 1958, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137532 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137533 - period steady elevated HR > 130, indicates no AFL, and no likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137534 - atrial fibrillation, and after stopping Apixaban on 240711, after 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137535 - ablation on 240611, 240611 0930, ref SDS 53 MC6F, See patient history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137536 - on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137539 -        ..
137540 -       Date      250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519  250518    
137541 -       Time       1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947    1939     
137542 -       Hours        11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10      11     
137543 -       HR AVG       64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68      64     
137544 -       HR MAX      118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     127     
137545 -       HR Min       42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41      43     
137546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137548 -              https://flow.polar.com/training/analysis/8159574235                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137551 -  ..
137552 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137555 -   
137556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137560 -  ..
137561 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137562 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137563 - Dinner - macaroni cheese hamburger beets asparagus onion mushroom, ice cream banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137565 -  ..
137566 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137603 -         ..
137604 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137605 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137606 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137607 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137608 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137609 -  210.  250729 0638............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137610 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137611 -               0650....BP HR..................................................... 140  81  55  Kardia ECG reports HR status, see below. ref SDS 0 9VUE                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137612 -               0655....BP HR..................................................... 148  85  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137613 -               0700....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137614 -               0700....40 465700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
137615 -               1140....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137616 -               1140... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137617 -               1140....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137618 -               1140....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137619 -    forgot     0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137620 -               1140....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137621 -               1140... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
137622 -  ..
137623 -               1214....miles...........  15.0  15.0  264   264 minutes  temp  90 wind 15  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137624 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137625 -               1423....mile 07 stopped EKG - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137626 -               0000....Tramadol 50 mg took 1 pill - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137627 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                           
137628 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137629 -               0000... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137630 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137631 -               1551....mile 11 stopped EKG - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137632 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137633 -               1551....Tramadol 50 mg took 1 pills - 2 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137634 -               1551... Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
137635 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137636 -               1551... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
137637 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137638 -               1709... Hike ends mile 15..... ref SDS 0 8QUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137639 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137640 -               1740....weight.................................... 171  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137641 -               1734....BP HR..................................................... 103  70 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137642 -               1752....BP HR..................................................... 105  67 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137643 -               1812....BP HR....................AFL..............................  89  76 144                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137644 -               1826....BP HR....................AFL ???.......................... 109  75 134                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137645 -               1843....BP HR....................sinus............................ 100  64  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137646 -               2322....BP HR....................sinus............................ 135  80  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137647 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137648 -               1700... 40 125980 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                                                                                                                                                                                                                                                                                  
137649 -               1830............ 10 21790  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
137650 -               1830............ 10 22140  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
137651 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137652 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137653 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137654 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137655 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137656 -               2250... 1000 2521000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137657 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137658 -               2330... 40 465740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137659 -               2340... 40 100680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137662 -  ..
137663 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137664 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137666 -  ..
137667 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137668 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137669 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137670 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137671 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137672 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137674 -  ..
137675 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137676 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137678 -  ..
137679 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137680 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137683 -  ..
137684 - Today, hiked 15 miles - Temp 78 and windy.  Starting PL 0, took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137685 - Tramadol to start, per planning after last hike on 250720, above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137686 - ref SDS 0 S9TI  Feet held up well to mile 8.  Took magnesium to start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137687 - and at mile 08, energy did not drop abnormally today, which aligns                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137688 - with improved HRV.  Heart rate in sinus all the way tracking changes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137689 - in elevation.  Tried again Corn bandaging with "donut hole" to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137690 - calluses on left foot #1 and #5.  Had PL 0 initially, that increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137691 - to PL 3 at mile 1 curve turning from Treat onto Turtle Creek Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137692 - Thought would have to take Tramadol in middle of road.  Pain dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137693 - to PL 0 over next half mile.  Seems like callus may be stiff tissue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137694 - starting, after mile 1 sweat softens tissue and pain subsides, or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137695 - something like that.  Planned to turn around at mile 6, like last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137696 - hike, but kept going to end of Pine Hollow at mile 8.  Feet handled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137697 - this well.  Energy was okay with extra distance before taking Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137698 - and magnesium and CoQ10.  Hiked back to college.  Energy was good,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137699 - better than hike 4 days ago, when had to stop beause energy was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137700 - wasted, so needed magnesium and CoQ10.  Today, did loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137701 - parking lots, then stopped for pain meds, magnesium and CoQ10.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137702 - not take Tramadol, because pills spilled out of container -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137703 - over-filled.  Stomach bloated causing numerous major burps - seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137704 - less so at the end back home.  Feet, especially left foot #1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137705 - had more pain at end of hike, I think because donut hole bandage was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137706 - not positioned correctly.  This is difficult without help.  Adding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137707 - Urea 40% for treating calluses seems very helpful, and using Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137708 - Lactate 12% for rest of feet to treat metatarsalgia worked better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137709 - today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137712 -         ..
137713 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137714 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137715 -        Stomach pain ischemic colitis bloating.......   3         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
137716 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
137717 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137718 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137719 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137720 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
137721 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137722 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137723 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137724 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137725 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
137726 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137727 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
137728 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137729 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
137730 -        Back.........................................   2         10  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137731 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137732 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137733 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137734 -        Knee left meniscus...PRP 231121..............   3         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                            
137735 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137736 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137737 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137738 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137739 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
137740 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137741 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137742 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137743 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137744 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137745 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137746 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137747 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
137748 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137749 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137750 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
137751 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
137752 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
137753 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
137754 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137755 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137756 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
137757 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
137758 -        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                                                                                                                                                                                                                                                                                                                           
137759 -        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                                                                                                                                                                                                                                                                                                                                                                                    
137760 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137761 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
137762 -        Callus big toe left foot...PRP 210705........   5         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
137763 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137764 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137765 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
137766 -        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                                                                                                                                                                                                                                                                                                                                           
137767 -        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                                                                                                                                                                                                                                                                                                                                           
137768 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137769 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
137770 -        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                                                                                                                                                                                                                                                                                                                                                                                        
137771 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
137772 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
137773 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137774 -        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                                                                                                                                                                                                                                                                                                                                                              
137775 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
137776 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
137777 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137778 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137779 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
137780 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137781 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
137782 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
137783 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137784 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
137785 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137786 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137787 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137788 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137789 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137790 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137791 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137792 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
137793 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137794 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137797 -  ..
137798 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137799 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137801 -  ..
137802 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137803 - Bondi 9 size 10.5 extra-wide, received on 250624 1923. ref SDS 97 EQ7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137804 - First eyelets not laced, and first laces very loose, then double weave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137805 - to keep lower laces loose to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137806 - Calluses on left foot #1 and #5 were initially PL 2, so took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137807 - Tramadol.  Post hike think this was correct, per planning post hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137808 - 250720, above. ref SDS 0 V6GU  Left foot injuries PL 0 1 mile, then PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137809 - 2 1 mile, then PL 0 to mile 8, where PL 3.  Took Tramadol at mile 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137810 - PL 2 mile 11, took 1 Tramadol.  PL 4 at mile 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137812 -  ..
137813 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137814 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137815 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137817 -  ..
137818 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Wore 2 pair dual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137819 - ply Rightsocks.  Seems like correct configuration, but not getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137820 - optimum results.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137822 -  ..
137823 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137825 -  ..
137826 - Callus Injuries - today on 250729, donut bandage.  With Tramadol had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137827 - PL 4 last 2 miles of 15 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137829 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137830 -                    0 Tramadol mile 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137831 -                    1 Tramadol mile 11 for last 4 miles of 15 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137833 -  ..
137834 - Keeping below 4 Tramadol avoided tripping ANS into seizure at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137835 - for rest of 15 mile hike.  As a result, able to maintain speed without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137836 - drugged brain continually throttling down to 0, and staggeering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137837 - backwards a few times to maintain balance, as occurred on 250626, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137838 - above. ref SDS 0 8HUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137840 -  ..
137841 - In sum, bandaging not successful.  Concern is that hiking today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137842 - PL > 3 last 4 miles, injury worsened, rather than was stimulated to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137843 - heal with influx of oxygen and nutrients.  The problem is poor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137844 - alignment of the round opening in the bandage was not centered on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137845 - high point of the callus.  Needs to be moved .08" left.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137848 -  ..
137849 - For left foot #5... tried avoiding bandaging.  This mainly worked.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137850 - PL < 4 entire hike.  Cautiously optimistic did not make this injury
137851 - worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137853 -  ..
137854 - For right foot #5... tried avoiding bandaging.  This did not work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137855 - PL < 4 entire hike.  Cautiously optimistic did not make this injury
137856 - worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
137858 -  ..
137859 - Problem for left and right #5 cannot see to correctly position                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137860 - bandages.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
137861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137863 -  ..
137864 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137865 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137866 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137867 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137868 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137869 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137872 -  ..
137873 - Concord 15 mile route - forgot to take Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137874 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137875 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137876 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137877 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137878 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137879 - With feet PL 2, took only 1 instead of 2 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137880 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137881 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137882 - ref SDS 0 STXU, and feet have healed past 2 weeks, while not hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137883 - and even though there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137884 - hike today, and further that left foot #1 and #5 calluses both start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137885 - at PL 2, after treatment by Doctor Tang at VAMCSF on 250707 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137886 - ref SDS 98 T49H, since recent hikes have needed more Tramadol before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137887 - mile 8, for pain relief, despite starting at PL 0 - it is very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137888 - complicated.  Took 1 Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137889 - absorbing lactic acid, and reducing inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137890 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137891 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137892 - EGD Dilation on 250718, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137893 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137894 - iron to elevate Farritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137895 - below range on 250428 0940, ref SDS 88 VP5H; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
137896 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137897 - and had small amount Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137898 - 1/4 avocado for HDL.  Just before starting hike took new Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137899 - CoQ10 100 mg softgel tablet all per above. ref SDS 0 OW3I  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137900 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137901 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137902 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
137903 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137904 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137905 - (arrhythmia - variable heart rate from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137906 - system - ANS), see case study on 200101 0701. ref SDS 18 O33H  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137907 - take backpack to carry stuff today, and in order to reduce weight that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137908 - reduces stress on feet hoping to enable feet injuries to heal with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137909 - exercise that brings more oxygen and nutrients to injured tissue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137910 - rather than worsening by over stressing injured tissue - it's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137911 - complicated.  Temperature 90 and wind 15 mph.  Hiked Cuneo .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137912 - and turned left, onto Treat.  Starting hike feet feeling swelled and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137913 - like pins and needles - actually minimal today, and - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137914 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137915 - neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137916 - dysfunctional ANS.  After 1 mile feet calming down.  Bottom of both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137917 - feet not hurting yet with metatarsalgia pain, left foot #1 PL 2 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137918 - PL 0, which were severely painful during 8 days that led to pausing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137919 - hiking for 14 days for these injuries to heal beginning on 250523, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137920 - above. ref SDS 0 OP4H  Left foot #1 and #5 have not been painful past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137921 - few days, after minimal hiking past 2 weeks, and switching to Urea 20%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137922 - cream to heal calluses past 2 weeks.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137923 - hike with no dyspnea, indicating condition has sustained, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137924 - minimal hiking last few months.  Temperature started at 75, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137925 - reached 90.  East wind 15 mph and mostly 12 mph.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137926 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137927 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137928 - very light traffic.  Did not hike across Newhall Community park and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137929 - back today.  Left foot #1 PL 0 - endorphins and Tramadol taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137930 - effect.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137931 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137932 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137933 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137934 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137935 - concrete sidewalk .5 miles.  Good energy after taking 1 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137936 - capsule this morning - did not hit fatigue "wall" so did not have to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137937 - stop near mile 4, at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137938 - magnesium and CoQ10.  This was major question for the hike.  Feet not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137939 - hurting again, after taking 1 Tramadol before starting hike - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137940 - take more Tramadol.  Continued hiking past mile 4.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137941 - heading West on Ygnacio Valley Road using concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137942 - Continued hike crossing Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
137943 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137944 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137945 - Stop Light at Michigan Boulevard.  Turned left onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137946 - hiked .25 mile East.  Crossed the street and hiked back .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137947 - Near Ygnacio Valley road turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137948 - uphill 3% grade.  Hiked 1 mile against wind 08 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137949 - North.  At Ygnacio Valley road turned around and hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137950 - Campus Drive 4% grade.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137951 - University East Bay Concord Campus.  Hiked loop around main buildings,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137952 - stopping in back at training area - did 20 half pulups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137953 - push ups.  Back at Visitor Parking stopped at Administration building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137954 - mile 07 time 1423 temp 90 and wind 14 mph; EKG looks uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137955 - significant artifact.  Kardia reported HR 134 Tachycardia, - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137956 - below. ref SDS 0 EZUF  Bloating PL 2, fatigue PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137957 - metatarsalgia PL 2.  Left foot #1 PL 3 and #5 PL 1.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137958 - 0.  Did not take more Tramadol 50 mg for pain; no Magnesium complex                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137959 - 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137960 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  NPO - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137961 - not have sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137962 - nutrition.  Did not take Ubiquinol CoQ10 100 mg for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137963 - complete hike.  Since temperature 90, which causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137964 - ejects electrolytes, took 0 Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
137965 - ref SDS 0 7IFB  Left campus heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137966 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137967 - miles.  At mile 08, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137968 - .5 miles with wind 15 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137969 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137970 - camber.  Continued West .5 mile to summit - mile 09 end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137971 - traffic barrier.  At break in traffic, crossed back to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137972 - Ygnacio Valley Road in order to use wider asphalt shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137973 - West 2 miles downhill 3% grade.  Did not feel electrical shocks in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137974 - balls of feet today.  Crossed Oak Grove at traffic light.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137975 - hiked 0 1-mile loops using asphalt path around the block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137976 - shopping complex.  Stopped at Mod Pizza mile 11 time 1551 temp 90 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137977 - wind 13 mph; EKG looks mostly uniform with mild artifact - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
137978 - reported HR 136, Unclassified - see below. ref SDS 0 2E1R  Fatigue PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137979 - 6, bloating PL 2 after taking 1 Tramadol at mile 0, and 0 more at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137980 - 07, feet metatarsalgia PL 3, burning sensation PL 3.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137981 - 4 - unlike last hike, today no sense ot new bubble blister on top of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137982 - callus, and #5 PL 2.  Took 1 Tramadol - avoid over medicating with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
137983 - opioids.  Took 1 Magnesium complex 300 mg pill for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137984 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137985 - ref SDS 18 QP6L  Mod Pizza provided complimentary cup, water and ice,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
137986 - since did not carry hydration.  Sips water for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
137987 - swallowing meds.  Had some difficulty swallowing Magnesium after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137988 - swallowing Tramadol.  Further difficulty swallowing Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137989 - 100 mg capsule for HDL and energy to complete hike.  Temperature above                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137990 - 80, yet avoided taking Nuun electrolyte pill again, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137991 - ref SDS 0 7IFB  Continued hiking 1-mile loop around the block - turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
137992 - right onto path parallel to Via Monte hiking North .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137993 - right onto Shadelands hiking .25 miles, and turned left onto Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
137994 - Grove.  Hiked 1 mile North on asphalt shoulder.  At stop light turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137995 - right heading East.  Within .25 mile, at break in traffic crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
137996 - North side of Treat Boulevard.  Continued 1 mile East on flat grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
137997 - concrete sidewalk.  Maintained pace - no seizure loss of motor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
137998 - control, as occurred on prior hike 250724.  Continued past San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
137999 - uphill 0.75 mile 5% grade temp 90.  Handled this well.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138000 - mile 14, hiked another mile to Cuneo then home.  Ended hike mile 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138001 - time 1709 temp 87, wind 15.  Bloated PL 3, fatigue PL 4, feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138002 - burning sensation PL 0, left foot #1 PL 3, #5 PL 4, neck/spine PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138003 - momentarily turning head, lower back right side PL 0.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138004 - mostly uniform, with minor artifact, Kardia reported HR 141,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138005 - Unclassified - see below. ref SDS 0 8QUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138017 -  ..
138018 - Kardia recorded HR 55 at 0646, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138019 - variable heart beat lengths with p-waves and no artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138020 - AFL after hiking 18 miles temp 78 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138021 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138022 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138023 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138024 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138027 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138028 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250729-ecg-064642_mile_00_055_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138037 -  ..
138038 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138039 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138040 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138041 - ..
138042 -                                                                                                                                                                                                                                                                                                              x
138043 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138044 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138045 -       Date          250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 250511 250510 25050  
138046 -       Miles            15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27     16      0  
138047 -       HR AVG          132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112    137     no  
138048 -         MAX           151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130    157   repo  
138049 -         Min            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59     68         
138050 -       El Climb Ft     467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478    483         
138051 -       Temp Max         90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71     91         
138052 -       Wind Max         15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21     12         
138053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138055 -              https://flow.polar.com/training/analysis/8159932482                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138058 -               ..
138060 -   
138061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138066 -  ..
138067 - EKG at mile 07 time 1423 HR 134 temp 90, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138068 - Tachycardia... heart rate looks uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138069 - actually unreadable - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138070 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138073 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138074 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250729-ecg-142308_mile_07_134_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138079 -  ..
138080 - EKG at mile 11 time 1551 HR 136 temp 90, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138081 - Unclassified... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138082 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138085 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138086 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250729-ecg-155103_mile_11_136_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138092 -  ..
138093 - End hike EKG at mile 15, time 1709 HR 159 temp __ - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138094 - Possible Atrial Fibrillation... looks entirely uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138095 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138098 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138099 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250729-ecg-170956_mile_15_141_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138103 -  ..
138104 - Cuff BP at 1812 reported...89  76 144, so did another...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138106 -  ..
138107 - Post hike EKG at mile 15, time 1815 HR 159 temp __ - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138108 - Possible Atrial Fibrillation... looks entirely uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138109 - artifact, signaling AFL - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138110 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138113 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138114 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250729-ecg-181534_mile_15_159_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138118 -  ..
138119 - Did another EKG because started Polar continuous HR study and it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138120 - showed HR 76, while Kardia EKG reports 159...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138122 -  ..
138123 - Post hike EKG at mile 15, time 1820 HR 158 temp __ - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138124 - Possible Atrial Fibrillation... looks entirely uniform with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138125 - artifact, signaling AFL - medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138126 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138129 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138130 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250729-ecg-182045_mile_15_158_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138134 - ...10 minutes later at 1824 Polar reporting HR 152, so diagnostics                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138135 - are aligned.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138138 - ...10 minutes later at 1834 Polar reporting HR 89, indicating heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138139 - has slipped back into sinus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138144 -  ..
138145 - Post hike 250729 HR profile beginning 1818, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138146 - activity after hiking 15 miles and showing continuous extended period                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138147 - steady elevated HR > 130, indicates AFL for only 15 minutes, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138148 - possible atrial fibrillation, and after stopping Apixaban on 240711,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138149 - after 6th ablation on 240611, 240611 0930, ref SDS 53 MC6F, See                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138150 - patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138153 -        ..
138154 -       Date      250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520  250519    
138155 -       Time       1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320    1947     
138156 -       Hours        12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8      10     
138157 -       HR AVG       84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62      68     
138158 -       HR MAX      162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     126     
138159 -       HR Min       45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41      41     
138160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138162 -              https://flow.polar.com/training/analysis/8160222221                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138165 -  ..
138166 - HRV seems 30% 0 and 00% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138169 -   
138170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138174 -  ..
138175 - Breakfast - eggmcmuffin - Costco style, not as good as hoped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138176 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138177 - Dinner - eggs hamburger beets brocolli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138179 -  ..
138180 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138219 -         ..
138220 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138221 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138222 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138223 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138224 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138225 -  211.  250730 0600............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138226 -               0605....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138227 -               0610....BP HR..................................................... 128  75  74  Kardia ECG reports HR status, see below. ref SDS 0 YIT1                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138228 -               0615....BP HR..................................................... 123  70  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138229 -               0720....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138230 -               0720....40 465780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
138231 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138232 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138233 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138234 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138235 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138236 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138237 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138238 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138239 -               1700... 40 126020 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                                                                                                                                                                                                                                                                                  
138240 -             1 0000............ 10 21790  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
138241 -             1 0000............ 10 22140  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
138242 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138243 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138244 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138245 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138246 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138247 -               2250... 1000 2522000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138248 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138249 -               2330... 40 465820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138250 -               2340... 40 100720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138253 -  ..
138254 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138255 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138257 -  ..
138258 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138259 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138260 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138261 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138262 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138263 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138265 -  ..
138266 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138267 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138269 -  ..
138270 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138271 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138277 -  ..
138278 - Kardia recorded HR 71 at 0601, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138279 - variable heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138280 - AFL after hiking 15 miles temp 90 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138281 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138282 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138283 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138284 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138287 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138288 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250730-ecg-060145_mile_00_071_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138294 -  ..
138295 - Post hike 250730 HR profile beginning 2117, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138296 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138297 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138298 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138299 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138302 -        ..
138303 -       Date      250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521  250520    
138304 -       Time       2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049    2320     
138305 -       Hours        10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9       8     
138306 -       HR AVG       75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61      62     
138307 -       HR MAX      113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     109     
138308 -       HR Min       44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39      41     
138309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138311 -              https://flow.polar.com/training/analysis/8160895887                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138314 -  ..
138315 - HRV seems 75% 0 and 00% - good and 25% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138318 -   
138319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138323 -  ..
138324 - Breakfast - eggmcmuffin - Costco style, not as good as hoped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138325 - Lunch - hot dog cottage cheese avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138326 - Dinner - hamburger potato salmon beets brocolli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138328 -  ..
138329 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138367 -         ..
138368 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138369 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138370 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138371 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138372 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138373 -  212.  250731 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138374 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138375 -               0720....BP HR..................................................... 140  81  55  Kardia ECG reports HR status, see below. ref SDS 0 ZMCJ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138376 -               0725....BP HR..................................................... 134  83  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138377 -               0730....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138378 -               0730....40 465860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
138379 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138380 -               1050... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138381 -               1050....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138382 -               1050....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138383 -               1050....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138384 -               1050....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138385 -               1050... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
138386 -  ..
138387 -               1123....miles...........  15.0  30.0  255   549 minutes  temp  90 wind 15  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138388 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138389 -               1347....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138390 -               1347....Tramadol 50 mg took 1 pill - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138391 -               1347... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138392 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138393 -               1347... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138394 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138395 -               1551....mile 11 stopped EKG - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138396 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138397 -               1551....Tramadol 50 mg took 1 pills - 2 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138398 -               1551... Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
138399 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138400 -               1551... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138401 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138402 -               1709... Hike ends mile 15..... ref SDS 0 8QUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138403 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138404 -               1630....weight.................................... 173  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138405 -               1634....BP HR..................................................... 141  76 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138406 -               1655....BP HR..................................................... 134  78 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138407 -               1709....BP HR..................................................... 124  81  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138408 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138409 -               1700... 40 126060 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                                                                                                                                                                                                                                                                                  
138410 -               1830............ 10 21800  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
138411 -               1830............ 10 22150  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
138412 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138413 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138414 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138415 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138416 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138417 -               2250... 1000 2523000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138418 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138419 -               2330... 40 465900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138420 -               2340... 40 100760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138423 -  ..
138424 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138425 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138427 -  ..
138428 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138429 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138430 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138431 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138432 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138433 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138435 -  ..
138436 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138437 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138439 -  ..
138440 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138441 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138444 -  ..
138445 - Today, hiked 15 miles - energy dropped again at mile 4, but continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138446 - anyway without stopping for more magnesium and CoQ10.  Bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138447 - left foot #1 failed.  Took only 1 Tramadol, but was hurting most of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138448 - hike.  For some reason after being in sinus most of past 2 weeks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138449 - today, had impaired HRV at all the stops.  Calluses worse.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138450 - continual.  Feet, especially left foot #1 and #5 had more pain at end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138451 - of hike, I think because donut hole bandage was not positioned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138452 - correctly.  This is difficult without help.  Adding Urea 40% for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138453 - treating calluses seems very helpful, and using Ammonium Lactate 12%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138454 - for rest of feet to treat metatarsalgia worked better today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138457 -         ..
138458 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138459 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138460 -        Stomach pain ischemic colitis bloating.......   5         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
138461 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
138462 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138463 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138464 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138465 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
138466 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138467 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138468 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138469 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138470 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
138471 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138472 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
138473 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138474 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
138475 -        Back.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138476 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138477 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138478 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138479 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                            
138480 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138481 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138482 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138483 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138484 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
138485 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138486 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138487 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138488 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138489 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138490 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138491 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138492 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
138493 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138494 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138495 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
138496 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
138497 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
138498 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
138499 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138500 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138501 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
138502 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
138503 -        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                                                                                                                                                                                                                                                                                                                           
138504 -        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                                                                                                                                                                                                                                                                                                                                                                                    
138505 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138506 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
138507 -        Callus big toe left foot...PRP 210705........   5         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 1 pair Rightsock dual ply - think callus bandage not positioned correctly                                                                                                                                                                                                                                                                                                                                      
138508 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138509 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138510 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
138511 -        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                                                                                                                                                                                                                                                                                                                                           
138512 -        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                                                                                                                                                                                                                                                                                                                                           
138513 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138514 -        Callus little toe right foot..top of toe.....   4         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 1 pair Rightsock dual ply - need protection on this area???                                                                                                                                                                                                                                                                                                                                                    
138515 -        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                                                                                                                                                                                                                                                                                                                                                                                        
138516 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
138517 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
138518 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138519 -        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                                                                                                                                                                                                                                                                                                                                                              
138520 -        Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 1 pair Rightsock dual ply - need protection on this area???                                                                                                                                                                                                                                                                                                                                                    
138521 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
138522 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138523 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138524 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
138525 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138526 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
138527 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
138528 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138529 -        Peripheral neruopathy both feet..............   3         15  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
138530 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138531 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138532 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138533 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138534 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138535 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138536 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138537 -        Wobbly disoriented staggering dizzy..........   3         30  took 0 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
138538 -        Wasted - very fatigued.......................   3        100  mile 4 could have stopped, but pushed through - actually pain taking only 1 Tramadol to avoid seizure made hike very diffucult                                                                                                                                                                                                                                                                                                                                                                                                               
138539 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138542 -  ..
138543 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138544 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138546 -  ..
138547 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  wore new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138548 - Bondi 9 size 10.5 extra-wide, received on 250624 1923. ref SDS 97 EQ7K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138549 - First eyelets not laced, and first laces very loose, then double weave                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138550 - to keep lower laces loose to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138551 - Calluses on left foot #1 and #5 were initially PL 0, so took 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138552 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138554 -  ..
138555 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138556 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138557 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138559 -  ..
138560 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138561 - pair dual ply Rightsocks, hoping to reduce lateral pressure on #5 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138562 - #1, while reducing blister protection from multi-ply configuration.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138563 - May have bot better results today, not sure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138565 -  ..
138566 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138568 -  ..
138569 - Callus Injuries - today on 250731, donut bandage.  With Tramadol had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138570 - PL 4 last 2 miles of 15 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138572 -                    0 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138573 -                    1 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138574 -                    0 Tramadol mile 11 for last 4 miles of 15 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138576 -  ..
138577 - Keeping below 4 Tramadol avoided tripping ANS into seizure at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138578 - for rest of 15 mile hike.  As a result, able to maintain speed without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138579 - drugged brain continually throttling down to 0, and staggering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138580 - backwards a few times to maintain balance, as occurred on 250626, see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138581 - above. ref SDS 0 8HUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138583 -  ..
138584 - In sum, bandaging not successful.  Concern is that hiking today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138585 - PL > 3 last 4 miles, injury worsened, rather than was stimulated to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138586 - heal with influx of oxygen and nutrients.  The problem is poor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138587 - alignment of the round opening in the bandage was not centered on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138588 - high point of the callus.  It is difficult to see alone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138591 -  ..
138592 - For left foot #5... tried avoiding bandaging.  This mainly worked.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138593 - PL < 4 entire hike.  Cautiously optimistic did not make this injury
138594 - worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138596 -  ..
138597 - For right foot #5... tried avoiding bandaging.  This sort of worked.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138598 - PL < 4 entire hike with only 1 Tramadol.  Cautiously optimistic did
138599 - not make this injury worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138601 -  ..
138602 - Problem for left and right #5 cannot see to correctly position                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138603 - bandages.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138606 -  ..
138607 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138608 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138609 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138610 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138611 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138612 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138615 -  ..
138616 - Concord 15 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138617 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138618 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138619 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138620 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138621 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138622 - With feet PL 0, took only 0 instead of 2 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138623 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138624 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138625 - ref SDS 0 STXU, and feet have healed past 2 weeks, while not hiking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138626 - and even though there is no metatarsalgia pain in feet starting the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138627 - hike today, and further that left foot #1 and #5 calluses both start                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138628 - at PL 0, after treatment by Doctor Tang at VAMCSF on 250707 0900,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138629 - ref SDS 98 T49H, since recent hikes have needed more Tramadol before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138630 - mile 8, for pain relief, despite starting at PL 0 - it is very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138631 - complicated.  Took 1 Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138632 - absorbing lactic acid, and reducing inflammation allowing HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138633 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138634 - research on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138635 - EGD Dilation on 250718, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138636 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138637 - iron to elevate Ferritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138638 - below range on 250428 0940, ref SDS 88 VP5H; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138639 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138640 - and had small amount Chia Seeds for electrolytes and energy, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138641 - 1/4 avocado for HDL.  Just before starting hike took new Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138642 - CoQ10 100 mg softgel tablet all per above. ref SDS 0 RWEZ  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138643 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138644 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138645 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138646 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138647 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138648 - (arrhythmia - variable heart rate from dysfunctional autonomic nervous                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138649 - system - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138650 - backpack to carry stuff today, and in order to have hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138651 - nutrition.  Temperature 90 and wind 15 mph.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138652 - turned left, onto Treat.  Starting hike feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138653 - pins and needles - actually minimal today, and - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138654 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138655 - neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138656 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138657 - indicating condition has sustained, despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138658 - months.  Hiked East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138659 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138660 - some places 3% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138661 - Newhall Community park and back today.  Left foot #1 PL 0 - endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138662 - and Tramadol taking effect.  Continued on Turtle Creek Road uphill 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138663 - grade.  At end of Turtle Creek Road turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138664 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138665 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138666 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138667 - continued on concrete sidewalk .5 miles.  Energy not great, but did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138668 - not hit fatigue "wall" so did not have to stop near mile 4, at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138669 - Mountain Mike's Pizza restaurant to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138670 - This was major question for the hike.  Actually, considered taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138671 - another magnesium, but pushed through.  Feet PL 2 after not taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138672 - Tramadol before starting hike.  Continued hiking past mile 4.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138673 - right heading West on Ygnacio Valley Road using concrete sidewalk .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138674 - miles.  Continued hike crossing Park Highlands Road at Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138675 - still heading West .25 miles now on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138676 - South side Ygnacio Valley Road to hike on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138677 - West past Stop Light at Michigan Boulevard.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138678 - Hollow and hiked 1.00 mile East.  Past Camino Solano hiked back.  Near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138679 - Ygnacio Valley road turned left onto Campus Drive heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138680 - 3% grade.  Hiked 1 mile against wind 15 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138681 - At Ygnacio Valley road turned around and hiked uphill on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138682 - 4% grade.  Reached Visitor Parking California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138683 - Bay Concord Campus.  Stopped at Administration building mile 08 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138684 - 1347 temp 85 and wind 12 mph; EKG looks variable with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138685 - Kardia reported HR 126 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138686 - ref SDS 0 MQCK  Bloating PL 3, fatigue PL 4, both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138687 - PL 2.  Left foot #1 PL 2 and #5 PL 3.  Right foot #5 PL 3.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138688 - Tramadol 50 mg total 1, for pain.  Took 1 Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138689 - pill, total 2, for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138690 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138691 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138692 - peanut butter, avocado with margarine and Mayonnaise.  Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138693 - electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138694 - complete hike.  Since temperature 90, which causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138695 - ejects electrolytes, took 0 Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138696 - ref SDS 0 YIXS  Hiked loop around main buildings, stopping in back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138697 - training area - did 20 half pulups and 20 half push ups.  Continuing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138698 - hiking back at Visitor Parking, hiked 1.5 mile loop through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138699 - and Student parking lots.  Stopped at back of main buildings again; at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138700 - training area - did another 20 half pulups and 20 half push ups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138701 - Continued hiking back to Visitor Parking.  At mile 11, left campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138702 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138703 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138704 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138705 - wind 07 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138706 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138707 - Continued West .5 mile to summit - mile 13 end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138708 - barrier.  Turned around and hiked back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138709 - heading North .25 miles using asphalt shoulder downhill 5% grade then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138710 - flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138711 - oncoming commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138712 - miles back to Cuneo, then home.  Ended hike mile 15 time 1607 temp 90,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138713 - wind 13, bloating PL 4, fatigue PL 4, feet metatarsalgia PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138714 - sensation PL 3, left foot #1 PL 4, #5 edge PL 3, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138715 - fracture PL 0, #5 PL 3, shin splints PL 0, left knee PL 2 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138716 - swollen), right knee PL 0, left shoulder PL 0, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138717 - PL 0 intermittantly, lower back middle PL 0 - stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138718 - backpack, left elbow PL 0, when lifting.  EKG variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138719 - artifact, Kardia reported HR 127 Possible Atrial Fibrillation - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138720 - below. ref SDS 0 BJE5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138735 -  ..
138736 - Kardia recorded HR 53 at 0713, Normal Sinus Rhythm, looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138737 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138738 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138739 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138740 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138741 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138742 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138745 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138746 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250731-ecg-071302_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138755 -  ..
138756 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138757 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138758 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138759 - ..
138760 -                                                                                                                                                                                                                                                                                                              x
138761 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138762 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138763 -       Date          250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 250512 25051  
138764 -       Miles            15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15     27  
138765 -       HR AVG          128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109    112  
138766 -         MAX           151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124    130  
138767 -         Min            47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57     59  
138768 -       El Climb Ft     467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478    478  
138769 -       Temp Max         90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65     71  
138770 -       Wind Max         15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19     21  
138771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138773 -              https://flow.polar.com/training/analysis/8161196822                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138776 -               ..
138778 -   
138779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138784 -  ..
138785 - EKG at mile 08 time 1347 HR 126 temp 85, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138786 - Atrial Fibrillation... heart rate looks variable with artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138787 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138790 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138791 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250731-ecg-134755_mile_08_126_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138795 -  ..
138796 - End hike EKG at mile 15, time 1607 HR 127 temp 90 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138797 - Possible Atrial Fibrillation... looks variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138798 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138801 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
138802 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250731-ecg-160708_mile_15_127_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138810 -  ..
138811 - Post hike 250731 HR profile beginning 2107, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138812 - activity after hiking 15 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138813 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138814 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138815 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138818 -        ..
138819 -       Date      250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522  250521    
138820 -       Time       2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312    2049     
138821 -       Hours         9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9       9     
138822 -       HR AVG       68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60      61     
138823 -       HR MAX      109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     125     
138824 -       HR Min       45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40      39     
138825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138827 -              https://flow.polar.com/training/analysis/8161490591                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138830 -  ..
138831 - HRV seems 50% 0 and 00% - good and 50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138834 -   
138835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138839 -  ..
138840 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138841 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138842 - Dinner - eggs potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138844 -  ..
138845 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138880 -         ..
138881 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138882 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138883 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138884 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138885 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138886 -  213.  250801 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138887 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138888 -               0650....BP HR..................................................... 145  70  57  Kardia ECG reports HR status, see below. ref SDS 0 GYOV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138889 -               0655....BP HR..................................................... 121  67  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138890 -               0700....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138891 -               0700....40 465940 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
138892 -               0900....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138893 -               0900... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138894 -               0900....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138895 -               0900....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138896 -               0900....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138897 -               0900....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138898 -               0900... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
138899 -  ..
138900 -               0931....miles...........  20.0  50.0  347   941 minutes  temp  88 wind 18  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138901 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138902 -               1143....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138903 -               1143....Tramadol 50 mg took 1 pill - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138904 -               1143... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138905 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138906 -               1143... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138907 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138908 -               1320....mile 12 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138909 -               0000....Naproxen 250 mg took 0 pills - 6 naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138910 -               1320....Tramadol 50 mg took 1 pills - 2 Tramadol so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138911 -               1320... Magnesium 300 mg 1 Pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92 pill opened and content emptied onto food - avocado peanut butter margerine carried from home 4 hours then eaten with spoon                                                                                                                                                                                                                                                                                                                          
138912 -               0000... Nuun Electrolytes Pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138913 -               1320... 20   4060 CoQ10 Ubiquinol Liquid - resumed 230804 after paused on 201214 due to expense previously had 971140 mgl, 200101 0702, ref SDS 19 497L CoQ10 has magnesium malet for energy and seems to elevate HDL                                                                                                                                                                                                                                                                                                                                                                     
138914 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138915 -               1548... Hike ends mile 15..... ref SDS 0 9GB2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138916 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138917 -               1605....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138918 -               1613....BP HR..................................................... 112  74  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138919 -               1631....BP HR.....................................................  92  72  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138920 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138921 -               1700... 40 126100 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                                                                                                                                                                                                                                                                                  
138922 -             1 0000............ 10 21800  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
138923 -             1 0000............ 10 22150  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
138924 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138925 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138926 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138927 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138928 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138929 -               2250... 1000 2524000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138930 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138931 -               2330... 40 465980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138932 -               2340... 40 100800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
138933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138935 -  ..
138936 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138937 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
138939 -  ..
138940 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138941 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138942 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138943 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138944 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138945 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138947 -  ..
138948 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138949 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138951 -  ..
138952 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138953 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138956 -  ..
138957 - Today, hiked 20 miles - much better result.  After several weeks of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138958 - continuous sinus HR tests, this week, including yesterday, yielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138959 - continual arrhythmia prone EKGs - everything was negative, especially                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138960 - feet pain.  This was discouraging to the goal of recovernig from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138961 - cascading dysfunctional ANS afflictions, posed in Doctor Pellegrini's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
138962 - work plan to avoid another cardiac ablation in the left atrial, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138963 - rely instead on hiking to train the heart into sinus.  Thankfully,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
138964 - today, was a critical turnaround.  Not only were all EKGs sinus, all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138965 - over arching diagnostics were significantly improved.  Equally, body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138966 - physical condition was dramatically better, in that fatigue did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138967 - diminish ability to hike at anytime.  Feet were less painful with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138968 - better callus bandages.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
138972 -         ..
138973 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
138974 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138975 -        Stomach pain ischemic colitis bloating.......   3         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
138976 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
138977 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138978 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138979 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
138980 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
138981 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
138982 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138983 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
138984 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
138985 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
138986 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138987 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
138988 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
138989 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
138990 -        Back.........................................   2         10  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
138991 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138992 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138993 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138994 -        Knee left meniscus...PRP 231121..............   3         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                            
138995 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138996 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
138997 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
138998 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
138999 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
139000 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139001 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139002 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139003 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139004 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139005 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139006 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139007 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
139008 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139009 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139010 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
139011 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
139012 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
139013 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
139014 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139015 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139016 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
139017 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
139018 -        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                                                                                                                                                                                                                                                                                                                           
139019 -        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                                                                                                                                                                                                                                                                                                                                                                                    
139020 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139021 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
139022 -        Callus big toe left foot...PRP 210705........   5         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
139023 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139024 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139025 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
139026 -        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                                                                                                                                                                                                                                                                                                                                           
139027 -        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                                                                                                                                                                                                                                                                                                                                           
139028 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139029 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
139030 -        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                                                                                                                                                                                                                                                                                                                                                                                        
139031 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
139032 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
139033 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139034 -        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                                                                                                                                                                                                                                                                                                                                                              
139035 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
139036 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
139037 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139038 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139039 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
139040 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139041 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
139042 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
139043 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139044 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
139045 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139046 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139047 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139048 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139049 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139050 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139051 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139052 -        Wobbly disoriented staggering dizzy..........   0        100  took 0 Tramadol mile 00, and 1 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
139053 -        Wasted - very fatigued.......................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139054 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139057 -  ..
139058 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139059 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139061 -  ..
139062 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139063 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139064 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139065 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139066 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139067 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139068 - Tramadol, based on experience yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139070 -  ..
139071 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139072 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139073 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139075 -  ..
139076 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139077 - pair Smartwool socks, hoping to reduce lateral pressure on #5 and #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139078 - while increasing cushioning from heavy wool socks.  Got better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139079 - results today, with change in bandagng.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139081 -  ..
139082 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139084 -  ..
139085 - Callus Injuries - today on 250801, found larger donut bandage.  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139086 - Tramadol had PL 1 last 2 miles of 20 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139088 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139089 -                    1 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139090 -                    1 Tramadol mile 14 for last 6 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139092 -  ..
139093 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139094 - mile 14 for rest of 20 mile hike.  Seemed though to experience some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139095 - diminished motor control though without severe effects that has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139096 - occurred on higher Tramadol dose hikes.  As a result, able to maintain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139097 - speed without drugged brain continually throttling down to 0, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139098 - staggering backwards a few times to maintain balance, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139099 - 250626, see above. ref SDS 0 8HUH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139101 -  ..
139102 - In sum, bandaging at last very successful on left foot #1 and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139103 - foot #5, but not left foot #5.  Expect that hiking today, therefore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139104 - with PL > 3 last 4 miles, injury left foot #5 worsened, rather than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139105 - was stimulated to heal with influx of oxygen and nutrients.  Other                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139106 - calluses should be healing.  Tomorrow will extend new bandaging method                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139107 - to left foot #5, as done on right foot #5 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139110 -  ..
139111 - For left foot #5... tried avoiding bandaging.  This mainly worked.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139112 - PL < 4 entire hike.  Cautiously optimistic did not make this injury
139113 - worse, and that it may still be healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139115 -  ..
139116 - For right foot #5... tried applying single ply bandage that shielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139117 - callus from friction of shoe side.  This was miraculously successful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139118 - Tomorrow will use on both feet #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139120 -  ..
139121 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139122 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139123 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139124 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139125 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139126 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139129 -  ..
139130 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139131 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139132 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139133 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139134 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139135 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139136 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139137 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139138 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139139 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139140 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139141 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139142 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139143 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139144 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139145 - despite starting at PL 0 - it is very complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139146 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139147 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139148 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139149 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139150 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139151 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139152 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139153 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139154 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139155 - Seeds for electrolytes and energy, and had 1/4 avocado for HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139156 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139157 - all per above. ref SDS 0 BIHD  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139158 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139159 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139160 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139161 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139162 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139163 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139164 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139165 - carry stuff today, and in order to have hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139166 - Temperature 88 and wind 18 mph.  Hiked Cuneo .25 mile and turned left,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139167 - onto Treat.  Starting hike feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139168 - needles - actually minimal today, and - did not feel electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139169 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139170 - taking statins, diabetes symptoms, and dysfunctional ANS.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139171 - through nose entire hike with no dyspnea, indicating condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139172 - sustained, despite minimal hiking last few months.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139173 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139174 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139175 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139176 - park and back today.  Left foot #1 PL 0 - endorphins and Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139177 - taking effect.  Continued on Turtle Creek Road uphill 4% grade.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139178 - end of Turtle Creek Road turned left onto Ayers hiking East .75 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139179 - on asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139180 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139181 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139182 - concrete sidewalk .5 miles.  Energy better today, did not even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139183 - consider hitting a fatigue "wall" near mile 4, nor stopping at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139184 - Mountain Mike's Pizza restaurant to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139185 - This has been major question for recent hikes, like yesterday.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139186 - Feet PL 0 after taking Tramadol before starting hike.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139187 - hiking past mile 4.  Turned right heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139188 - using concrete sidewalk .5 miles.  Continued hike crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139189 - Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139190 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139191 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139192 - Boulevard.  Turned left onto Pine Hollow and hiked 2.50 mile East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139193 - Stopped at end of Pine Hollow mile 08 time 1143 temp 85 and wind 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139194 - mph; EKG looks uniform with minor artifact.  Kardia reported HR 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139195 - Tachycardia - see below. ref SDS 0 YH7W  Bloating PL 2, fatigue PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139196 - both feet metatarsalgia PL 1, burning sensation PL 3.  Left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139197 - 1 and #5 PL 2.  Right foot #5 PL 2.  Took 1 Tramadol 50 mg total 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139198 - for pain.  Took 1 Magnesium complex 300 mg pill, total 3, for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139199 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139200 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139201 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139202 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139203 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139204 - Since temperature 75, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139205 - took 0 Nuun electrolyte pill, per above. ref SDS 0 UPCW  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139206 - hiking back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139207 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139208 - against wind 13 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139209 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139210 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139211 - Hiked loop around main buildings; stop in back at training area - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139212 - 20 half pulups and 20 half push ups.  Continuing hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139213 - Visitor parking.  Stopped at Administration building mile 12 time 1320                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139214 - temp 83 and wind 13 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139215 - reported HR 118 Tachycardia - see below. ref SDS 0 NRDL  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139216 - 3, fatigue PL 2, both feet metatarsalgia PL 2.  Left foot #1 PL 2 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139217 - #5 PL 3.  Right foot #5 PL 2.  Took 1 Tramadol 50 mg total 3, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139218 - pain.  Took 1 Magnesium complex 300 mg pill, total 4, for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139219 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139220 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139221 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139222 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139223 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139224 - Since temperature 90, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139225 - took 0 Nuun electrolyte pill, per above. ref SDS 0 UPCW  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139226 - hiking 2 1.5 mile loops through Faculty and Student parking lots, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139227 - around main buildings, stopping in back at training area - did 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139228 - pulups and 20 half push ups.  Back at Visitor Parking, mile 16, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139229 - campus heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139230 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139231 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139232 - wind 13 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139233 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139234 - Continued West .5 mile to summit - mile 18, end of concrete traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139235 - barrier.  Turned around and hiked back.  Turned left onto Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139236 - heading North .25 miles using asphalt shoulder downhill 5% grade then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139237 - flat grade .25 miles, then .5 miles in narrow shoulder against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139238 - oncoming commute traffic.  Turned left onto Treat hiking West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139239 - miles back to Cuneo, then home.  Ended hike mile 20 time 1548 temp 88,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139240 - wind 12, bloating PL 2, fatigue PL 2, feet metatarsalgia PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139241 - sensation PL 0, left foot #1 PL 2, #5 edge PL 4, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139242 - fracture PL 0, #5 PL 0, shin splints PL 0, left knee PL 2 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139243 - swollen), right knee PL 0, left shoulder PL 0, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139244 - PL 0 intermittantly, lower back middle PL 0 - stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139245 - backpack, left elbow PL 0, when lifting.  EKG variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139246 - artifact, Kardia reported HR 116 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139247 - 9GB2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139262 -  ..
139263 - Kardia recorded HR 54 at 0640, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139264 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139265 - hiking 15 miles temp 91 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139266 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139267 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139268 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139269 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139272 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139273 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250801-ecg-064028_mile_00_054_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139282 -  ..
139283 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139284 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139285 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139286 - ..
139287 -                                                                                                                                                                                                                                                                                                              x
139288 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139289 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139290 -       Date          250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 250513 25051  
139291 -       Miles            20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0     15  
139292 -       HR AVG          118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no    109  
139293 -         MAX           138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report report  124  
139294 -         Min            59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                   57  
139295 -       El Climb Ft     447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                  478  
139296 -       Temp Max         88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                   65  
139297 -       Wind Max         18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                   19  
139298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139300 -              https://flow.polar.com/training/analysis/8161770729                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139303 -               ..
139305 -   
139306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139311 -  ..
139312 - EKG at mile 08 time 1143 HR 112 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139313 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139314 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139317 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139318 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250801-ecg-114308_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139323 -  ..
139324 - EKG at mile 12 time 1320 HR 118 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139325 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139326 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139329 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139330 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250801-ecg-132041_mile_12_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139334 -  ..
139335 - End hike EKG at mile 20, time 1548 HR 116 temp 88 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139336 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139337 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139340 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139341 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250801-ecg-154828_mile_20_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139349 -  ..
139350 - Post hike 250801 HR profile beginning 2301, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139351 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139352 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139353 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139354 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139357 -        ..
139358 -       Date      250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523  250522    
139359 -       Time       2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041    2312     
139360 -       Hours         9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11       9     
139361 -       HR AVG       66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58      60     
139362 -       HR MAX      110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     109     
139363 -       HR Min       44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39      40     
139364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139366 -              https://flow.polar.com/training/analysis/8162129190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139369 -  ..
139370 - HRV seems 50% 0 and 00% - good and 50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139373 -   
139374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139378 -  ..
139379 - Breakfast - cheerios milk, peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139380 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139381 - Dinner - hamburger eggs potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139383 -  ..
139384 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139421 -         ..
139422 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139423 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139424 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139425 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139426 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139427 -  214.  250802 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139428 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139429 -               0730....BP HR..................................................... 132  73  58  Kardia ECG reports HR status, see below. ref SDS 0 EZDY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139430 -               0735....BP HR..................................................... 134  76  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139431 -               0740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139432 -               0740....40 466020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
139433 -               1200....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139434 -               1200... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139435 -               1200....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139436 -               1200....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139437 -     forgot    0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139438 -               1200....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139439 -               1200... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
139440 -  ..
139441 -               1239....miles...........  18.0  68.0  314  1255 minutes  temp  88 wind 13  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139442 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139443 -               1552....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139444 -               1552....Tramadol 50 mg took 1 pill - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139445 -               1552... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139446 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139447 -               1552... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139448 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139449 -               1807... Hike ends mile 18..... ref SDS 0 ITCE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139450 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139451 -               1835....weight.................................... 172  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139452 -               1844....BP HR..................................................... 116  76  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139453 -               1853....BP HR..................................................... 117  77  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139454 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139455 -        ***    1900... 40 126140 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                                                                                                                                                                                                                                                                                  
139456 -               2030............ 10 21810  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
139457 -               2030............ 10 22160  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
139458 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139459 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139460 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139461 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139462 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139463 -               2250... 1000 2525000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139464 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139465 -               2330... 40 466060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139466 -               2340... 40 100840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139469 -  ..
139470 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139471 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139473 -  ..
139474 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139475 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139476 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139477 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139478 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139479 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139481 -  ..
139482 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139483 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139485 -  ..
139486 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139487 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139490 -  ..
139491 - Today, hiked 18 miles - not as good as yesterday.  EKG HRs were mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139492 - sinus, which is good.  Beginning to feel fatigued at mile 4, but did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139493 - not stop to take another magnesium and CoQ10.  Actually, forfot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139494 - take 2 magnesium before starting hike.  Planned hiking only halfway to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139495 - end of Pine Hollow, turning around, and hiking up to college doing a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139496 - few loops in parking lots, then hiking over YV summit to Oak Grove.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139497 - Made not stopping for hydration nutrition and energy meds until mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139498 - 11 at the college.  Good thing, had minimal feet pain today, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139499 - minimal pain meds - only 1 Tramadol entire hike.  However, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139500 - taking 2nd magnesium, and then a 3rd energy did not increase, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139501 - normally occurs.  was unable to hike over summit and around on Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139502 - Grove to Treat then home.  Had to turnaround and head back to Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139503 - then Treat and home, resulting in 18 mile hike.  The difference was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139504 - more than 2 miles less.  At end was hiking very slow.  Unlike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139505 - yesterday reporting "physical condition was dramatically better,"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139506 - today, was much worse.  Great though that feet were less painful with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139507 - better callus bandages.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139511 -         ..
139512 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139513 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139514 -        Stomach pain ischemic colitis bloating.......   3         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
139515 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
139516 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139517 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139518 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139519 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
139520 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139521 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139522 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139523 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139524 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
139525 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139526 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
139527 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139528 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
139529 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139530 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139531 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139532 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139533 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
139534 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139535 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139536 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139537 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139538 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
139539 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139540 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139541 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139542 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139543 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139544 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139545 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139546 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
139547 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139548 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139549 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
139550 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
139551 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
139552 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
139553 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139554 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139555 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
139556 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
139557 -        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                                                                                                                                                                                                                                                                                                                           
139558 -        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                                                                                                                                                                                                                                                                                                                                                                                    
139559 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139560 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
139561 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
139562 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139563 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139564 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
139565 -        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                                                                                                                                                                                                                                                                                                                                           
139566 -        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                                                                                                                                                                                                                                                                                                                                           
139567 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139568 -        Callus little toe right foot..top of toe.....   2        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
139569 -        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                                                                                                                                                                                                                                                                                                                                                                                        
139570 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
139571 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
139572 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139573 -        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                                                                                                                                                                                                                                                                                                                                                              
139574 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
139575 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
139576 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139577 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139578 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
139579 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139580 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
139581 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
139582 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139583 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
139584 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139585 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139586 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139587 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139588 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139589 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139590 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139591 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 0 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
139592 -        Wasted - very fatigued.......................   4        100  energy failed after taking 1 magnesium mile 00 and 2 magnesium mile 11 - very strange                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139593 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139596 -  ..
139597 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139598 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139600 -  ..
139601 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139602 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139603 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139604 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139605 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139606 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139607 - Tramadol, based on experience yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139609 -  ..
139610 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139611 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139612 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139614 -  ..
139615 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139616 - pair Smartwool socks, hoping to reduce lateral pressure on #5 and #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139617 - while increasing cushioning from heavy wool socks.  Got better results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139618 - today, with change in bandagng.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139620 -  ..
139621 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139623 -  ..
139624 - Callus Injuries - today on 250802, continued using larger donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139625 - bandage found in supplies on 250801, per above. ref SDS 0 SB9U  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139626 - Tramadol had PL 1 last 2 miles of 18 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139628 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139629 -                    1 Tramadol mile 11                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139630 -                    0 Tramadol mile 00 for last 6 miles of 18 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139632 -  ..
139633 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139634 - mile 11 for rest of 18 mile hike.  Seemed though to experience                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139635 - significant fatigue after taking 2 magnesium at mile 11.  Hike was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139636 - very difficult last 7 miles, unlike yesterday???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139638 -  ..
139639 - In sum, bandaging at last very successful on left foot #1 and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139640 - foot #5, and left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139642 -  ..
139643 - For left and right foot #5... applied before hike single ply - DeRoyal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139644 - REF 46-400 Covaderm Plus Adhesive Dressing bandage that shielded                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139645 - callus from friction of shoe side.  This was miraculously successful.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139647 -  ..
139648 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139649 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139650 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139651 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139652 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139653 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139656 -  ..
139657 - Concord 18 mile route - forgot again to take Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139658 - for OA protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139659 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139660 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139661 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139662 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139663 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139664 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139665 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139666 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139667 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139668 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139669 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139670 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139671 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139672 - despite starting at PL 0 - it is very complicated.  Intended but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139673 - forgot to take, like yesterday, 2 Magnesium Complex 300 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139674 - energy, absorbing lactic acid, and reducing inflammation allowing HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139675 - to increase that together with EPCs regress plaque in blood vessels -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139676 - see research on 200101 0701, ref SDS 18 QP6L - swallowed pills whole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139677 - after EGD Dilation on 250718, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139678 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139679 - that contains iron to elevate Ferritin and Transferrin Saturation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139680 - which both tested below range on 250428 0940, ref SDS 88 VP5H; and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139681 - small amount margarine and Mayonaise which aid absorbtion (digestion)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139682 - of Magnesium, and had small amount Chia Seeds for electrolytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139683 - energy, and had 1/4 avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139684 - new Ubiquinol CoQ10 100 mg softgel tablet all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139685 - BLX3  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139686 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139687 - study on 200101 0701. ref SDS 18 136K  Minimal breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139688 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139689 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139690 - atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139691 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139692 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry stuff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139693 - today, and in order to have hydration and nutrition.  Temperature 88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139694 - and wind 13 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139695 - Starting hike feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139696 - actually minimal today, and - did not feel electrical shocks in balls                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139697 - of feet this morning - due to peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139698 - statins, diabetes symptoms, and dysfunctional ANS.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139699 - nose entire hike with no dyspnea, indicating condition has sustained,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139700 - despite minimal hiking last few months.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139701 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139702 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139703 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139704 - Left foot #1 PL 0 - endorphins and Tramadol taking effect.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139705 - on Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139706 - turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139707 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139708 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139709 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139710 - Energy not as good as yesterday.  Considered hitting fatigue "wall"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139711 - near mile 4, stopping at Mountain Mike's Pizza restaurant to take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139712 - interim magnesium and CoQ10.  This has been major question for recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139713 - hikes.  Today, feet PL 0 after taking Tramadol before starting hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139714 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139715 - Valley Road using concrete sidewalk .5 miles.  Continued hike crossing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139716 - Park Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139717 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139718 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139719 - Boulevard.  Turned left onto Pine Hollow and hiked 1.50 mile East.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139720 - Pine Hollow Middle School turned around.  Hiked back 1.5 miles.  Near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139721 - Ygnacio Valley road turned left onto Campus Drive heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139722 - 3% grade.  Hiked 1 mile against wind 13 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139723 - At Ygnacio Valley road turned around and hiked uphill on Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139724 - 4% grade.  Reached Visitor Parking California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139725 - Bay Concord Campus.  Hiked 1.5 mile loop through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139726 - parking lots, and around main buildings, did not feel strong enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139727 - today for stopping in back at training area - did not do 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139728 - pulups and 20 half push ups.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139729 - Administration building mile 11 time 1552 temp 86 and wind 12 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139730 - looks uniform with no artifact.  Kardia reported HR 116 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139731 - see below. ref SDS 0 WIEZ  Bloating PL 3, fatigue PL 4, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139732 - metatarsalgia PL 2.  Left foot #1 PL 1 and #5 PL 1.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139733 - 1.  Took 1 Tramadol 50 mg total 2, for pain.  Since Fatigue is up,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139734 - took 2 Magnesium complex 300 mg pill, total 4, for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139735 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139736 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139737 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139738 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139739 - pill for HDL and energy to complete hike.  With temperature 86, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139740 - causes sweating that ejects electrolytes, still took 0 Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139741 - electrolyte pill, per above. ref SDS 0 USRF  Continued hiking 2-1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139742 - mile loops through Faculty and Student parking lots, and around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139743 - buildings, too fatigued for stopping in back at training area - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139744 - not do 20 half pulups and 20 half push ups.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139745 - mile 14, left campus heading North downhill on Campus Drive.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139746 - left onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139747 - mile 15, continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139748 - against wind 08 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139749 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139750 - camber.  Continued West .5 mile to summit - mile 16, end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139751 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139752 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139753 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139754 - against oncoming commute traffic.  Turned left onto Treat hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139755 - .25 miles back to Cuneo, then home.  Ended hike mile 18 time 1807 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139756 - 84, wind 07, bloating PL 3, fatigue PL 6, feet metatarsalgia PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139757 - burning sensation PL 0, left foot #1 PL 2, #5 edge PL 3, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139758 - fracture PL 0, #5 PL 0, shin splints PL 0, left knee PL 2 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139759 - swollen), right knee PL 0, left shoulder PL 0, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139760 - PL 0 intermittantly, lower back middle PL 0 - stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139761 - backpack, left elbow PL 0, when lifting.  EKG uniform with artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139762 - Kardia reported HR 118 Tachycardia - see below. ref SDS 0 ITCE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139777 -  ..
139778 - Kardia recorded HR 54 at 0828, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139779 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139780 - hiking 20 miles temp 88 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139781 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139782 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139783 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139784 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139787 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139788 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250802-ecg-082827_mile_00_059_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139797 -  ..
139798 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139799 - hike 18 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139800 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139801 - ..
139802 -                                                                                                                                                                                                                                                                                                              x
139803 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139804 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139805 -       Date          250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 250515 250514 25051  
139806 -       Miles            18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21      0      0  
139807 -       HR AVG          117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138     no     no  
139808 -         MAX           137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153   report repo  
139809 -         Min            86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61                
139810 -       El Climb Ft     447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483                
139811 -       Temp Max         88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83                
139812 -       Wind Max         13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15                
139813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139815 -              https://flow.polar.com/training/analysis/8162351268                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139818 -               ..
139820 -   
139821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139826 -  ..
139827 - EKG at mile 11 time 1552 HR 116 temp 86, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139828 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139829 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139832 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139833 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250802-ecg-155248_mile_11_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139837 -  ..
139838 - End hike EKG at mile 18, time 1807 HR 118 temp 84 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139839 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139840 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139843 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139844 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250802-ecg-180758_mile_18_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
139845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139849 -  ..
139850 - Post hike 250802 HR profile beginning 2211, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139851 - activity after hiking 18 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
139852 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139853 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139854 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139857 -        ..
139858 -       Date      250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524  250523    
139859 -       Time       2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009    2041     
139860 -       Hours        10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7      11     
139861 -       HR AVG       64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65      58     
139862 -       HR MAX      103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     120     
139863 -       HR Min       41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43      39     
139864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139866 -              https://flow.polar.com/training/analysis/8162748795                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139869 -  ..
139870 - HRV seems 55% 0 and 00% - good and 45% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139873 -   
139874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139878 -  ..
139879 - Breakfast - cheerios milk, peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139880 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139881 - Dinner - hamburger eggs potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139883 -  ..
139884 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139918 -         ..
139919 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139920 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139921 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139922 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139923 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139924 -  215.  250803 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139925 -               0735....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139926 -               0740....BP HR..................................................... 142  72  55  Kardia ECG reports HR status, see below. ref SDS 0 TO1S                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139927 -               0745....BP HR..................................................... 135  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139928 -               0750....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139929 -               0750....40 466100 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
139930 -               0940....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139931 -               0940... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139932 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139933 -               0940....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139934 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139935 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139936 -               0940... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
139937 -  ..
139938 -           *   1010....miles...........  11.0  79.0  195  1450 minutes  temp  86 wind 16  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139939 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139940 -               0000....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139941 -               0000....Tramadol 50 mg took 1 pill - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139942 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
139943 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139944 -               0000... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139945 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139946 -               1807... Hike ends mile 18..... ref SDS 0 ITCE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
139947 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139948 -               1345....weight.................................... 173  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139949 -               1350....BP HR..................................................... 133  84  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139950 -               1853....BP HR..................................................... 117  77  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139951 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139952 -        ***    1600... 40 126180 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                                                                                                                                                                                                                                                                                  
139953 -             1 0000............ 10 21810  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
139954 -             1 0000............ 10 22160  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
139955 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139956 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139957 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139958 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139959 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
139960 -               2250... 1000 2526000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139961 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
139962 -               2330... 40 466140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139963 -               2340... 40 100880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139966 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
139967 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139968 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139969 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139970 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
139971 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139972 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
139973 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
139974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139976 -  ..
139977 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139978 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
139980 -  ..
139981 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139982 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139983 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139984 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
139985 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139986 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139988 -  ..
139989 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
139990 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139992 -  ..
139993 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
139994 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
139997 -  ..
139998 - Today, hiked 11 miles - better than yesterday.  Did not feel fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
139999 - at any time; however, forgot to bring pain and energy meds, so hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140000 - was limited to 11 miles.  Initially, on discovering forgot to bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140001 - meds, planned to hike only a loop at college and then head home, as a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140002 - normal "stop" for EKG, hydration, nutrition and meds.  Once home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140003 - decided to let body rest after first time doing 4 hikes in a row since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140004 - mid-May.  On ending hike seemed like metatarsalgia (balls of feet)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140005 - pain more prominent at mile 11, than usual, along with left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140006 - Could reflect omitting Ammonium Lactate 12% last night on balls of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140007 - feet, and failure this morning align bandaging on left foot #5 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140010 -         ..
140011 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140012 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140013 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
140014 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
140015 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140016 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140017 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140018 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140019 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140020 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140021 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140022 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
140023 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140024 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
140025 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140026 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
140027 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140028 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140029 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140030 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140031 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
140032 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140033 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140034 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140035 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140036 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
140037 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140038 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140039 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140040 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140041 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140042 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140043 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140044 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
140045 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140046 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140047 -        Metatarsalgia left foot...PRP 210705.........   4         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
140048 -        Metatarsalgia right foot..PRP 210705.........   4         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
140049 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
140050 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
140051 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140052 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140053 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
140054 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
140055 -        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                                                                                                                                                                                                                                                                                                                           
140056 -        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                                                                                                                                                                                                                                                                                                                                                                                    
140057 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140058 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
140059 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
140060 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140061 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140062 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
140063 -        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                                                                                                                                                                                                                                                                                                                                           
140064 -        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                                                                                                                                                                                                                                                                                                                                           
140065 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140066 -        Callus little toe right foot..top of toe.....   2        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
140067 -        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                                                                                                                                                                                                                                                                                                                                                                                        
140068 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
140069 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
140070 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140071 -        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                                                                                                                                                                                                                                                                                                                                                              
140072 -        Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
140073 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
140074 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140075 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140076 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
140077 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140078 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
140079 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
140080 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140081 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
140082 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140083 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140084 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140085 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140086 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140087 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140088 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140089 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 0 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
140090 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 11 - very strange                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140091 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140094 -  ..
140095 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140096 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140098 -  ..
140099 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140100 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140101 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140102 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140103 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140104 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140105 - Tramadol, based on experience yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140107 -  ..
140108 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140109 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140110 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140112 -  ..
140113 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140114 - pair Smartwool socks, hoping to reduce lateral pressure on #5 and #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140115 - while increasing cushioning from heavy wool socks.  Got better results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140116 - today, with change in bandagng.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140118 -  ..
140119 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140121 -  ..
140122 - Callus Injuries - today on 250802, continued using larger donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140123 - bandage found in supplies on 250801, per above. ref SDS 0 SB9U  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140124 - Tramadol had PL 1 last 4 miles of 11 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140126 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140127 -                    0 Tramadol mile 07 for last 4 miles of 11 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140129 -  ..
140130 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140131 - mile 07 for rest of 11 mile hike.  Seemed not to have experienced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140132 - significant fatigue after taking 2 magnesium at mile 00.  Hike was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140133 - fatigue free last 4 miles, unlike yesterday, when had PL 6 last 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140134 - miles, per above. ref SDS 0 NLDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140136 -  ..
140137 - In sum, bandaging at last very successful on left foot #1 and right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140138 - foot #5, and left foot #5, less so today, for some reason.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140140 -  ..
140141 - For left foot #5... applied before hike single ply - DeRoyal REF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140142 - 46-400 Covaderm Plus Adhesive Dressing bandage that shielded callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140143 - from friction of shoe side.  This was less successful than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140144 - Today, ended with PL 4, instead of 1. May reflect less effective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140145 - alignment of dressing on callus tissue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140147 -  ..
140148 - For right foot #5... applied single ply hospital white tape simply to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140149 - shield callus from friction. Since this is less protective than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140150 - bandaging system used on left foot, it must indicate right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140151 - callus/injury is less severe, and so responds to less protection that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140152 - is applied with less precision than needed on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140157 -  ..
140158 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140159 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140160 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140161 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140162 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140163 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140166 -  ..
140167 - Concord 11 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140168 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140169 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140170 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140171 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140172 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140173 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140174 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140175 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140176 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140177 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140178 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140179 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140180 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140181 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140182 - despite starting at PL 0 - it is very complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140183 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140184 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140185 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140186 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140187 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140188 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140189 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140190 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140191 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140192 - Seeds for electrolytes (e.g., potassium) and energy, and had 1/4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140193 - avocado for HDL.  Just before starting hike took new Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140194 - 100 mg softgel tablet all per above. ref SDS 0 ET4L  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140195 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140196 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140197 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140198 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140199 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140200 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140201 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140202 - ref SDS 18 O33H  Took backpack to carry stuff today, and in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140203 - have hydration and nutrition.  Temperature 88 and wind 13 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140204 - Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140205 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140206 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140207 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140208 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140209 - with no dyspnea, indicating condition has sustained, despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140210 - hiking last few months.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140211 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140212 - mostly flat grade, some places 3% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140213 - not hike across Newhall Community park and back today.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140214 - PL 0 - endorphins and Tramadol taking effect.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140215 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140216 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140217 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140218 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140219 - traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140220 - better than yesterday.  Accordingly, did not consider hitting fatigue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140221 - "wall" near mile 4, stopping at Mountain Mike's Pizza restaurant to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140222 - take interim magnesium and CoQ10.  This has been major question for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140223 - recent hikes.  Today, feet PL 0 after taking Tramadol before starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140224 - hike.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140225 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140226 - crossing Park Highlands Road at Stop Light still heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140227 - miles now on asphalt shoulder.  Crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140228 - Road to hike on wider shoulder.  Continued West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140229 - Michigan Boulevard.  Turned left onto Pine Hollow and hiked 0.25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140230 - East.  At Pine Hollow Middle School turned around and hiked back.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140231 - Near Ygnacio Valley road turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140232 - uphill 3% grade.  Hiked 1 mile against wind 16 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140233 - North.  At Ygnacio Valley road turned around and hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140234 - Campus Drive 4% grade.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140235 - University East Bay Concord Campus.  Hiked loop around main buildings,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140236 - stopping in back at training area - 20 half pulups and 20 half push                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140237 - ups.  Back at Visitor Parking mile 7, discovered forgot to bring                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140238 - energy and pain meds, so did not stop at Administration building for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140239 - EKG, hydration, nutrition and meds, per above. ref SDS 0 9FGI  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140240 - to hike home and at mile 11, would do normal mid-hike stop for EKG,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140241 - hydration, nutrition and pain/energy meds.  Left campus heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140242 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140243 - Hiked West on flat grade .5 miles.  At mile 12, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140244 - Ranch Road uphill 3% grade .5 miles against wind 08 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140245 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140246 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140247 - summit - mile 09, end of concrete traffic barrier.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140248 - hiked back.  Turned left onto Cowell heading North .25 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140249 - asphalt shoulder downhill 5% grade then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140250 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140251 - left onto Treat hiking West .25 miles back to Cuneo, then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140252 - hike mile 11 time 1326 temp 83, wind 15, bloating PL 3, fatigue PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140253 - feet metatarsalgia PL 4, burning sensation PL 4, left foot #1 PL 2, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140254 - edge PL 4, right foot #1 fracture PL 0, #5 PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140255 - left knee PL 2 (not swollen), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140256 - neck and right shoulder PL 0 intermittantly, lower back middle PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140257 - stress carrying backpack, left elbow PL 0, when lifting.  EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140258 - with artifact, Kardia reported HR 114 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140259 - ref SDS 0 FIU3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140274 -  ..
140275 - Kardia recorded HR 65 at 0828, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140276 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140277 - likely no AFL after hiking 18 miles temp 88 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140278 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140279 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140280 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140281 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140284 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140285 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250803-ecg-082835_mile_00_065_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140288 -  ..
140289 - Did another to cross check...seems better...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140292 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140293 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250803-ecg-085509_mile_00_053_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140302 -  ..
140303 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140304 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140305 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140306 - ..
140307 -                                                                                                                                                                                                                                                                                                              x
140308 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140309 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140310 -       Date          250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 25051  
140311 -       Miles            13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21  
140312 -       HR AVG          118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138  
140313 -         MAX           134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153  
140314 -         Min            78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61  
140315 -       El Climb Ft     434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483  
140316 -       Temp Max         87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83  
140317 -       Wind Max         14     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15  
140318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140320 -              https://flow.polar.com/training/analysis/8163607065                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140323 -               ..
140325 -   
140326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140329 -  ..
140330 - End hike EKG at mile 11, time 1326 HR 114 temp 83 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140331 - Tachycardia... looks uniform with artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140332 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140335 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140336 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250803-ecg-132624_mile_11_114_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140341 -  ..
140342 - Post hike 250803 HR profile beginning 1947, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140343 - activity after hiking 11 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140344 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140345 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140346 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140349 -        ..
140350 -       Date      250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525  250524    
140351 -       Time       1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926    0009     
140352 -       Hours        11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12       7     
140353 -       HR AVG       65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75      65     
140354 -       HR MAX      109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     104     
140355 -       HR Min       40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46      43     
140356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140358 -              https://flow.polar.com/training/analysis/8163360793                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140361 -  ..
140362 - HRV seems 30% 0 and 00% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140365 -   
140366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140370 -  ..
140371 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140372 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140373 - Dinner - hamburger eggs macaroni cheese potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140375 -  ..
140376 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140415 -         ..
140416 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140417 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140418 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140419 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140420 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140421 -  216.  250804 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140422 -               0645....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140423 -               0650....BP HR..................................................... 145  85  50  Kardia ECG reports HR status, see below. ref SDS 0 OF54                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140424 -               0655....BP HR..................................................... 137  83  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140425 -               0700....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140426 -               0700....40 466180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
140427 -               0110....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140428 -               0110... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140429 -               0110....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140430 -               0110....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140431 -               0110....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140432 -               0110....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140433 -               0110... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
140434 -  ..
140435 -               1036....miles...........  13.0  13.0  234   234 minutes  temp  87 wind 13  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140436 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140437 -               1248....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140438 -               1248....Tramadol 50 mg took 1 pill - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140439 -               1248... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140440 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140441 -               1248... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140442 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140443 -               1447... Hike ends mile 13..... ref SDS 0 BDTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140444 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140445 -               1500....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140446 -               1510....BP HR..................................................... 103  74 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140447 -               1517....BP HR.....................................................  98  71  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140448 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140449 -               1700... 40 126220 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                                                                                                                                                                                                                                                                                  
140450 -               1830............ 10 21820  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
140451 -               1830............ 10 22170  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
140452 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140453 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140454 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140455 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140456 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140457 -               2250... 1000 2527000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140458 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140459 -               2330... 40 466220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140460 -               2340... 40 100920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140463 -  ..
140464 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140465 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140467 -  ..
140468 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140469 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140470 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140471 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140472 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140473 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140475 -  ..
140476 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140477 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140479 -  ..
140480 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140481 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140484 -  ..
140485 - Today, hiked 13 miles - better than yesterday.  Did not feel fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140486 - at any time; however, severe left foot pain prevented completing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140487 - hiking plan to do 8 mile Crystal Ranch loop.  Despite pain hiked 33%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140488 - up Crystal Ranch Road, and back to Ygnacio Valley road then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140489 - Disappointing after missing many days hiking to let left foot #1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140490 - #5 heal, they continue to present significant obsticles to hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140491 - normally.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140494 -         ..
140495 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140496 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140497 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
140498 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
140499 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140500 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140501 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140502 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
140503 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140504 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140505 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140506 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140507 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
140508 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140509 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
140510 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140511 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
140512 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140513 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140514 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140515 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140516 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
140517 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140518 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140519 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140520 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140521 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
140522 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140523 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140524 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140525 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140526 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140527 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140528 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140529 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
140530 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140531 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140532 -        Metatarsalgia left foot...PRP 210705.........   4         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
140533 -        Metatarsalgia right foot..PRP 210705.........   4         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
140534 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
140535 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
140536 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140537 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140538 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
140539 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
140540 -        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                                                                                                                                                                                                                                                                                                                           
140541 -        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                                                                                                                                                                                                                                                                                                                                                                                    
140542 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140543 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
140544 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
140545 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140546 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140547 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
140548 -        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                                                                                                                                                                                                                                                                                                                                           
140549 -        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                                                                                                                                                                                                                                                                                                                                           
140550 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140551 -        Callus little toe right foot..top of toe.....   2        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
140552 -        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                                                                                                                                                                                                                                                                                                                                                                                        
140553 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
140554 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
140555 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140556 -        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                                                                                                                                                                                                                                                                                                                                                              
140557 -        Callus little toe #5 left foot...PRP 210705..   4         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
140558 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
140559 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140560 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140561 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
140562 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140563 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
140564 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
140565 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140566 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
140567 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140568 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140569 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140570 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140571 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140572 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140573 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140574 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 0 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
140575 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 11 - very strange                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140576 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140579 -  ..
140580 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140581 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140583 -  ..
140584 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140585 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140586 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140587 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140588 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140589 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140590 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140592 -  ..
140593 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140594 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140595 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140597 -  ..
140598 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140599 - pair Smartwool socks, hoping to reduce lateral pressure on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140600 - #5 and #1, while increasing cushioning from heavy wool socks.  Got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140601 - worse results.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140603 -  ..
140604 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140606 -  ..
140607 - Callus Injuries - today on 250804, continued using larger donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140608 - bandage found in supplies on 250801, per above. ref SDS 0 SB9U  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140609 - Tramadol had PL 7 last 5 miles of 13 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140611 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140612 -                    1 Tramadol mile 08 for last 5 miles of 13 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140614 -  ..
140615 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140616 - mile 08 for rest of 13 mile hike.  Seemed not to have experienced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140617 - significant fatigue after taking 2 magnesium at mile 00.  Hike was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140618 - fatigue free last 5 miles, unlike yesterday, when had PL 6 last 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140619 - miles, per above. ref SDS 0 NLDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140621 -  ..
140622 - In sum, bandaging unsuccessful on left foot #1 and #5, for some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140623 - reason.  Maybe donut opening was not centered well on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140624 - Tomorrow will try using a donut corn bandage on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140626 -  ..
140627 - For left foot #5... applied before hike single ply - DeRoyal REF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140628 - 46-400 Covaderm Plus Adhesive Dressing bandage that shielded callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140629 - from friction of shoe side.  This was less successful than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140630 - Today, ended with PL 6, instead of 1. Dressing adhesive came loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140631 - from foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140633 -  ..
140634 - For right foot #5... applied single ply hospital white tape simply to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140635 - shield callus from friction. Since this is less protective than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140636 - bandaging system used on left foot, it must indicate right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140637 - callus/injury is less severe, and so responds to less protection that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140638 - is applied with less precision than needed on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140643 -  ..
140644 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140645 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140646 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140647 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140648 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140649 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140652 -  ..
140653 - Concord 13 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140654 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140655 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140656 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140657 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140658 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140659 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140660 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140661 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140662 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140663 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140664 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140665 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140666 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140667 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140668 - despite starting at PL 0 - it is very complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140669 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140670 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140671 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140672 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140673 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140674 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140675 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140676 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140677 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140678 - Seeds for electrolytes (e.g., potassium) and energy, and had 1/4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140679 - avocado for HDL.  Just before starting hike took new Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140680 - 100 mg softgel tablet all per above. ref SDS 0 J7T1  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140681 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140682 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140683 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140684 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140685 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140686 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140687 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140688 - ref SDS 18 O33H  Took backpack to carry stuff today, and in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140689 - have hydration and nutrition.  Temperature 87 and wind 13 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140690 - Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140691 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140692 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140693 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140694 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140695 - with no dyspnea, indicating condition has sustained, despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140696 - hiking last few months.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140697 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140698 - mostly flat grade, some places 3% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140699 - not hike across Newhall Community park and back today.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140700 - PL 0 - endorphins and Tramadol taking effect.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140701 - Creek Road uphill 4% grade.  About mile 2.25 feeling burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140702 - in feet PL 3.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140703 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140704 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140705 - parking lots of shopping complex.  Burning sensation had faded, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140706 - recurred about mile 3.5.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140707 - continued on concrete sidewalk .5 miles.  Energy better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140708 - yesterday.  Accordingly, did not consider hitting fatigue "wall" near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140709 - mile 4, stopping at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140710 - magnesium and CoQ10.  This has been major question for recent hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140711 - Today, feet PL 2 after taking Tramadol before starting hike - not good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140712 - signal.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140713 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140714 - crossing Park Highlands Road at Stop Light still heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140715 - miles now on asphalt shoulder.  Crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140716 - Road to hike on wider shoulder.  Continued West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140717 - Michigan Boulevard.  Turned left onto Pine Hollow and hiked 0.25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140718 - East - turned around and hiked back.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140719 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140720 - against wind 11 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140721 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140722 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140723 - Hiked loop around main buildings, stopping in back at training area -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140724 - 20 half pulups and 20 half push ups.  Back at Visitor Parking, stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140725 - at Administration building mile 08 time 1248 temp 82 and wind 07 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140726 - EKG looks uniform with some artifact.  Kardia reported HR 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140727 - Tachycardia - see below. ref SDS 0 SUM6  Bloating PL 3, fatigue PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140728 - feet metatarsalgia PL 3.  Left foot #1 PL 3 and #5 PL 5.  Right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140729 - #5 PL 0.  Took 1 Tramadol 50 mg total 2, for pain.  Since Fatigue is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140730 - okay, took 1 Magnesium complex 300 mg pill, total 3, for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140731 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140732 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140733 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140734 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140735 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140736 - temperature 86, which causes sweating that ejects electrolytes, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140737 - took 0 Nuun electrolyte pill, per above. ref SDS 0 8J7D  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140738 - hiking loop around main buildings - again did 20 half pulups and 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140739 - half push ups.  Back at Visitor Parking, stopped at bus station and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140740 - removed left shoe and sock to inspect bandaging #1 and #5.  Nothing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140741 - evident causing increased PL today.  Adhesion on #5 bandage came                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140742 - loose, so removed it to complete hike.  Continued hike left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140743 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140744 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 09, despite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140745 - left foot PL 6, decided to try hiking on Crystal Ranch Road uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140746 - grade.  Made 3 set street light pole and storm drain, about .5 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140747 - Turned around and hiked back.  Turned left onto Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140748 - hiking uphill 3% grade .5 miles against wind 12 mph.  Crossed Cowell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140749 - at stop light.  At break in traffic, crossed to North side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140750 - Valley Road to avoid severe camber.  Continued West .5 mile to summit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140751 - - mile 16, end of concrete traffic barrier.  Turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140752 - back.  Turned left onto Cowell heading North .25 miles using asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140753 - shoulder downhill 5% grade then flat grade .25 miles, then .5 miles in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140754 - narrow shoulder against oncoming, heavy, commute traffic.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140755 - onto Treat hiking West .25 miles back to Cuneo, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140756 - mile 18 time 1447 temp 87, wind 13, bloating PL 2, fatigue PL 2 - much                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140757 - lower today, actually feeling very good, except for left foot PL, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140758 - metatarsalgia PL 2, burning sensation PL 0, left foot #1 PL 6, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140759 - PL 7, right foot #1 fracture PL 0, #5 PL 0, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140760 - knee PL 2 (not swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140761 - right shoulder PL 0 intermittantly, lower back middle PL 0 - stress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140762 - carrying backpack, left elbow PL 0, when lifting.  EKG uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140763 - artifact, Kardia reported HR 121 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140764 - BDTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140781 -  ..
140782 - Kardia recorded HR 58 at 0641, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140783 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140784 - AFL after hiking 11 miles temp 85 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140785 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140786 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140787 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140788 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140791 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140792 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250804-ecg-064131_mile_00_058_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140795 -  ..
140796 - Did another to cross check...seems better...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140799 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140800 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250804-ecg-065035_mile_00_047_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140809 -  ..
140810 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140811 - hike 13 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140812 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140813 - ..
140814 -                                                                                                                                                                                                                                                                                                              x
140815 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140816 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140817 -       Date          250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 250516 25051  
140818 -       Miles            13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0     21  
140819 -       HR AVG          118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no    138  
140820 -         MAX           134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   report  153  
140821 -         Min            78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67            61  
140822 -       El Climb Ft     434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483           483  
140823 -       Temp Max         87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73            83  
140824 -       Wind Max         13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17            15  
140825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140827 -              https://flow.polar.com/training/analysis/8163607065                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140830 -               ..
140832 -   
140833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140837 -  ..
140838 - EKG at mile 08 time 1248 HR 117 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140839 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140840 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140843 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140844 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250804-ecg-124829_mile_08_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140849 -  ..
140850 - End hike EKG at mile 13, time 1447 HR 114 temp 87 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140851 - Tachycardia... looks uniform with some artifact - medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140852 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140855 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
140856 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250804-ecg-144732_mile_13_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
140857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140861 -  ..
140862 - Post hike 250804 HR profile beginning 2126, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140863 - activity after hiking 13 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
140864 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140865 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140866 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140869 -        ..
140870 -       Date      250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526  250525    
140871 -       Time       2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027    1926     
140872 -       Hours        10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11      12     
140873 -       HR AVG       61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69      75     
140874 -       HR MAX      128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     118     
140875 -       HR Min       40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47      46     
140876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140878 -              https://flow.polar.com/training/analysis/8163993409                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140881 -  ..
140882 - HRV seems  0% 0 and 20% - good and 80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140885 -   
140886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140889 -  ..
140890 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140891 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140892 - Dinner - hot dog eggs broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140894 -  ..
140895 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140933 -         ..
140934 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140935 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140936 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140937 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140938 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140939 -  217.  250805 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140940 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140941 -               0730....BP HR..................................................... 137  79  47  Kardia ECG reports HR status, see below. ref SDS 0 KLHX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140942 -               0735....BP HR..................................................... 155  88  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140943 -               0740....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140944 -               0740....40 466260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
140945 -               1010....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140946 -               1010... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140947 -               1010....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140948 -               1010....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140949 -               1010....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140950 -               1010....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140951 -               1010... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
140952 -  ..
140953 -               1054....miles...........  17.0  30.0  297   531 minutes  temp  87 wind 21  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140954 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140955 -               1316....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140956 -               1316....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140957 -               1316... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
140958 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
140959 -               1316... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140960 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140961 -               1613... Hike ends mile 17..... ref SDS 0 ENCR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
140962 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140963 -               1620....weight.................................... 172  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140964 -               1630....BP HR..................................................... 129  80  99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140965 -               1645....BP HR..................................................... 124  82  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140966 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140967 -               1700... 40 126260 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                                                                                                                                                                                                                                                                                  
140968 -             1 0000............ 10 21820  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
140969 -             1 0000............ 10 22170  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
140970 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140971 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
140972 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140973 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140974 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
140975 -               2250... 1000 2528000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140976 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
140977 -               2330... 40 466300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140978 -               2340... 40 100960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
140979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140981 -  ..
140982 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140983 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
140985 -  ..
140986 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140987 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140988 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140989 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
140990 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
140991 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140993 -  ..
140994 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
140995 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
140997 -  ..
140998 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
140999 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141002 -  ..
141003 - Today, hiked 17 miles - better than yesterday.  Did not feel fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141004 - at any time; however, left foot #1 and #5 PL prevent normal hiking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141005 - Seemed several days ago PL was near 0, could hike forever.  Next day,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141006 - PL increased, then again and today even more.  Cannot find way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141007 - manage PL.  Switching to Urea 20% treatment works better than Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141008 - Lactate 12% for calluses, but still has not caused a major piece of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141009 - callus tissue to release, as occurred last year on right foot #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141010 - Seem to be out of large size Corn bandages, so will have to find a way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141011 - to use the smaller ones until meeting with Doctor Tang on 250807.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141012 - Cannot see applying Corn bandage to callus on edge of #5, so placement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141013 - is defective.  Since had elevated pain on left foot #1 and #5, took 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141014 - Tramadol, including 2 at mile 8.  Slipped into light-seizure last 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141015 - hours of hike - staggering, hazy, hallucinating, near sleep while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141016 - finishing hike.  Disappointing cannot do hike to condition heart into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141017 - sinus rhythm, planned by Doctor Pellegrini, because of foot pain???                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141020 -         ..
141021 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141022 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141023 -        Stomach pain ischemic colitis bloating.......   4         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
141024 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
141025 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141026 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141027 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141028 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
141029 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141030 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141031 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141032 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141033 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
141034 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141035 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
141036 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141037 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
141038 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141039 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141040 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141041 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141042 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
141043 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141044 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141045 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141046 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141047 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
141048 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141049 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141050 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141051 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141052 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141053 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141054 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141055 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
141056 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141057 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141058 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
141059 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 08 and 0 Tramadol at mile 14 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
141060 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
141061 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
141062 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141063 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141064 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
141065 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
141066 -        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                                                                                                                                                                                                                                                                                                                           
141067 -        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                                                                                                                                                                                                                                                                                                                                                                                    
141068 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141069 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
141070 -        Callus big toe left foot...PRP 210705........   6         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
141071 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141072 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141073 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
141074 -        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                                                                                                                                                                                                                                                                                                                                           
141075 -        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                                                                                                                                                                                                                                                                                                                                           
141076 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141077 -        Callus little toe right foot..top of toe.....   1        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
141078 -        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                                                                                                                                                                                                                                                                                                                                                                                        
141079 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
141080 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
141081 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141082 -        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                                                                                                                                                                                                                                                                                                                                                              
141083 -        Callus little toe #5 left foot...PRP 210705..   7         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 08 and 0 Tramadol at mile 14 wore new Hoka Bondi 9 x-wide shoes and 2 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                      
141084 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
141085 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141086 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141087 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
141088 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141089 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
141090 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
141091 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141092 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
141093 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141094 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141095 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141096 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141097 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141098 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141099 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141100 -        Wobbly disoriented staggering dizzy..........   5         30  took 1 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                            
141101 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141102 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141105 -  ..
141106 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141107 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141109 -  ..
141110 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141111 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141112 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141113 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141114 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141115 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141116 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141118 -  ..
141119 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141120 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141121 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141123 -  ..
141124 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141125 - pair Smartwool socks, hoping to reduce lateral pressure on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141126 - #5 and #1, while increasing cushioning from heavy wool socks.  Got                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141127 - worse results.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141129 -  ..
141130 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141132 -  ..
141133 - Callus Injuries - today on 250804, continued using larger donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141134 - bandage found in supplies on 250801, per above. ref SDS 0 SB9U  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141135 - Tramadol had PL 7 last 5 miles of 13 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141137 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141138 -                    1 Tramadol mile 08 for last 5 miles of 13 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141140 -  ..
141141 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141142 - mile 08 for rest of 13 mile hike.  Seemed not to have experienced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141143 - significant fatigue after taking 2 magnesium at mile 00.  Hike was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141144 - fatigue free last 5 miles, unlike yesterday, when had PL 6 last 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141145 - miles, per above. ref SDS 0 NLDU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141147 -  ..
141148 - In sum, bandaging unsuccessful on left foot #1 and #5, for some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141149 - reason.  Maybe donut opening was not centered well on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141150 - Tomorrow will try using a donut corn bandage on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141152 -  ..
141153 - For left foot #5... applied before hike single ply - DeRoyal REF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141154 - 46-400 Covaderm Plus Adhesive Dressing bandage that shielded callus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141155 - from friction of shoe side.  This was less successful than yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141156 - Today, ended with PL 6, instead of 1. Dressing adhesive came loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141157 - from foot.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141159 -  ..
141160 - For right foot #5... applied single ply hospital white tape simply to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141161 - shield callus from friction. Since this is less protective than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141162 - bandaging system used on left foot, it must indicate right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141163 - callus/injury is less severe, and so responds to less protection that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141164 - is applied with less precision than needed on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141169 -  ..
141170 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141171 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141172 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141173 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141174 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141175 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141178 -  ..
141179 - Concord 17 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141180 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141181 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141182 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141183 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141184 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141185 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141186 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141187 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141188 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141189 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141190 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141191 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141192 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141193 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141194 - despite starting at PL 0 - it is very complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141195 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141196 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141197 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141198 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141199 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141200 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141201 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141202 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141203 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141204 - Seeds for electrolytes (e.g., potassium) and energy, and had 1/4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141205 - avocado for HDL.  Just before starting hike took new Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141206 - 100 mg softgel tablet all per above. ref SDS 0 OKQU  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141207 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141208 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141209 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141210 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141211 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141212 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141213 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141214 - ref SDS 18 O33H  Took backpack to carry stuff today, and in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141215 - have hydration and nutrition.  Temperature 87 and wind 21 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141216 - Cuneo .25 mile and turned left, onto Treat.  Starting hike feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141217 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141218 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141219 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141220 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141221 - with no dyspnea, indicating condition has sustained, despite minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141222 - hiking last few months.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141223 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141224 - mostly flat grade, some places 3% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141225 - not hike across Newhall Community park and back today.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141226 - PL 0 - endorphins and Tramadol taking effect.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141227 - Creek Road uphill 4% grade.  About mile 2.5 not feeling well, bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141228 - PL 6??  At end of Turtle Creek Road turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141229 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141230 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141231 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141232 - continued on concrete sidewalk .5 miles.  Energy good like yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141233 - Accordingly, did not feel any sense of hitting a fatigue "wall" near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141234 - mile 4, stopping at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141235 - magnesium and CoQ10.  This has been major question for recent hikes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141236 - Today, feet PL 1 after taking Tramadol before starting hike - good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141237 - signal.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141238 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141239 - crossing Park Highlands Road at Stop Light still heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141240 - miles now on asphalt shoulder.  Crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141241 - Road to hike on wider shoulder.  Continued West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141242 - Michigan Boulevard.  Turned left onto Pine Hollow and hiked 0.25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141243 - East - turned around and hiked back.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141244 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141245 - against wind 21 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141246 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141247 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141248 - Feeling left foot #1 PL 3 and #5 PL 5, very disappointing.  Hiked loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141249 - around main buildings, stopping in back at training area - 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141250 - pulups and 20 half push ups.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141251 - Administration building mile 08 time 1316 temp 82 and wind 10 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141252 - looks uniform with no artifact.  Kardia reported HR 107 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141253 - see below. ref SDS 0 9B7F  Bloating PL 3, fatigue PL 2, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141254 - metatarsalgia PL 2.  Left foot #1 PL 5 and #5 PL 6.  Right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141255 - 0.  Took 2 Tramadol 50 mg total 3, for pain.  Since Fatigue is okay,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141256 - took 1 Magnesium complex 300 mg pill, total 3, for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141257 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141258 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141259 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141260 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141261 - pill for HDL and energy to complete hike.  With temperature 82, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141262 - causes sweating that ejects electrolytes, still took 0 Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141263 - electrolyte pill, per above. ref SDS 0 7138  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141264 - main buildings, stopping in back to do more half pullups and pushups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141265 - Back at Visitor Parking, hiked 2-1.5 mile loops through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141266 - Student parking lots.  On reaching Visitor Parking again, left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141267 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141268 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141269 - continued past Crystal Ranch Road heading uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141270 - against wind 14 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141271 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141272 - camber.  Continued West .5 mile to summit - mile 15, end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141273 - traffic barrier.  Turned around and hiked back.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141274 - Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141275 - grade then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141276 - against oncoming, heavy, commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141277 - hiking West .25 miles back to Cuneo, then home.  Ended hike mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141278 - time 1613 temp 87, wind 18, bloating PL 4, fatigue PL 4 - feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141279 - good, except for left foot.  Feet metatarsalgia PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141280 - sensation PL 3, left foot #1 PL 4, #5 PL 5, right foot #1 fracture PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141281 - 0, #5 PL 0, shin splints PL 0, left knee PL 0 (not swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141282 - knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141283 - intermittantly, lower back middle PL 0 - stress carrying backpack,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141284 - left elbow PL 0, when lifting.  EKG uniform with artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141285 - reported HR 115 Tachycardia - see below. ref SDS 0 ENCR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141302 -  ..
141303 - Kardia recorded HR 48 at 0951, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141304 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141305 - after hiking 13 miles temp 87 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141306 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141307 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141308 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141309 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141312 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141313 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250805-ecg-095106_mile_00_048_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141321 -  ..
141322 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141323 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141324 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141325 - ..
141326 -                                                                                                                                                                                                                                                                                                              x
141327 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141328 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141329 -       Date          250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 250517 25051  
141330 -       Miles            17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21      0  
141331 -       HR AVG          114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124     no  
141332 -         MAX           132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133   repo  
141333 -         Min            69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67         
141334 -       El Climb Ft     518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483         
141335 -       Temp Max         87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73         
141336 -       Wind Max         21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17         
141337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141339 -              https://flow.polar.com/training/analysis/8164301897                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141342 -               ..
141344 -   
141345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141349 -  ..
141350 - EKG at mile 08 time 1316 HR 107 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141351 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141352 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141355 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141356 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250805-ecg-131601_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141361 -  ..
141362 - End hike EKG at mile 17, time 1613 HR 115 temp 87 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141363 - Tachycardia... looks uniform with minor artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141364 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141367 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141368 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250805-ecg-161354_mile_17_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141373 -  ..
141374 - Post hike 250805 HR profile beginning 2110, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141375 - activity after hiking 17 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141376 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141377 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141378 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141381 -        ..
141382 -       Date      250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527  250526    
141383 -       Time       2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251    2027     
141384 -       Hours         9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9      11     
141385 -       HR AVG       59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67      69     
141386 -       HR MAX       95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     117     
141387 -       HR Min       39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44      47     
141388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141390 -              https://flow.polar.com/training/analysis/8164611679                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141393 -  ..
141394 - HRV seems  0% 0 and 50% - good and 50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141397 -   
141398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141401 -  ..
141402 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141403 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141404 - Dinner - hot dog asparagus onion avocado cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141406 -  ..
141407 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141446 -         ..
141447 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141448 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141449 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141450 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141451 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141452 -  218.  250806 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141453 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141454 -               0710....BP HR..................................................... 146  89  48  Kardia ECG reports HR status, see below. ref SDS 0 6LH4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141455 -               0715....BP HR..................................................... 157  81  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141456 -               0720....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141457 -               0720....40 466420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
141458 -               0750....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141459 -               0750... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141460 -               0750....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141461 -               0750....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141462 -               0750....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141463 -               0750....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141464 -               0750... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
141465 -  ..
141466 -           *   0831....miles...........  20.0  50.0  355   886 minutes  temp  94 wind 14  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141467 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141468 -               1109....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141469 -               1109....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141470 -               1109... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141471 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141472 -               1109... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141473 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141474 -               1226....mile 12 stopped EKG - NPO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141475 -               0000....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141476 -               0000... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141477 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141478 -               0000... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141479 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141480 -               1347....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141481 -               0000....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141482 -               1347... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141483 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141484 -               1347... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141485 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141486 -               1507... Hike ends mile 20..... ref SDS 0 ENCR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141487 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141488 -               1520....weight.................................... 172  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141489 -               1530....BP HR..................................................... 107  75 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141490 -               1552....BP HR..................................................... 106  77  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141491 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141492 -               1700... 40 126300 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                                                                                                                                                                                                                                                                                  
141493 -               1830............ 10 21830  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
141494 -               1830............ 10 22180  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
141495 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141496 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141497 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141498 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141499 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141500 -               2250... 1000 2529000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141501 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141502 -               2330... 40 466460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141503 -               2340... 40 101000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141506 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141507 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141508 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141509 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141510 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141511 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141512 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141513 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141516 -  ..
141517 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141518 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141520 -  ..
141521 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141522 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141523 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141524 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141525 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141526 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141528 -  ..
141529 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141530 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141532 -  ..
141533 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141534 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141537 -  ..
141538 - Today, hiked 20 miles - Did not feel fatigued at any time; however,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141539 - left foot #1 and #5 PL 0 - 8, impede normal hiking.  Strange -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141540 - metatarsalgia flared significantly hiking on concrete sidewalks, only                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141541 - 5% of route.  Always does, but today, was worse than anytime prior.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141542 - It subsided when back on alphalt surface, and did not recur rest of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141543 - hike.  Did Crystal Ranch 8-mile loop into hills 1st time since April,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141544 - indicating energy recovering.  Really good news, bloating was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141545 - elevated, but went to 0 hiking uphill on Crystal Ranch road.  Then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141546 - came back up rest of hike, but not as bad.  Same issue today, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141547 - yesterday... several days ago PL was near 0, could hike forever.  Next                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141548 - day, PL increased, then again and today even more.  Cannot find way to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141549 - manage PL.  Switching to Urea 20% treatment works better than Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141550 - Lactate 12% for calluses, but still has not caused a major piece of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141551 - callus tissue to release, as occurred last year on right foot #1.  Out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141552 - of large size Corn bandages, so will have to find a way to use the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141553 - smaller ones until meeting with Doctor Tang on 250807.  Cannot see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141554 - applying Corn bandage to callus on edge of #5, so placement is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141555 - defective.  Since had elevated pain on left foot #1 and #5, took 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141556 - Tramadol, including 2 at mile 8.  Skipped Tramadol at next stop mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141557 - 16 - did not slip into light-seizure last 2 hours of hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141558 - staggering, hazy, hallucinating, near sleep while finishing hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141561 -         ..
141562 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141563 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141564 -        Stomach pain ischemic colitis bloating.......   4         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
141565 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
141566 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141567 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141568 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141569 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
141570 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141571 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141572 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141573 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141574 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
141575 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141576 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
141577 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141578 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
141579 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141580 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141581 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141582 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141583 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
141584 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141585 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141586 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141587 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141588 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
141589 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141590 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141591 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141592 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141593 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141594 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141595 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141596 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
141597 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141598 -        Electric shocks middle 3 toes right foot.....   0         10  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141599 -        Metatarsalgia left foot...PRP 210705.........   6         10  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
141600 -        Metatarsalgia right foot..PRP 210705.........   6         10  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
141601 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
141602 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
141603 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141604 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141605 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
141606 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
141607 -        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                                                                                                                                                                                                                                                                                                                           
141608 -        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                                                                                                                                                                                                                                                                                                                                                                                    
141609 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141610 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
141611 -        Callus big toe left foot...PRP 210705........   8         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
141612 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141613 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141614 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
141615 -        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                                                                                                                                                                                                                                                                                                                                           
141616 -        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                                                                                                                                                                                                                                                                                                                                           
141617 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141618 -        Callus little toe right foot..top of toe.....   3         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
141619 -        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                                                                                                                                                                                                                                                                                                                                                                                        
141620 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
141621 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
141622 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141623 -        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                                                                                                                                                                                                                                                                                                                                                              
141624 -        Callus little toe #5 left foot...PRP 210705..   8         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
141625 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
141626 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141627 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141628 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
141629 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141630 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
141631 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
141632 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141633 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
141634 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141635 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141636 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141637 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141638 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141639 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141640 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141641 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
141642 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141643 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141646 -  ..
141647 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141648 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141650 -  ..
141651 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141652 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141653 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141654 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141655 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141656 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141657 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141659 -  ..
141660 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141661 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141662 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141664 -  ..
141665 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141666 - pair Wrightsocks dual-ply socks, hoping to reduce lateral pressure on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141667 - left foot #5 and #1, Got initially better then poor results.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141669 -  ..
141670 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141672 -  ..
141673 - Callus Injuries - today on 250804, continued using larger donut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141674 - bandage found in supplies on 250801, per above. ref SDS 0 SB9U  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141675 - Tramadol had PL 7 last 5 miles of 13 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141677 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141678 -                    2 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141679 -                    0 Tramadol mile 16 for last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141681 -  ..
141682 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141683 - mile 08 for rest of 13 mile hike.  Seemed not to have experienced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141684 - significant fatigue after taking 2 magnesium at mile 00.  Hike was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141685 - fatigue free last 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141687 -  ..
141688 - In sum, bandaging unsuccessful on left foot #1 and #5, for some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141689 - reason.  Maybe donut opening was not centered well on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141690 - We are out of these.  Will try re-using this tomorrow, and getting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141691 - re-supply from Podiatry during meeting tomorrow after the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141693 -  ..
141694 - For left foot #5... applied silicone gel toe cap held in place with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141695 - tape.  Did not stay in position over 20 mile hike.  Prevented pain for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141696 - about 5 miles.  This replaced callus protection with donut hole, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141697 - worked about the same yesterday.  May use this again tomorrow for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141698 - shorter 12 mile hike through Golden Gate Park tomorrow before meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141699 - in Podiatry at VAMCSF.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141701 -  ..
141702 - For right foot #5... omitted bandaging.  This worked for about 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141703 - miles, then was increasing pain next 15 miles.  May try single play                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141704 - tape again tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141706 -  ..
141707 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141708 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141709 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141710 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141711 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141712 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141715 -  ..
141716 - Concord 20 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141717 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141718 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141719 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141720 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141721 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141722 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141723 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141724 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141725 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141726 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141727 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141728 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141729 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141730 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141731 - despite starting at PL 0 - it is very complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141732 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141733 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141734 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141735 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141736 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141737 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141738 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141739 - ref SDS 88 VP5H; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141740 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141741 - Seeds for electrolytes (e.g., potassium) and energy, and had 1/4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141742 - avocado for HDL.  Just before starting hike took new Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141743 - 100 mg softgel tablet all per above. ref SDS 0 YK95  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141744 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141745 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141746 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141747 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141748 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141749 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141750 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141751 - ref SDS 18 O33H  Took backpack to carry stuff today, and in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141752 - have hydration and nutrition.  Temperature 94 and wind 14 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141753 - Cuneo .25 mile and turned left, onto Treat.  Starting hike stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141754 - very bloated (may align with impaired HRV overnight Polar study,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141755 - below, ref SDS 0 FAKF), and feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141756 - needles - actually minimal today, and - did not feel electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141757 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141758 - taking statins, diabetes symptoms, and dysfunctional ANS.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141759 - through nose entire hike with no dyspnea, indicating condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141760 - sustained, despite minimal hiking last few months.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141761 - Treat .5 miles.  About mile 1, noticed forgot to start Polar GPS/HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141762 - study.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141763 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141764 - light traffic.  Did not hike across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141765 - today.  Left foot #1 PL 1 - endorphins and Tramadol taking effect.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141766 - Continued on Turtle Creek Road uphill 4% grade.  About mile 2.5 not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141767 - feeling well, bloating PL 4 - at least better than yesterday.  At end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141768 - of Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141769 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141770 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141771 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141772 - concrete sidewalk .5 miles.  Energy good like yesterday.  Accordingly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141773 - did not feel any sense of hitting a fatigue "wall" near mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141774 - stopping at Mountain Mike's Pizza restaurant to take interim magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141775 - and CoQ10.  This has been major question for recent hikes.  Today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141776 - feet PL 1 after taking Tramadol before starting hike - good signal.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141777 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141778 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141779 - of hike with metatarsalgia PL 6 hiking on sidewalk.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141780 - crossing Park Highlands Road at Stop Light still heading West .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141781 - miles now on asphalt shoulder.  Crossed to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141782 - Road to hike on wider shoulder.  Continued West past Stop Light at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141783 - Michigan Boulevard.  Turned left onto Pine Hollow and hiked 0.25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141784 - East - turned around and hiked back.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141785 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141786 - against wind 12 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141787 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141788 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141789 - Hiked 2-loops around main buildings, stopping in back at training area                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141790 - - 20 half pulups and 20 half push ups.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141791 - stopped at Administration building mile 08 time 1109 temp 75 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141792 - 05 mph; EKG looks uniform with no artifact.  Kardia reported HR 097                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141793 - Normal Sinus Rhythm - see below. ref SDS 0 FNGM  Bloating PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141794 - fatigue PL 2, feet metatarsalgia PL 2 (significant improvement after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141795 - ending hiking on concrete sidewalk).  Left foot #1 PL 4 and #5 PL 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141796 - Right foot #5 PL 0.  Took 2 Tramadol 50 mg total 3, for pain.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141797 - Fatigue is okay, took 1 Magnesium complex 300 mg pill, total 3, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141798 - energy, absorbing lactic acid, and reducing inflammation, per research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141799 - on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141800 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141801 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141802 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141803 - temperature 82, which causes sweating that ejects electrolytes, still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141804 - took 0 Nuun electrolyte pill, per above. ref SDS 0 SR4H  Left college                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141805 - heading North downhill on Campus Drive.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141806 - Valley Road.  Hiked West on flat grade .5 miles.  At mile 09, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141807 - left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141808 - against 04 mph wind.  Handled this well breathing through nose without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141809 - dyspnea nor stopping.  At summit continued flat grade .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141810 - Continued downhill .25 miles 5% grade.  At Rolling Woods Way continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141811 - uphill on Crystal Ranch Road .5 miles 6% grade against wind 03 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141812 - Road ends at top of hill.  Did not hiked back down hill about .25 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141813 - and then back to top.  Stopped mile 12 time 1226, temp 84, wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141814 - mph; EKG variable with some artifact, Kardia reported HR 115 (...  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141815 - - no wait to get cellphone connection...) Possible Atrial Fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141816 - - see below. ref SDS 0 5K1P  Bloated PL 2 - much improved; feet PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141817 - left foot #1 PL 3, #5 PL 4, burning sensation PL 0; nothing to eat nor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141818 - drink (NPO), per above. ref SDS 0 SR4H  Continued downhill on Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141819 - Ranch Road 6% grade .5 miles.  At bottom of hill, Turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141820 - Rolling Woods Way hiking East .5 miles uphill 6% grade against 04 mph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141821 - wind.  At summit continued downhill .66 miles.  Turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141822 - Hollow.  Hiked 1 mile and turned left onto Campus Drive.  Hiked West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141823 - mile uphill 3% - 4% grade against wind 08 mph.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141824 - Parking again at California State University East Bay Concord Campus -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141825 - 2nd pass.  Stopped at Administration Building mile 16, time 1347 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141826 - 92 and wind 08 mph; EKG variable with some artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141827 - HR 117 Possible Atrial Fibrillation - see below. ref SDS 0 FPB1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141828 - Bloated PL 5, fatigue PL 4, both feet PL 2, burning sensation PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141829 - left foot #1 PL 5, #5 PL 6.  Took 0 Tramadol despite elevated pain to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141830 - avoid seizure symptoms from overdose.  Took Magnesium Complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141831 - pill for energy, absorb lactic acid for pain management, and resolve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141832 - inflammation to enable HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141833 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
141834 - - swallowed pill whole after EGD Dilation on 250211, ref SDS 73 433O,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141835 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141836 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141837 - nutrition - peanut butter, margarine and chia seeds for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141838 - avocado for HDL, did not take Nuun electrolyte pill, took more CoQ10,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141839 - per above. ref SDS 0 SR4H  Exited college on Campus Drive North,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141840 - downhill.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141841 - grade .5 miles.  Continued past Crystal Ranch Road uphill 3% grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141842 - miles against wind 10 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141843 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141844 - camber.  Feet PL required not hiking .5 miles uphill 3% grade to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141845 - summit and hiking back.  Turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141846 - miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141847 - miles, then .5 miles in narrow shoulder against oncoming, heavy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141848 - commute traffic.  Turned left onto Treat hiking West .25 miles back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141849 - Cuneo, then home.  Ended hike mile 20 time 1507 temp 94, wind 12,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141850 - bloating PL 2, fatigue PL 2 - much lower today, actually feeling very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141851 - good, except for left foot PL, feet metatarsalgia PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141852 - sensation PL 0, left foot #1 PL 8, #5 edge PL 7, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141853 - fracture PL 0, #5 PL 0, shin splints PL 0, left knee PL 2 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141854 - swollen), right knee PL 0, left shoulder PL 0, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141855 - PL 0 intermittantly, lower back middle PL 0 - stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
141856 - backpack, left elbow PL 0, when lifting.  EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141857 - artifact, Kardia reported HR 120 Unclassified - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141858 - RZSY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141873 -  ..
141874 - Kardia recorded HR 47 at 0701, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141875 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141876 - hiking 17 miles temp 87 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141877 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141878 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141879 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141880 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141883 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141884 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250806-ecg-070154_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141892 -  ..
141893 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141894 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
141895 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141896 - ..
141897 -                                                                                                                                                                                                                                                                                                              x
141898 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141899 -                                                 x                                                              7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141900 -       Date          250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 250524 250523 250522 250521 250520 250519 250518 25051  
141901 -       Miles            20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0      0     30     14     25     21     19     21  
141902 -       HR AVG          114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no     no    111    105    113    118    110    124  
141903 -         MAX           135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report report report  165    118    135    133    126    133  
141904 -         Min            79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                             60     76     81     66     77     67  
141905 -       El Climb Ft     613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                            420    481    481    541    541    483  
141906 -       Temp Max         94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                             80     90     86     86     81     73  
141907 -       Wind Max         14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                             20     20     20     14     17     17  
141908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141910 -              https://flow.polar.com/training/analysis/8164957772                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141913 -               ..
141915 -   
141916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141920 -  ..
141921 - EKG at mile 08 time 1109 HR 097 temp 75, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141922 - Rhythm...  heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141923 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141926 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141927 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250806-ecg-110934_mile_08_097_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141932 -  ..
141933 - EKG at mile 12 time 1226 HR 115 temp 84, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141934 - Atrial Fibrillation... heart rate looks uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141935 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141938 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141939 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250806-ecg-122630_mile_12_115_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141944 -  ..
141945 - EKG at mile 16 time 1347 HR 117 temp 92, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141946 - Atrial Fibrillation... heart rate looks variable with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141947 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141950 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141951 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250806-ecg-134702_mile_16_117_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141956 -  ..
141957 - End hike EKG at mile 20, time 1507 HR 120 temp 94 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
141958 - Unclassified... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141959 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
141960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141962 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
141963 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250806-ecg-150725_mile_20_120_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
141964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141968 -  ..
141969 - Post hike 250806 HR profile beginning 2059, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141970 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
141971 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
141972 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
141973 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
141974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141976 -        ..
141977 -       Date      250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528  250527    
141978 -       Time       2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101    2251     
141979 -       Hours         6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10       9     
141980 -       HR AVG       63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69      67     
141981 -       HR MAX       91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     110     
141982 -       HR Min       45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43      44     
141983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141985 -              https://flow.polar.com/training/analysis/8165174089                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
141986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141988 -  ..
141989 - HRV seems 75% 0 and 25% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
141990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141992 -   
141993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
141996 -  ..
141997 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
141998 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
141999 - Dinner - macaroni cheese hamburger brocolli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142001 -  ..
142002 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142040 -         ..
142041 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142042 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142043 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142044 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142045 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142046 -  219.  250807 0315............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142047 -               0315....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142048 -               0320....BP HR..................................................... 135  76  65  Kardia ECG reports HR status, see below. ref SDS 0 8K2H                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142049 -               0325....BP HR..................................................... 128  67  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142050 -               0330....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142051 -               0330....40 466500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142052 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142053 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142054 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142055 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142056 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142057 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142058 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142059 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142060 -               1700... 40 126340 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                                                                                                                                                                                                                                                                                  
142061 -             1 0000............ 10 21830  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142062 -             1 0000............ 10 22180  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142063 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142064 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142065 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142066 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142067 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142068 -               2250... 1000 2530000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142069 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142070 -               2330... 40 466540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142071 -               2340... 40 101040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142073 -  ..
142074 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142075 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142077 -  ..
142078 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142079 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142080 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142081 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142082 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142083 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142085 -  ..
142086 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142087 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142089 -  ..
142090 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142091 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142095 -  ..
142096 - Kardia recorded HR 56 at 0303, Unclassified, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142097 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142098 - hiking 20 miles temp 94 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142099 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142100 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142101 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142102 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142105 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142106 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250807-ecg-030329_mile_00_056_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142111 -  ..
142112 - Post hike 250807 HR profile beginning 2000, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142113 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142114 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142115 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142116 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142119 -        ..
142120 -       Date      250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529  250528    
142121 -       Time       2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957    2101     
142122 -       Hours        11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10      10     
142123 -       HR AVG       60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74      69     
142124 -       HR MAX      101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     131     
142125 -       HR Min       42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45      43     
142126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142128 -              https://flow.polar.com/training/analysis/8165974058                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142131 -  ..
142132 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142135 -   
142136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142139 -  ..
142140 - Breakfast - eggs sausage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142141 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142142 - Dinner - tuna avocado onion cottage cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142144 -  ..
142145 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142183 -         ..
142184 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142185 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142186 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142187 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142188 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142189 -  220.  250808 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142190 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142191 -               0730....BP HR..................................................... 133  76  68  Kardia ECG reports HR status, see below. ref SDS 0 9QVL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142192 -               0735....BP HR..................................................... 136  76  70                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142193 -               0740....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142194 -               0740....40 466580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142195 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142196 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142197 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142198 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142199 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142200 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142201 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142202 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142203 -               1700... 40 126380 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                                                                                                                                                                                                                                                                                  
142204 -               1830............ 10 21840  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142205 -               1830............ 10 22190  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142206 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142207 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142208 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142209 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142210 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142211 -               2250... 1000 2531000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142212 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142213 -               2330... 40 466620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142214 -               2340... 40 101080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142217 -  ..
142218 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142219 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142221 -  ..
142222 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142223 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142224 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142225 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142226 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142227 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142229 -  ..
142230 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142231 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142233 -  ..
142234 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142235 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142240 -  ..
142241 - Kardia recorded HR 59 at 0752, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142242 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142243 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142244 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142245 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142246 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142247 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142250 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142251 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250808-ecg-075207_mile_00_059_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142257 -  ..
142258 - Post hike 250808 HR profile beginning 2312, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142259 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142260 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142261 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142262 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142265 -        ..
142266 -       Date      250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530  250529    
142267 -       Time       2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109    1957     
142268 -       Hours         7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8      10     
142269 -       HR AVG       61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81      74     
142270 -       HR MAX      106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     125     
142271 -       HR Min       42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32      45     
142272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142274 -              https://flow.polar.com/training/analysis/8166601134                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142277 -  ..
142278 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142281 -   
142282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142285 -  ..
142286 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142287 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142288 - Dinner - eggs potoato asparagus avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142290 -  ..
142291 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142330 -         ..
142331 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142332 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142333 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142334 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142335 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142336 -  221.  250809 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142337 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142338 -               0710....BP HR..................................................... 148  86  70  Kardia ECG reports HR status, see below. ref SDS 0 AET6                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142339 -               0715....BP HR..................................................... 132  78  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142340 -               0720....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142341 -               0720....40 466660 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142342 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142343 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142344 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142345 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142346 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142347 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142348 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142349 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142350 -               1700... 40 126420 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                                                                                                                                                                                                                                                                                  
142351 -             1 0000............ 10 21840  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142352 -             1 0000............ 10 22190  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142353 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142354 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142355 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142356 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142357 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142358 -               2250... 1000 2532000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142359 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142360 -               2330... 40 466700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142361 -               2340... 40 101120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142364 -  ..
142365 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142366 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142368 -  ..
142369 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142370 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142371 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142372 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142373 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142374 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142376 -  ..
142377 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142378 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142380 -  ..
142381 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142382 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142388 -  ..
142389 - Kardia recorded HR 51 at 0810, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142390 - mostly variable heart beat lengths with p-waves and artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142391 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142392 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142393 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142394 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142395 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142398 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142399 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250809-ecg-081022_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142404 -  ..
142405 - Post hike 250809 HR profile beginning 2138, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142406 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142407 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142408 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142409 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142412 -        ..
142413 -       Date      250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531  250530    
142414 -       Time       2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126    2109     
142415 -       Hours         9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9       8     
142416 -       HR AVG       57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60      81     
142417 -       HR MAX      101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     132     
142418 -       HR Min       39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41      32     
142419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142421 -              https://flow.polar.com/training/analysis/8167234092                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142424 -  ..
142425 - HRV seems 40% 0 and 60% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142428 -   
142429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142432 -  ..
142433 - Breakfast - eggmcmuffin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142434 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142435 - Dinner - eggs potoato asparagus avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142437 -  ..
142438 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142476 -         ..
142477 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142478 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142479 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142480 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142481 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142482 -  222.  250810 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142483 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142484 -               0720....BP HR..................................................... 148  86  70  Kardia ECG reports HR status, see below. ref SDS 0 EGUR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142485 -               0725....BP HR..................................................... 130  83  72                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142486 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142487 -               0730....40 466740 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142488 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142489 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142490 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142491 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142492 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142493 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142494 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142495 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142496 -               1700... 40 126460 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                                                                                                                                                                                                                                                                                  
142497 -               1830............ 10 21850  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142498 -               1830............ 10 22200  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142499 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142500 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142501 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142502 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142503 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142504 -               2250... 1000 2533000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142505 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142506 -               2330... 40 466780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142507 -               2340... 40 101160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142510 -  ..
142511 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142512 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142514 -  ..
142515 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142516 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142517 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142518 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142519 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142520 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142522 -  ..
142523 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142524 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142526 -  ..
142527 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142528 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142534 -  ..
142535 - Kardia recorded HR 46 at 0745, Bradycardia, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142536 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142537 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142538 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142539 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142540 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142541 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142544 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142545 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250810-ecg-074503_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142551 -  ..
142552 - Post hike 250810 HR profile beginning 2056, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142553 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142554 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142555 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142556 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142559 -        ..
142560 -       Date      250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601  250531    
142561 -       Time       2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114    2126     
142562 -       Hours         9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10       9     
142563 -       HR AVG       65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69      60     
142564 -       HR MAX       97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     103     
142565 -       HR Min       41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45      41     
142566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142568 -              https://flow.polar.com/training/analysis/8167782701                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142571 -  ..
142572 - HRV seems 60% 0 and 40% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142575 -   
142576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142579 -  ..
142580 - Breakfast - eggmcmuffin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142581 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142582 - Dinner - hamburger eggs potoato broccoli avocado onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142584 -  ..
142585 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142625 -         ..
142626 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142627 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142628 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142629 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142630 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142631 -  223.  250811 0635............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142632 -               0635....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142633 -               0640....BP HR..................................................... 140  71  62  Kardia ECG reports HR status, see below. ref SDS 0 KWVZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142634 -               0645....BP HR..................................................... 125  79  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142635 -               0650....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142636 -               0650....40 466820 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142637 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142638 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142639 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142640 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142641 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142642 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142643 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142644 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142645 -               1700... 40 126500 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                                                                                                                                                                                                                                                                                  
142646 -             1 0000............ 10 21850  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142647 -             1 0000............ 10 22200  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142648 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142649 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142650 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142651 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142652 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142653 -               2250... 1000 2534000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142654 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142655 -               2330... 40 466860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142656 -               2340... 40 101200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142659 -  ..
142660 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142661 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142663 -  ..
142664 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142665 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142666 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142667 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142668 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142669 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142671 -  ..
142672 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142673 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142675 -  ..
142676 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142677 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142683 -  ..
142684 - Kardia recorded HR 49 at 0618, Bradycardia, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142685 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142686 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142687 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142688 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142689 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142690 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142693 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142694 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250811-ecg-061821_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142698 -  ..
142699 - Post hike 250811 HR profile beginning 2012, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142700 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142701 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142702 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142703 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142706 -        ..
142707 -       Date      250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602  250601    
142708 -       Time       2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230    2114     
142709 -       Hours        11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9      10     
142710 -       HR AVG       63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62      69     
142711 -       HR MAX      115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     133     
142712 -       HR Min       40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41      45     
142713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142715 -              https://flow.polar.com/training/analysis/8168516527                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142718 -  ..
142719 - HRV seems 20% 0 and 50% - good and 30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142722 -   
142723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142726 -  ..
142727 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142728 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142729 - Dinner - hamburger eggs potoato broccoli onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142731 -  ..
142732 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142773 -         ..
142774 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142775 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142776 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142777 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142778 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142779 -  224.  250812 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142780 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142781 -               0720....BP HR..................................................... 123  77  56  Kardia ECG reports HR status, see below. ref SDS 0 YEDJ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142782 -               0725....BP HR..................................................... 130  85  69                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142783 -               0730....weight.................................... 175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142784 -               0730....40 466900 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142785 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142786 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142787 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142788 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142789 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142790 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142791 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142792 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142793 -               1700... 40 126540 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                                                                                                                                                                                                                                                                                  
142794 -               1830............ 10 21860  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142795 -               1830............ 10 22210  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142796 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142797 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142798 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142799 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142800 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142801 -               2250... 1000 2535000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142802 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142803 -               2330... 40 466940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142804 -               2340... 40 101240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142807 -  ..
142808 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142809 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142811 -  ..
142812 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142813 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142814 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142815 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142816 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142817 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142819 -  ..
142820 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142821 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142823 -  ..
142824 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142825 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142829 -  ..
142830 - Kardia recorded HR 52 at 0739, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142831 - uniform heart beat lengths with p-waves and significant artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142832 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142833 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142834 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142835 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142836 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142839 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142840 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250812-ecg-073936_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142844 -  ..
142845 - Did another EKG with no artifact to verify....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142848 -               ..
142849 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250812-ecg-090633_mile_00_064_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
142850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142853 -  ..
142854 - Post hike 250812 HR profile beginning 2027, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142855 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
142856 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142857 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142858 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142861 -        ..
142862 -       Date      250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603  250602    
142863 -       Time       2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939    2230     
142864 -       Hours        10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12       9     
142865 -       HR AVG       65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72      62     
142866 -       HR MAX      116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     105     
142867 -       HR Min       41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45      41     
142868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142870 -              https://flow.polar.com/training/analysis/8169169300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142873 -  ..
142874 - HRV seems 70% 0 and 30% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142877 -   
142878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142881 -  ..
142882 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142883 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142884 - Dinner - macaroni cheese hot dog asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142886 -  ..
142887 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142928 -         ..
142929 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142930 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142931 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142932 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142933 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142934 -  225.  250813 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142935 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142936 -               0645....BP HR..................................................... 145  82  54  Kardia ECG reports HR status, see below. ref SDS 0 CR7A                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142937 -               0650....BP HR..................................................... 160  87  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142938 -               0655....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142939 -               0655....40 466980 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
142940 -               0840....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142941 -               0840... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142942 -               0840....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142943 -               0840....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142944 -               0840....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142945 -               0840....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142946 -               0840... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
142947 -  ..
142948 -               0909....miles...........  22.0  23.0  389   389 minutes  temp  80 wind 17  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142949 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142950 -               1209....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142951 -               1207....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142952 -               1207... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142953 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142954 -               1207... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142955 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142956 -               1348....mile 15 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142957 -               0000....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142958 -               1348....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142959 -               1348... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
142960 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142961 -               1348... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142962 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142963 -               1615... Hike ends mile 22..... ref SDS 0 6K2W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
142964 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142965 -               1635....weight.................................... 173  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142966 -               1645....BP HR..................................................... 106  67 104                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142967 -               1700....BP HR..................................................... 110  69 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142968 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
142969 -               1700... 40 126580 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                                                                                                                                                                                                                                                                                  
142970 -             1 0000............ 10 21860  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
142971 -             1 0000............ 10 22210  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
142972 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142973 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142974 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142975 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142976 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
142977 -               2250... 1000 2536000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142978 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
142979 -               2330... 40 467020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142980 -               2340... 40 101280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142983 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
142984 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142985 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142986 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
142987 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
142988 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
142989 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
142990 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
142991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142993 -  ..
142994 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
142995 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
142997 -  ..
142998 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
142999 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143000 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143001 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143002 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143003 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143005 -  ..
143006 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143007 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143009 -  ..
143010 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143011 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143014 -  ..
143015 - Today, hiked 22 miles - Did not feel fatigued at any time; however,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143016 - left foot #1 and #5 PL 0 - 8, impede normal hiking.  Bloating seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143017 - better controlled, despite not hiking the past 6 days.  Cannot find                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143018 - way to manage PL.  Switching to Urea 20% treatment works better than                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143019 - Ammonium Lactate 12% for calluses, but still has not caused a major                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143020 - piece of callus tissue to release, as occurred last year on right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143021 - #1.  Large size Corn bandages received from Doctor Tang in VA Podiatry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143022 - on 250807 0900. ref SDS A2 T49H  Cannot see applying Corn bandage to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143023 - callus on edge of #5, so placement is defective.  Since had elevated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143024 - pain on left foot #1 and #5, took 3 Tramadol, including 2 at mile 10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143025 - Experimented at mile 15, substituting Naproxen for Tramadol, to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143026 - a 4th Tramadol and thereby avoid slipping into light-seizure last 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143027 - hours of hike - staggering, hazy, hallucinating, near sleep while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143028 - finishing hike.  Instead, took Naproxen that supplements Tramadol for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143029 - pain releif and does not cause seizure that brings severe fatigue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143030 - Seemed effective today.  At mile 20 tried hiking up Rohda Way a very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143031 - steep hill.  Unfortunately, left foot #5 was severely blistered.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143032 - Tomorrow will try for better bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143035 -         ..
143036 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143037 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143038 -        Stomach pain ischemic colitis bloating.......   4         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
143039 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
143040 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143041 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143042 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143043 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
143044 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143045 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143046 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143047 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143048 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
143049 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143050 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
143051 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143052 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
143053 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143054 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143055 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143056 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143057 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
143058 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143059 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143060 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143061 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143062 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
143063 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143064 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143065 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143066 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143067 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143068 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143069 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143070 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
143071 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143072 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143073 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
143074 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
143075 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
143076 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
143077 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143078 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143079 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
143080 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
143081 -        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                                                                                                                                                                                                                                                                                                                           
143082 -        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                                                                                                                                                                                                                                                                                                                                                                                    
143083 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143084 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
143085 -        Callus big toe left foot...PRP 210705........   3         10  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
143086 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143087 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143088 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
143089 -        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                                                                                                                                                                                                                                                                                                                                           
143090 -        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                                                                                                                                                                                                                                                                                                                                           
143091 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143092 -        Callus little toe right foot..top of toe.....   3         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
143093 -        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                                                                                                                                                                                                                                                                                                                                                                                        
143094 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
143095 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
143096 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143097 -        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                                                                                                                                                                                                                                                                                                                                                              
143098 -        Callus little toe #5 left foot...PRP 210705..   8         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
143099 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
143100 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143101 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143102 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
143103 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143104 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
143105 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
143106 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143107 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
143108 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143109 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143110 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143111 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143112 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143113 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143114 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143115 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
143116 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143117 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143120 -  ..
143121 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143122 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143124 -  ..
143125 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143126 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143127 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143128 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143129 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143130 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143131 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143133 -  ..
143134 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143135 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143136 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143138 -  ..
143139 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143140 - wearing 1 pair Wrightsocks dual-ply socks, hoping to reduce lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143141 - pressure on left foot #5 and #1, and on right foot #5.  Initially had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143142 - good, then poor results.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143144 -  ..
143145 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143147 -  ..
143148 - Callus Injuries - today on 250813, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143149 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143150 - With Tramadol had PL 7 last 5 miles of 22 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143152 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143153 -                    2 Tramadol mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143154 -                    1 Naproxen  mile 15 for last 7 miles of 22 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143156 -  ..
143157 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143158 - mile 15 for rest of 22 mile hike.  Microsoft AI (Copilot) proposed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143159 - Naproxen can be taken to extend pain management with Tramadol, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143160 - exceeding neurology limits of Tramadol, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143161 - 200101 0701, ref SDS 18 K5FI, and citing research in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143162 - 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143164 -  ..
143165 - Seemed not to have experienced significant fatigue after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143166 - magnesium at mile 00.  Hike was fatigue free last 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143168 -  ..
143169 - In sum, bandaging more successful today, but still less than what is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143170 - needed on left foot #1 and #5, for some reason.  Maybe donut opening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143171 - was not centered well on #1 callus.  We are out of these.  Will try                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143172 - re-using this tomorrow, and getting re-supply from Podiatry during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143173 - meeting tomorrow after the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143175 -  ..
143176 - For left foot #5... applied silicone gel toe cap held in place with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143177 - tape.  Did not stay in position over 20 mile hike.  Prevented pain for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143178 - about 5 miles.  This replaced callus protection with donut hole, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143179 - worked about the same yesterday.  Today, silicone gel toe cap caused                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143180 - blood blister about mile 12.  Had to take more pain meds to get home -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143181 - then could not hike for another week while injury healed - total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143182 - disaster.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143184 -  ..
143185 - For right foot #5... omitted bandaging.  This worked for about 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143186 - miles, then was increasing pain next 15 miles.  May try single play                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143187 - tape again tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143189 -  ..
143190 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143191 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143192 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143193 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143194 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143195 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143198 -  ..
143199 - Concord 22 mile route - took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143200 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143201 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143202 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143203 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143204 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143205 - With feet PL 0, took only 1 instead of 0 Tramadol for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143206 - despite 2 Tramadol was not enough to get past mile 4 on Concord route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143207 - - had to take more to reach mile 8, during hikes on 250522, per above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143208 - ref SDS 0 STXU, and feet have healed past 3 weeks, while applying Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143209 - 20% to calluses instead of Ammonium Lactate 12%, and even though there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143210 - is no metatarsalgia pain in feet starting the hike today, and further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143211 - that left foot #1 and #5 calluses both start at PL 0, after treatment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143212 - by Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143213 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143214 - despite starting at PL 0 - it is complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143215 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143216 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143217 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143218 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143219 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143220 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143221 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143222 - ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143223 - week on 250807 0654. ref SDS A1 VP5H - in telephone meeting this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143224 - morning with Lauren in Primary Care discussed Iron supplement to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143225 - increase Ferritin.  Decided to rely on improving Ferritin along with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143226 - recovering from all afflictions from dysfunctional ANS, by increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143227 - hiking to restore sinus rhythm, reported in another record today on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143228 - 250813 0730, ref SDS A3 MJ5I; and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143229 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143230 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143231 - had 1/4 avocado for HDL.  Just before starting hike took new Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143232 - CoQ10 100 mg softgel tablet all per above. ref SDS 0 6BYX  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143233 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143234 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143235 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143236 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143237 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143238 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143239 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143240 - ref SDS 18 O33H  Took backpack to carry stuff today, and in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143241 - have hydration and nutrition.  Temperature 80 and wind 17 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143242 - Cuneo .25 mile and turned left, onto Treat.  Starting hike stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143243 - only moderately bloated (may align with minimal impaired HRV overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143244 - Polar study, above, ref SDS 0 8IVG), and feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143245 - pins and needles - actually minimal today, and - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143246 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143247 - neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143248 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143249 - indicating condition has sustained, despite minimal hiking last few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143250 - days.  Hiked East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143251 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143252 - some places 3% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143253 - Newhall Community park and back today.  Left foot #1 PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143254 - #5 PL 2 - bummer!! - endorphins and Tramadol less effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143255 - Continued on Turtle Creek Road uphill 4% grade.  About mile 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143256 - feeling less than well, bloating PL 3.  At end of Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143257 - turned left onto Ayers hiking East .75 miles on asphalt road shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143258 - At mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143259 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143260 - Way at traffic light and continued on concrete sidewalk .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143261 - Energy good - did not feel any sense of hitting a fatigue "wall" near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143262 - mile 4, stopping at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143263 - magnesium and CoQ10.  This has been major question for hikes past 6 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143264 - months.  Today, feet PL 2 after taking Tramadol before starting hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143265 - not good signal.  Continued hiking past mile 4.  Turned right heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143266 - West on Ygnacio Valley Road using concrete sidewalk .5 miles.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143267 - difficult part of hike with metatarsalgia PL 4 hiking on sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143268 - Continued hike crossing Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143269 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143270 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143271 - Stop Light at Michigan Boulevard.  Turned left onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143272 - hiked 0.25 mile East - turned around and hiked back.  Near Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143273 - Valley road turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143274 - grade.  Hiked 1 mile against wind 15 mph.  On reaching North end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143275 - Student Parking at college, about 1100, noticed Lisa's car, and saw                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143276 - her with the dogs.  Hiked 3 - 4 miles with Lisa and her 16 dogs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143277 - through Student and Faculty parking lots.  She has lost weight, since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143278 - we visited months ago - looks very healthy.  Zane hiked earlier this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143279 - morning.  Her mom is doing well.  She and Zane are visiting his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143280 - parents in SoCal this weekend.  Things are going well for them.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143281 - Lisa completed the 4-miles walking the dogs, she left the college.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143282 - Continued hiking to Visitor Parking California State University East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143283 - Bay Concord Campus.  Hiked loop around main buildings, stopping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143284 - back at training area - 20 half pulups and 20 half push ups.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143285 - Visitor Parking, stopped at Administration building mile 10 time 1207                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143286 - temp 73 and wind 14 mph; EKG looks uniform with minor artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143287 - Kardia reported HR 107 Tachycardia - see below. ref SDS 0 7HWI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143288 - Bloating PL 4, fatigue PL 1, feet metatarsalgia PL 3 (improvement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143289 - after hiking on concrete sidewalk).  Left foot #1 PL 2 and #5 PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143290 - Right foot #5 PL 4.  Took 2 Tramadol 50 mg total today 3.  Since                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143291 - Fatigue is okay, took 1 Magnesium complex 300 mg pill, total today 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143292 - for energy, absorbing lactic acid, and reducing inflammation, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143293 - research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143294 - home for hydration and swallowing nutrition - peanut butter, avocado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143295 - with margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143296 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.  With                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143297 - temperature 73, which causes minimal sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143298 - electrolytes, took 0 Nuun electrolyte pill, per above. ref SDS 0 OUSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143299 - Hiked another loop around main buildings.  Left college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143300 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143301 - Hiked West on flat grade .5 miles.  At mile 12, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143302 - Ranch Road uphill 3% grade .5 miles against wind 14 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143303 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143304 - Ygnacio Valley Road to avoid severe camber.  Continued West .5 mile to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143305 - summit - mile 09 end of concrete traffic barrier.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143306 - traffic, mile 13, crossed back to South side Ygnacio Valley Road in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143307 - order to use wider asphalt shoulder.  Continued West 2 miles downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143308 - 3% grade.  Did not feel electrical shocks in balls of feet today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143309 - Crossed Oak Grove at traffic light.  Today, energy was good, but feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143310 - hurting, so hiked 0 1-mile loops using asphalt path around the block                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143311 - at Safeway shopping complex.  Stopped at Mod Pizza mile 15 time 1348                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143312 - temp 78 and wind 17 mph; EKG looks mostly uniform with minor artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143313 - - Kardia reported HR 122, Tachycardia - see below. ref SDS 0 CH2U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143314 - Fatigue PL 1, bloating PL 2 after taking 1 Tramadol at mile 0, and 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143315 - more at mile 10, feet metatarsalgia PL 3, burning sensation PL 2.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143316 - Left foot #1 PL 3 and #5 PL 4; right foot #5 PL 3.  Could not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143317 - another Tramadol, because had taken 3 after leaving college.  To avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143318 - over medicating with opioids, took Naproxen, per review of Pain Meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143319 - in case study on 200101 0701. ref SDS 18 K5FI  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143320 - complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143321 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143322 - provided complimentary cup, water and ice.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143323 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143324 - avocado with margarine and Mayonnaise.  Chia Seeds for electrolytes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143325 - Took Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143326 - With temperature 78, which causes minimal sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143327 - electrolytes, took 0 Nuun electrolyte pill, per above. ref SDS 0 OUSQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143328 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143329 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143330 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143331 - mile North on asphalt shoulder.  At stop light turned right heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143332 - East.  Within .25 mile, at break in traffic crossed to North side of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143333 - Treat Boulevard.  Continued 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143334 - sidewalk.  Maintained pace - no seizure loss of motor control, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143335 - occurred on prior hike 250724, and despite taking 4th pain med, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143336 - Naproxen instead of another Tramadol, per review with Microsoft AI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143337 - today on 250813 1816. ref SDS A4 9GXC  Continued past San Miguel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143338 - uphill 0.75 mile 5% grade temp 90.  Handled this well.  At summit,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143339 - mile 18, hiked another mile to Cuneo then on to Cowell, and back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143340 - Cuneo.  Hiked 2 miles through residential streets, including about .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143341 - way up very steep - 15% grade - hill on Rhoda Way, and back.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143342 - hike mile 22 time 1615 temp 80, wind 14.  Bloated PL 1, fatigue PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143343 - feet PL 4, burning sensation PL 2, left foot #1 PL 3, #5 PL 6 (looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143344 - like blood blister), right foot #5 PL 4, neck/spine PL 0 momentarily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143345 - turning head, lower back right side PL 0.  EKG looks mostly uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143346 - with minor artifact, Kardia reported HR 119, Tachycardia - ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143347 - 6K2W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143361 -  ..
143362 - Kardia recorded HR 53 at 0823, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143363 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143364 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143365 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143366 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143367 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143368 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143371 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143372 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250813-ecg-082358_mile_00_053_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143379 -  ..
143380 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143381 - hike 23 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143382 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143383 - ..
143384 -                                                                                                                                                                                                                                                                                                              x
143385 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143386 -                                                 x             x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143387 -       Date          250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 250529 250528 250527 250526 250525 25052  
143388 -       Miles            23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0      0      0      0      0      0  
143389 -       HR AVG          119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no     no     no     no     no     no  
143390 -         MAX           143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report report report report report report repo  
143391 -         Min            79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                                                   
143392 -       El Climb Ft     613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                                                   
143393 -       Temp Max         94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                                                   
143394 -       Wind Max         14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                                                   
143395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143397 -              https://flow.polar.com/training/analysis/8169517131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143400 -               ..
143402 -   
143403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143407 -  ..
143408 - EKG at mile 10 time 1207 HR 107 temp 73, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143409 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143410 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143413 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143414 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250813-ecg-120730_mile_10_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143419 -  ..
143420 - EKG at mile 15 time 1348 HR 122 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143421 - Tachycardia... heart rate looks uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143422 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143425 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143426 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250813-ecg-134805_mile_15_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143431 -  ..
143432 - End hike EKG at mile 22, time 1615 HR 119 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143433 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143434 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143437 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143438 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250813-ecg-161548_mile_22_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143443 -  ..
143444 - Post hike 250813 HR profile beginning 2303, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143445 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143446 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143447 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143448 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143451 -        ..
143452 -       Date      250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604  250603    
143453 -       Time       2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959    1939     
143454 -       Hours         7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10      12     
143455 -       HR AVG       63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68      72     
143456 -       HR MAX      123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     131     
143457 -       HR Min       44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41      45     
143458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143460 -              https://flow.polar.com/training/analysis/8169865504                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143463 -  ..
143464 - HRV seems 25% 0 and 75% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143467 -   
143468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143471 -  ..
143472 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143473 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143474 - Dinner - pancake eggs milk strawberries banana                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143476 -  ..
143477 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143517 -         ..
143518 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143519 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143520 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143521 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143522 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143523 -  226.  250814 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143524 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143525 -               0645....BP HR..................................................... 134  81  51  Kardia ECG reports HR status, see below. ref SDS 0 OVRI                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143526 -               0650....BP HR..................................................... 124  80  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143527 -               0655....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143528 -               0655....40 467060 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
143529 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143530 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143531 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143532 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143533 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143534 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143535 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143536 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143537 -               1700... 40 126620 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                                                                                                                                                                                                                                                                                  
143538 -               1830............ 10 21870  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143539 -               1830............ 10 22220  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143540 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143541 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143542 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143543 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143544 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143545 -               2250... 1000 2537000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143546 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143547 -               2330... 40 467100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143548 -               2340... 40 101320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143550 -  ..
143551 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143552 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143554 -  ..
143555 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143556 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143557 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143558 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143559 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143560 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143562 -  ..
143563 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143564 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143566 -  ..
143567 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143568 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143573 -  ..
143574 - Kardia recorded HR 52 at 0853, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143575 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143576 - after hiking 22 miles temp 80 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143577 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143578 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143579 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143580 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143583 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143584 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250814-ecg-085329_mile_00_052_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143588 -  ..
143589 - Did another to cross check...seems better...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143592 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143593 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250814-ecg-092658_mile_00_052_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143598 -  ..
143599 - Post hike 250814 HR profile beginning 1935, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143600 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143601 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143602 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143603 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143606 -        ..
143607 -       Date      250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605  250604    
143608 -       Time       1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110    1959     
143609 -       Hours        11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9      10     
143610 -       HR AVG       68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77      68     
143611 -       HR MAX      132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     116     
143612 -       HR Min       42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53      41     
143613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143615 -              https://flow.polar.com/training/analysis/8170499688                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143618 -  ..
143619 - HRV seems 35% 0 and 25% - good and 30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143622 -   
143623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143626 -  ..
143627 - Breakfast - cheerios peach milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143628 - Lunch - donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143629 - Dinner - macaroni cheese hot dog asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143631 -  ..
143632 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143670 -         ..
143671 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143672 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143673 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143674 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143675 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143676 -  227.  250815 0610............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143677 -               0610....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143678 -               0625....BP HR..................................................... 129  64  63  Kardia ECG reports HR status, see below. ref SDS 0 YFTY                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143679 -               0630....BP HR..................................................... 126  68  55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143680 -               0635....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143681 -               0635....40 467140 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
143682 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143683 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143684 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143685 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143686 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143687 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143688 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143689 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143690 -               1700... 40 126660 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                                                                                                                                                                                                                                                                                  
143691 -             1 0000............ 10 21870  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143692 -             1 0000............ 10 22220  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143693 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143694 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143695 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143696 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143697 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143698 -               2250... 1000 2538000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143699 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143700 -               2330... 40 467180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143701 -               2340... 40 101360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143704 -  ..
143705 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143706 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143708 -  ..
143709 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143710 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143711 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143712 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143713 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143714 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143716 -  ..
143717 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143718 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143720 -  ..
143721 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143722 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143727 -  ..
143728 - Kardia recorded HR 50 at 0654, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143729 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143730 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143731 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143732 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143733 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143734 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143737 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143738 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250815-ecg-065448_mile_00_050_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143743 -  ..
143744 - Post hike 250815 HR profile beginning 1936, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143745 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143746 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143747 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143748 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143751 -        ..
143752 -       Date      250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606  250605    
143753 -       Time       1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202    2110     
143754 -       Hours        12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4       9     
143755 -       HR AVG       60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68      77     
143756 -       HR MAX      122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     123     
143757 -       HR Min       40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46      53     
143758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143760 -              https://flow.polar.com/training/analysis/8171114442                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143763 -  ..
143764 - HRV seems 25% 0 and 75% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143767 -   
143768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143771 -  ..
143772 - Breakfast - cheerios peach milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143773 - Lunch - sandwich balogney onion tomato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143774 - Dinner - eggs pancake strawberry bannana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143776 -  ..
143777 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143816 -         ..
143817 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143818 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143819 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143820 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143821 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143822 -  228.  250816 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143823 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143824 -               0715....BP HR..................................................... 132  80  57  Kardia ECG reports HR status, see below. ref SDS 0 MKWH                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143825 -               0720....BP HR..................................................... 132  86  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143826 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143827 -               0725....40 467220 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
143828 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143829 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143830 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143831 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143832 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143833 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143834 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143835 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143836 -               1700... 40 126700 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                                                                                                                                                                                                                                                                                  
143837 -               1830............ 10 21880  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143838 -               1830............ 10 22230  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143839 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143840 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143841 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143842 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143843 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143844 -               2250... 1000 2539000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143845 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143846 -               2330... 40 467260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143847 -               2340... 40 101400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143850 -  ..
143851 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143852 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143854 -  ..
143855 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143856 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143857 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143858 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143859 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143860 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143862 -  ..
143863 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143864 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143866 -  ..
143867 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143868 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143872 -  ..
143873 - Kardia recorded HR 49 at 0820, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143874 - mostly variable heart beat lengths with p-waves and no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143875 - likely no AFL after hiking 00 miles temp __ yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143876 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143877 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143878 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143879 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143882 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
143883 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250816-ecg-082016_mile_00_049_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
143884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143887 -  ..
143888 - Post hike 250816 HR profile beginning 2007, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143889 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
143890 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143891 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143892 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143895 -        ..
143896 -       Date      250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607  250606    
143897 -       Time       2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350    0202     
143898 -       Hours         9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3       4     
143899 -       HR AVG       65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75      68     
143900 -       HR MAX      110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     108     
143901 -       HR Min       40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60      46     
143902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143904 -              https://flow.polar.com/training/analysis/8171627218                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143907 -  ..
143908 - HRV seems 25% 0 and 75% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143911 -   
143912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143915 -  ..
143916 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143917 - Lunch - sandwich balogney onion tomato cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143918 - Dinner - hamburger potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
143920 -  ..
143921 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143958 -         ..
143959 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143960 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143961 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143962 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
143963 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143964 -  229.  250817 0540............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143965 -               0540....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143966 -               0545....BP HR..................................................... 132  80  51  Kardia ECG reports HR status, see below. ref SDS 0 OKVL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143967 -               0550....BP HR..................................................... 129  76  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143968 -               0555....weight.................................... 176                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143969 -               0555....40 467300 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
143970 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143971 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143972 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143973 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143974 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143975 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
143976 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
143977 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
143978 -               1700... 40 126740 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                                                                                                                                                                                                                                                                                  
143979 -             1 0000............ 10 21880  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
143980 -             1 0000............ 10 22230  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
143981 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143982 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
143983 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143984 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143985 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
143986 -               2250... 1000 2540000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
143987 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
143988 -               2330... 40 467340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143989 -               2340... 40 101440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
143990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143992 -  ..
143993 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
143994 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
143996 -  ..
143997 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143998 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
143999 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144000 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144001 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144002 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144004 -  ..
144005 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144006 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144008 -  ..
144009 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144010 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144015 -  ..
144016 - Kardia recorded HR 47 at 0538, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144017 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144018 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144019 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144020 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144021 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144022 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144025 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144026 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250817-ecg-053842_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144032 -  ..
144033 - Post hike 250817 HR profile beginning 1941, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144034 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144035 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144036 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144037 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144040 -        ..
144041 -       Date      250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608  250607    
144042 -       Time       1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247    0350     
144043 -       Hours        11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2       3     
144044 -       HR AVG       61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80      75     
144045 -       HR MAX      103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     100     
144046 -       HR Min       37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63      60     
144047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144049 -              https://flow.polar.com/training/analysis/8172287556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144052 -  ..
144053 - HRV seems 30% 0 and 70% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144056 -   
144057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144060 -  ..
144061 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144062 - Lunch - hot dog cottage cheese avocado onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144063 - Dinner - macaroni cheese hamburger potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144065 -  ..
144066 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144103 -         ..
144104 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144105 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144106 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144107 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144108 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144109 -  230.  250818 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144110 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144111 -               0725....BP HR..................................................... 143  82  49  Kardia ECG reports HR status, see below. ref SDS 0 OIR4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144112 -               0730....BP HR..................................................... 131  72  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144113 -               0735....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144114 -               0735....40 467380 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
144115 -               0940....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144116 -               0940... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144117 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144118 -               0940....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144119 -  forgot again 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144120 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144121 -               0940... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
144122 -  ..
144123 -               1009....miles...........  25.0  25.0  430   430 minutes  temp  85 wind 16  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144124 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144125 -               1224....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144126 -               0000....Tramadol 50 mg took 2 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144127 -               1224... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144128 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144129 -               1224... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144130 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144131 -               1500....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144132 -               1500....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144133 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144134 -               1500... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144135 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144136 -               1500... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144137 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144138 -               1635....mile 20 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144139 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144140 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144141 -               1635... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144142 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144143 -               1635... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144144 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144145 -               1813... Hike ends mile 25..... ref SDS 0 QA7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144146 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144147 -               1825....weight.................................... 172  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144148 -               1830....BP HR..................................................... 108  74 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144149 -               1845....BP HR..................................................... 104  76  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144150 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144151 -               1900... 40 126780 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                                                                                                                                                                                                                                                                                  
144152 -               1950............ 10 21890  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144153 -               1950............ 10 22240  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144154 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144155 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144156 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144157 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144158 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144159 -               2250... 1000 2541000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144160 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144161 -               2330... 40 467420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144162 -               2340... 40 101480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144165 -  ..
144166 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144167 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144169 -  ..
144170 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144171 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144172 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144173 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144174 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144175 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144177 -  ..
144178 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144179 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144181 -  ..
144182 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144183 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144186 -  ..
144187 - Today, hiked 25 miles - Much better hike than past 6 months to a year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144188 - Needed only 2 Tramadol, mostly PL 0 for 1st time in years.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144189 - feel fatigued until about mile 18, suggesting possible mild seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144190 - effect after only 2 tramadol.  Switching to liquid bandaid to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144191 - calluses #5 both feet avoided friction injuries, and reduced lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144192 - pressure from sides of shoes.  Blood blister left foot #5, not a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144193 - factor today.  Bloating resolved by end of hike.  Switching to Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144194 - 20% treatment works better than Ammonium Lactate 12% for calluses, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144195 - still has not caused a major piece of callus tissue to release, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144196 - occurred last year on right foot #1.  Large size Corn bandages                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144197 - received from Doctor Tang in VA Podiatry on 250807 0900. ref SDS A2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144198 - T49H  Post hike muscles cramping legs, arms, hands.  Better after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144199 - shower.  Good sign that after forgetting to take Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144200 - Chondroitin, left knee was PL 0 entire hike. If this holds can apply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144201 - money for GC to CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144204 -         ..
144205 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144206 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144207 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
144208 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
144209 -        Hands cramping hurting - post hike...........   6         20  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144210 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144211 -        Heat rash right quad.........................   3         20  post hike upper right leg lasted untill morning - 250818 - 250819                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144212 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144213 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
144214 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144215 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144216 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144217 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144218 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
144219 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144220 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
144221 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144222 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
144223 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144224 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144225 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144226 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144227 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
144228 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144229 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144230 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144231 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144232 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
144233 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144234 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144235 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144236 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144237 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144238 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144239 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144240 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
144241 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144242 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144243 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
144244 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
144245 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
144246 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
144247 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144248 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144249 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
144250 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
144251 -        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                                                                                                                                                                                                                                                                                                                           
144252 -        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                                                                                                                                                                                                                                                                                                                                                                                    
144253 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144254 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
144255 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
144256 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144257 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144258 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
144259 -        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                                                                                                                                                                                                                                                                                                                                           
144260 -        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                                                                                                                                                                                                                                                                                                                                           
144261 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144262 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
144263 -        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                                                                                                                                                                                                                                                                                                                                                                                        
144264 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
144265 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
144266 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144267 -        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                                                                                                                                                                                                                                                                                                                                                              
144268 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
144269 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
144270 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144271 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144272 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
144273 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144274 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
144275 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
144276 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144277 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
144278 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144279 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144280 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144281 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144282 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144283 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144284 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144285 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
144286 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144287 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144290 -  ..
144291 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144292 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144294 -  ..
144295 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144296 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144297 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144298 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144299 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144300 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144301 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144303 -  ..
144304 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144305 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144306 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144308 -  ..
144309 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144310 - Smartwool single-ply socks, hoping to cushion lateral pressure on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144311 - foot #5 and #1, and on right foot #5.  Initially had good, then great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144312 - results entire hike using liquid bandaid.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144314 -  ..
144315 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144317 -  ..
144318 - Callus Injuries - today on 250818, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144319 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144320 - With Tramadol had PL 0 last 5 miles of 25 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144322 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144323 -                    0 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144324 -                    1 Tramadol  mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144325 -                    0 Naproxen  mile 20 for last 5 miles of 25 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144327 -  ..
144328 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144329 - mile 20 for rest of 25 mile hike.  Microsoft AI (Copilot) proposed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144330 - Naproxen can be taken to extend pain management with Tramadol, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144331 - exceeding neurology limits of Tramadol, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144332 - 200101 0701, ref SDS 18 K5FI, and citing research in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144333 - 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144335 -  ..
144336 - Seemed not to have experienced significant fatigue after taking 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144337 - magnesium at mile 00.  Hike was fatigue free last 5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144339 -  ..
144340 - In sum, bandaging much more successful today, exactly what is needed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144341 - on left foot #1 and #5, for some reason.  Donut opening seemed finally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144342 - to be centered well on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144344 -  ..
144345 - For left foot #5... applied liquid bandaid instead of silicone gel toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144346 - cap held in place with tape, which caused blood blister on last hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144347 - OA mile 12 of 22 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144349 -  ..
144350 - For right foot #5... also applied liquid bandaid. omitted bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144351 - This worked entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144353 -  ..
144354 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144355 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144356 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144357 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144358 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144359 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144362 -  ..
144363 - Concord 25 mile route - forgot again to take Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144364 - for OA protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144365 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144366 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144367 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144368 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144369 - Today, left knee PL 0 entire hike - hooray!!  With feet PL 0, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144370 - only 1 instead of 0 Tramadol for pain management, despite 2 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144371 - was not enough to get past mile 4 on Concord route - had to take more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144372 - to reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144373 - and feet have healed past 3 weeks, while applying Urea 20% to calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144374 - instead of Ammonium Lactate 12%, and even though there is no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144375 - metatarsalgia pain in feet starting the hike today, and further that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144376 - left foot #1 and #5 calluses both start at PL 0, after treatment by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144377 - Doctor Tang at VAMCSF on 250707 0900, ref SDS 98 T49H, since recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144378 - hikes have needed more Tramadol before mile 8, for pain relief,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144379 - despite starting at PL 0 - it is complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144380 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144381 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144382 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144383 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144384 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144385 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144386 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144387 - ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144388 - 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144389 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144390 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144391 - afflictions from dysfunctional ANS, by increasing hiking to restore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144392 - sinus rhythm, reported in another record today on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144393 - ref SDS A3 MJ5I; and had small amount margarine and Mayonaise which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144394 - aid absorbtion (digestion) of Magnesium, and had small amount Chia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144395 - Seeds for electrolytes (e.g., potassium) and energy, and had 1/4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144396 - avocado for HDL.  Just before starting hike took new Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144397 - 100 mg softgel tablet all per above. ref SDS 0 DJXG  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144398 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144399 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144400 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144401 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144402 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144403 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144404 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144405 - ref SDS 18 O33H  Took backpack to carry stuff today, and in order to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144406 - have hydration and nutrition.  Temperature 85 and wind 16 mph.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144407 - Cuneo .25 mile and turned left, onto Treat.  Starting hike stomach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144408 - only moderately bloated (may align with minimal impaired HRV overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144409 - Polar study, above, ref SDS 0 LBZR), and feet feeling swelled and like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144410 - pins and needles - actually minimal today, and - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144411 - electrical shocks in balls of feet this morning - due to peripheral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144412 - neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144413 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144414 - indicating condition has sustained, despite 0 hiking last week.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144415 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144416 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144417 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144418 - park and back today.  Left foot #1 PL 0, right foot #5 PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144419 - endorphins and Tramadol effective.  Continued on Turtle Creek Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144420 - uphill 4% grade.  At end of Turtle Creek Road turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144421 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144422 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144423 - parking lots of shopping complex.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144424 - light and continued on concrete sidewalk .5 miles.  Energy good - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144425 - not feel any sense of hitting a fatigue "wall" near mile 4, stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144426 - at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144427 - CoQ10.  This has been major question for hikes past 6 4 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144428 - Today, feet PL 0 after taking Tramadol before starting hike - good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144429 - signal.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144430 - Ygnacio Valley Road using concrete sidewalk .5 miles.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144431 - difficult part of hike with metatarsalgia PL 4 hiking on sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144432 - Continued hike crossing Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144433 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144434 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144435 - Stop Light at Michigan Boulevard.  Turned left onto Pine Hollow and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144436 - hiked 2.50 mile East to end of Pine Hollow.  Passed 2 schools.  Nice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144437 - hearing the kids back in class after summer vacation.  Stopped at end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144438 - of Pine Hollow mile 08 time 1224 temp 78 and wind 11 mph; EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144439 - uniform with no artifact.  Kardia reported HR 120 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144440 - below. ref SDS 0 9JP2  Bloating PL 3, fatigue PL 1, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144441 - metatarsalgia PL 1, burning sensation PL 0.  Left foot #1 PL 0 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144442 - PL 0.  Right foot #5 PL 0 - may align with using liquid bandaid that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144443 - reduces lateral pressure on calluses.  Took 0 Tramadol 50 mg total 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144444 - for pain.  Took 1 Magnesium complex 300 mg pill, total 3, for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144445 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144446 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144447 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144448 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144449 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144450 - Since temperature 75, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144451 - took 0 Nuun electrolyte pill, per above. ref SDS 0 8HRZ  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144452 - hiking back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144453 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144454 - against wind 09 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144455 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144456 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144457 - Hiked loop around main buildings; stop in back at training area - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144458 - 20 half pulups and 20 half push ups.  Continuing hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144459 - Visitor parking.  Hiked 2-1.5 mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144460 - parking lots - stopping twice more doing pullups and pushups.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144461 - Visitor parking, stopped at Administration building mile 16 time 1500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144462 - temp 84 and wind 10 mph; EKG looks uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144463 - reported HR 132 Tachycardia - see below. ref SDS 0 EVCX  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144464 - 2, fatigue PL 3, both feet metatarsalgia PL 4.  Left foot #1 PL 1 and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144465 - #5 PL 2.  Right foot #5 PL 0.  Took 1 Tramadol 50 mg total 2, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144466 - pain.  Took 1 Magnesium complex 300 mg pill, total 4, for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144467 - absorbing lactic acid, and reducing inflammation, per research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144468 - 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144469 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144470 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144471 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144472 - Since temperature 84, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144473 - took 0 Nuun electrolyte pill, per above. ref SDS 0 8HRZ  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144474 - hiking another loop around main buildings, stopping in back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144475 - training area - did 20 half pulups and 20 half push ups.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144476 - Visitor Parking, mile 16, left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144477 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144478 - grade .5 miles.  At mile 17, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144479 - 3% grade .5 miles against wind 14 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144480 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144481 - avoid severe camber.  Continued West .5 mile to summit - mile 18, end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144482 - of concrete traffic barrier.  Traffic very heavy, continuous and slow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144483 - Ran across back to South side Ygnacio Valley Road in order to use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144484 - wider asphalt shoulder.  Continued West 2 miles downhill 3% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144485 - Did not feel electrical shocks in balls of feet today.  More fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144486 - than expected, compared to earlier in hike, when 0 fatigue.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144487 - Oak Grove at traffic light.  Today, energy was low and feet not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144488 - hurting.  Hiked 0 1-mile loops using asphalt path around the block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144489 - Safeway shopping complex.  Stopped at Mod Pizza mile 20 time 1635 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144490 - 85 and wind 12 mph; EKG looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144491 - Kardia reported HR 130, Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144492 - ref SDS 0 KSB2  Fatigue PL 4, bloating PL 1 after taking 1 Tramadol at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144493 - mile 0, and 1 more at mile 16, feet metatarsalgia PL 3, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144494 - sensation PL 0.  Left foot #1 PL 0 and #5 PL 1; right foot #5 PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144495 - very significant improvement compared to past few months.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144496 - need another Tramadol - avoiding more Tramadol prevents over                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144497 - medicating with opioids, and did not take Naproxen, per review of Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144498 - Meds in case study on 200101 0701. ref SDS 18 K5FI  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144499 - complex 300 mg pill total today 6, for energy, absorbing lactic acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144500 - and reducing inflammation, per research on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144501 - QP6L  Mod Pizza provided complimentary cup, water and ice.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144502 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144503 - peanut butter, avocado with margarine and Mayonnaise.  Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144504 - electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144505 - complete hike.  With temperature 85, which causes sweating that ejects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144506 - electrolytes, took 0 Nuun electrolyte pill, per above. ref SDS 0 8HRZ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144507 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144508 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144509 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144510 - mile North on asphalt shoulder.  At stop light crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144511 - of Treat Boulevard.  Continued 1 mile East on flat grade concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144512 - sidewalk.  Maintained pace - no seizure loss of motor control - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144513 - case study in record on 200101 0701. ref SDS 18 CGVO  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144514 - San Miguel uphill 0.75 mile 5% grade temp 83.  Handled this okay -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144515 - noticably slow, could be minor seizure effect.  At summit, mile 23,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144516 - hiked another mile to Cuneo then on to Cowell, and back to Cuneo, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144517 - home.  Ended hike mile 25 time 1813 temp 82, wind 13.  Bloated PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144518 - fatigue PL 4, feet PL 3, burning sensation PL 0, left foot #1 PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144519 - PL 1 (blood blister never a factor in hike), right foot #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144520 - neck/spine PL 8 momentarily turning head, lower back right side PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144521 - EKG looks mostly vrbl, with disruptive artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144522 - 120, Possible Atrial Fibrillation - see below. ref SDS 0 QA7J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144536 -  ..
144537 - Kardia recorded HR 59 at 0724, Unclassified, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144538 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144539 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144540 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144541 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144542 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144543 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144546 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144547 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250818-ecg-072412_mile_00_059_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144554 -  ..
144555 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144556 - hike 25 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144557 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144558 - ..
144559 -                                                                                                                                                                                                                                                                                                              x
144560 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144561 -                                                 x             x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144562 -       Date          250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 250530 25052  
144563 -       Miles            25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0      0  
144564 -       HR AVG          126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no     no  
144565 -         MAX           143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   report repo  
144566 -         Min            54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92                
144567 -       El Climb Ft     471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80                
144568 -       Temp Max         85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100                
144569 -       Wind Max         16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12                
144570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144572 -              https://flow.polar.com/training/analysis/8172678895                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144575 -               ..
144577 -   
144578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144582 -  ..
144583 - EKG at mile 08 time 1224 HR 120 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144584 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144585 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144588 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144589 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250818-ecg-122443_mile_08_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144594 -  ..
144595 - EKG at mile 16 time 1500 HR 132 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144596 - Tachycardia... heart rate looks uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144597 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144600 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144601 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250818-ecg-150054_mile_16_132_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144606 -  ..
144607 - EKG at mile 20 time 1635 HR 130 temp 85, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144608 - Atrial Fibrillation... heart rate looks mostly uniform with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144609 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144612 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144613 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250818-ecg-163533_mile_20_130_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144618 -  ..
144619 - End hike EKG at mile 25, time 1813 HR 120 temp 82 - Kardia Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144620 - Atrial Fibrillation... looks mostly uniform with disruptivet artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144621 - - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144624 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144625 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250818-ecg-181325_mile_25_120_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144630 -  ..
144631 - Post hike 250818 HR profile beginning 2230, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144632 - activity after hiking 25 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144633 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144634 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144635 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144638 -        ..
144639 -       Date      250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609  250608    
144640 -       Time       2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943    2247     
144641 -       Hours         8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10       2     
144642 -       HR AVG       65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70      80     
144643 -       HR MAX      115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     118     
144644 -       HR Min       47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45      63     
144645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144647 -              https://flow.polar.com/training/analysis/8173028631                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144650 -  ..
144651 - HRV seems 00% 0 and 40% - good and 60% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144654 -   
144655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144658 -  ..
144659 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144660 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144661 - Dinner - cheerios banana strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144663 -  ..
144664 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144703 -         ..
144704 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144705 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144706 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144707 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144708 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144709 -  231.  250819 0625............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144710 -               0630....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144711 -               0635....BP HR..................................................... 143  85  70  Kardia ECG reports HR status, see below. ref SDS 0 7F2H                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144712 -               0640....BP HR..................................................... 123  69  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144713 -               0645....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144714 -               0645....40 467460 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
144715 -               0820....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144716 -               0820... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144717 -               0820....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144718 -               0820....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144719 -               0820....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144720 -               0820....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144721 -               0820... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
144722 -  ..
144723 -               0854....miles...........  15.0  40.0  267   697 minutes  temp  87 wind 12  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144724 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144725 -               1147....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144726 -               1147....Tramadol 50 mg took 1 pills - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144727 -               1147... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144728 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144729 -               1147... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144730 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144731 -               1340... Hike ends mile 15..... ref SDS 0 EJST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144732 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144733 -               1410....weight.................................... 174  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144734 -               1415....BP HR..................................................... 110  72  96                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144735 -               1420....BP HR..................................................... 113  69  90                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144736 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144737 -               1900... 40 126820 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                                                                                                                                                                                                                                                                                  
144738 -             1 0000............ 10 21890  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
144739 -             1 0000............ 10 22240  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
144740 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144741 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144742 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144743 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144744 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144745 -               2250... 1000 2542000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144746 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144747 -               2330... 40 467500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144748 -               2340... 40 101520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144751 -  ..
144752 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144753 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144755 -  ..
144756 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144757 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144758 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144759 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144760 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144761 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144763 -  ..
144764 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144765 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144767 -  ..
144768 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144769 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144772 -  ..
144773 - Today, hiked 15 miles - planned to hike 30, doing Crystal Ranch 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144774 - loop. hit energy wall at mile 10, barely made it home, totally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144775 - different from yesterday.  Seemed to hit low energy wall about mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144776 - at college, rather than mile 4 as previously.  Could reflect low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144777 - ferritin in lab on 250807.  Liquid bandaid that worked perfectly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144778 - yesterday, did not work today.  Developed new injury, bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144779 - left foot below callus #1.  Low energy indicates possible mild seizure                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144780 - effect after only 2 tramadol.  Switching to liquid bandaid to protect                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144781 - calluses #5 both feet avoided friction injuries, and reduced lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144782 - pressure from sides of shoes.  Blood blister left foot #5, not a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144783 - factor today.  Bloating resolved by end of hike.  Switching to Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144784 - 20% treatment works better than Ammonium Lactate 12% for calluses;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144785 - seemed to cause major piece of callus tissue to release on left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144786 - #5.  Still need major tissue release on left foot #1, as occurred last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144787 - year on right foot #1.  Large size Corn bandages received from Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144788 - Tang in VA Podiatry on 250807 0900. ref SDS A2 T49H  Post hike muscles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144789 - not cramping, as occurred yesterday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144792 -         ..
144793 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144794 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144795 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
144796 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
144797 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144798 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144799 -        Heat rash right quad.........................   2         20  post hike upper right leg lasted untill morning - 250818 - 250819                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144800 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144801 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
144802 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144803 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144804 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144805 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144806 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
144807 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144808 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
144809 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144810 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
144811 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144812 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144813 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144814 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144815 -        Knee left meniscus...PRP 231121..............   2         20  forgot take Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, increased later took 1 Tramadol mile 08 and 0 Tramadol mile 14 knee pain resolved                                                                                                                                                                                                                                                                                                                                                                     
144816 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144817 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
144818 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144819 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144820 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
144821 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144822 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144823 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144824 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144825 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144826 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144827 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144828 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
144829 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144830 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144831 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
144832 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
144833 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
144834 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
144835 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144836 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144837 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
144838 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
144839 -        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                                                                                                                                                                                                                                                                                                                           
144840 -        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                                                                                                                                                                                                                                                                                                                                                                                    
144841 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144842 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
144843 -        Callus big toe left foot...PRP 210705........   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
144844 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144845 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144846 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
144847 -        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                                                                                                                                                                                                                                                                                                                                           
144848 -        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                                                                                                                                                                                                                                                                                                                                           
144849 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144850 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
144851 -        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                                                                                                                                                                                                                                                                                                                                                                                        
144852 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                         
144853 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
144854 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144855 -        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                                                                                                                                                                                                                                                                                                                                                              
144856 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 2 Tramadol at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Rightsock dual ply                                                                                                                                                                                                                                                                                                                                                                                          
144857 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
144858 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144859 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144860 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
144861 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144862 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
144863 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
144864 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144865 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
144866 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144867 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144868 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144869 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144870 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144871 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144872 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144873 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 2 Tramadol mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
144874 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144875 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144878 -  ..
144879 - Fatigue researched seperately with Microsoft AI, reported on 250517                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144880 - 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144882 -  ..
144883 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144884 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144885 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144886 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144887 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144888 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144889 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144891 -  ..
144892 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144893 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144894 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144896 -  ..
144897 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144898 - Smartwool single-ply socks, hoping like yesterday to cushion lateral                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144899 - pressure on left foot #5 and #1, and on right foot #5.  Initially had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144900 - good, then poor results entire hike using liquid bandaid. Wound up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144901 - with new blister injury below left foot #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144903 -  ..
144904 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144906 -  ..
144907 - Callus Injuries - today on 250818, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144908 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144909 - With Tramadol had PL 0 last 5 miles of 25 mile hike.  Took...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144911 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144912 -                    1 Tramadol mile 10 for last 3 miles of 15 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144914 -  ..
144915 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144916 - mile 20 for rest of 25 mile hike.  Microsoft AI (Copilot) proposed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144917 - Naproxen can be taken to extend pain management with Tramadol, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144918 - exceeding neurology limits of Tramadol, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144919 - 200101 0701, ref SDS 18 K5FI, and citing research in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144920 - 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144922 -  ..
144923 - Seemed to experience significant fatigue after taking 2 magnesium at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144924 - mile 00.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144926 -  ..
144927 - In sum, bandaging much less successful today.  Donut opening seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144928 - be centered well on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144930 -  ..
144931 - For left foot #5... applied liquid bandaid instead of silicone gel toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144932 - cap held in place with tape, which caused blood blister on last hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144933 - OA mile 12 of 22 mile hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144935 -  ..
144936 - For right foot #5... also applied liquid bandaid. omitted bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144937 - This worked entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
144939 -  ..
144940 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144941 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144942 - above, ref SDS 0 OK9M, and wearing 2 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144943 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144944 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144945 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
144946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144948 -  ..
144949 - Concord 15 mile route - forgot again to take Glucosamine Chondroitin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144950 - for OA protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144951 - injection 13 times over 3 years, see case study on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144952 - ref SDS 18 TTPV, and also left hip.  Left knee has expressed less pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144953 - in recent months, because elevated HDL from hiking past 15 years has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144954 - repaired some cartilage loss thereby reducing osteoarthritis pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144955 - Today, left knee PL 0 entire hike - hooray!!  With feet PL 0, decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144956 - not to take 1 Tramadol for pain management, despite 2 Tramadol was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144957 - enough to get past mile 4 on Concord route - had to take more to reach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144958 - mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144959 - have healed past 3 weeks, while applying Urea 20% to calluses instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144960 - of Ammonium Lactate 12%, and even though there is no metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144961 - pain in feet starting the hike today, and further that left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144962 - and #5 calluses both start at PL 0, after treatment by Doctor Tang at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144963 - VAMCSF on 250707 0900, ref SDS 98 T49H, since recent hikes have needed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144964 - more Tramadol before mile 8, for pain relief, despite starting at PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144965 - - it is complicated.  However, just before leaving house, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144966 - Tramadol.  Took 2 Magnesium Complex 300 mg pill for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144967 - lactic acid, and reducing inflammation allowing HDL to increase that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144968 - together with EPCs regress plaque in blood vessels - see research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144969 - 200101 0701, ref SDS 18 QP6L - swallowed pills whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144970 - Dilation on 250718, avoids capsule clogging LESV, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144971 - 240824. ref SDS 36 PPTU  Had small amount peanut butter that contains                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144972 - iron to elevate Ferritin and Transferrin Saturation, which both tested                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144973 - below range on 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
144974 - to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in telephone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
144975 - meeting with Lauren in Primary Care discussed Iron supplement to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
144976 - increase Ferritin.  Decided to rely on improving Ferritin along with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144977 - recovering from all afflictions from dysfunctional ANS, by increasing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144978 - hiking to restore sinus rhythm, reported on 250813 0730, ref SDS A3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
144979 - MJ5I; and had small amount margarine and Mayonaise which aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144980 - absorbtion (digestion) of Magnesium, and had small amount Chia Seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144981 - for electrolytes (e.g., potassium) and energy, and had 1/4 avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144982 - HDL.  Just before starting hike took new Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144983 - softgel tablet. and as stated changed mind and took 1 Tramadol, all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144984 - per above. ref SDS 0 DFCN  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144985 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
144986 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144987 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144988 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
144989 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144990 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
144991 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
144992 - carry hydration, nutrition, meds, medical supplies.  Temperature 87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144993 - and wind 12 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
144994 - Starting hike stomach seemed more bloated (may align with impaired HRV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144995 - overnight Polar study, above, ref SDS 0 L4WT), and feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
144996 - swelled and like pins and needles - actually minimal today, and - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
144997 - not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
144998 - peripheral neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
144999 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145000 - indicating condition has sustained, despite 0 hiking last week.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145001 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145002 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145003 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145004 - across Newhall Community park and back today.  Left foot #1 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145005 - right foot #5 PL 1 - endorphins and Tramadol effective.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145006 - Turtle Creek Road uphill 4% grade.  At end of Turtle Creek Road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145007 - left onto Ayers hiking East .75 miles on asphalt road shoulder.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145008 - mile 3, turned right onto Clayton Road hiking South .5 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145009 - asphalt pavement in parking lots of shopping complex.  Crossed Alberto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145010 - Way at traffic light - halfway, light changed to yellow; stopped for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145011 - vehicle traffic having green light - noticed this was a police car;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145012 - officer smiled and waved noting I was crossing against a red light -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145013 - and continued on concrete sidewalk .5 miles.  Energy seemed okay - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145014 - not feel sense of hitting a "wall" near mile 4, having to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145015 - Mountain Mike's Pizza restaurant to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145016 - This has been major question for hikes past 6 4 months.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145017 - hiking past mile 4.  Turned right heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145018 - using concrete sidewalk .5 miles.  This is difficult part of hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145019 - metatarsalgia PL 3 hiking on sidewalk.  Continued crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145020 - Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145021 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145022 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145023 - Boulevard.  Turned left onto Pine Hollow and hiked 1.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145024 - Stopped and turned around at Pennsylvania Boulevard, instead of hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145025 - to end of Pine Hollow, since planning to hike 8-mile Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145026 - loop.  Hiked back on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145027 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145028 - against wind 12 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145029 - turned around and hiked uphill on Campus Drive 4% grade.  Body slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145030 - with low energy - taking shorter steps.  Legs not fatigued with lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145031 - acid - feels like low ferritin, reported im lab on 250807 0654,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145032 - ref SDS A1 VP5H, per MAI research on 250430 2137. ref SDS 89 GW9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145033 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145034 - Campus.  Hiked 2 loops around main buildings stopping in back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145035 - training area - did 20 half pulups and 20 half push ups, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145036 - continued back to Visitor parking.  Stopped at Administration building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145037 - mile 10 time 1147 temp 76 and wind 05 mph; EKG looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145038 - with artifact.  Kardia reported HR 111 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145039 - ref SDS 0 FGHJ  Bloating PL 4, fatigue PL 7, both feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145040 - PL 3.  Left foot #1 PL 0 and #5 PL 4.  Right foot #5 PL 0.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145041 - Tramadol 50 mg total 2, for pain.  Took 1 Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145042 - pill, total 3, for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145043 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145044 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145045 - peanut butter, avocado with margarine and Mayonnaise.  Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145046 - electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145047 - complete hike.  Since temperature 76, which causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145048 - ejects electrolytes, took 0 Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145049 - ref SDS 0 WYV1  Hiked another 1.5 mile loop through Faculty and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145050 - Student parking lots, and another loop around main buildings.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145051 - Visitor Parking, mile 12, left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145052 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145053 - grade .5 miles.  At mile 13, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145054 - 3% grade .5 miles against wind 07 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145055 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145056 - avoid severe camber.  Did not have energy to reach summit - taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145057 - magnesium and CoQ10 was not enough to overcome low ferritin.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145058 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145059 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145060 - shoulder against oncoming commute traffic.  Pace very slow due to low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145061 - energy and care to avoid oncoming commute traffic.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145062 - Treat hiking West .25 miles back to Cuneo, then home.  Ended hike mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145063 - 15 time 1340 temp 87, wind 10, bloating PL 2, fatigue PL 8, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145064 - metatarsalgia PL 2, burning sensation PL 3, left foot #1 edge PL 2, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145065 - edge PL 7, right foot #1 fracture PL 0, #5 PL 2, shin splints PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145066 - left knee PL 0 (not swollen), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145067 - neck and right shoulder PL 0 intermittantly, lower back middle PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145068 - stress carrying backpack, left elbow PL 0, when lifting.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145069 - variable with no artifact, Kardia reported HR 113 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145070 - below. ref SDS 0 EJST                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145085 -  ..
145086 - Kardia recorded HR 51 at 0632, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145087 - mostly variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145088 - no AFL after hiking 25 miles temp 85 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145089 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145090 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145091 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145092 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145095 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145096 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250819-ecg-063203_mile_00_051_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145103 -  ..
145104 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145105 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145106 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145107 - ..
145108 -                                                                                                                                                                                                                                                                                                              x
145109 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145110 -                                                 x             x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145111 -       Date          250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 250608 250607 250606 250605 250604 250603 250602 250601 250531 25053  
145112 -       Miles            15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0     18     13      0      0      0      0      0      2      0  
145113 -       HR AVG          113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no    132    135     no     no     no     no     no    111     no  
145114 -         MAX           130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report report  153    153   report report report report report  127   repo  
145115 -         Min            73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                          68     50                                        92         
145116 -       El Climb Ft     441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                         446    431                                        80         
145117 -       Temp Max         87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                          82     83                                       100         
145118 -       Wind Max         12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                          15     15                                        12         
145119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145121 -              https://flow.polar.com/training/analysis/8173319946                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145124 -               ..
145126 -   
145127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145131 -  ..
145132 - EKG at mile 10 time 1147 HR 111 temp 76, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145133 - Tachycardia... heart rate looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145134 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145137 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145138 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250819-ecg-114758_mile_10_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145142 -  ..
145143 - End hike EKG at mile 15, time 1340 HR 113 temp 87 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145144 - Tachycardia... looks mostly variable with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145145 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145148 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145149 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250819-ecg-134034_mile_15_113_tcy_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145154 -  ..
145155 - Post hike 250819 HR profile beginning 2241, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145156 - activity after hiking 15 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145157 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145158 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145159 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145162 -        ..
145163 -       Date      250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610  250609    
145164 -       Time       2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019    1943     
145165 -       Hours         8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10      10     
145166 -       HR AVG       65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80      70     
145167 -       HR MAX      115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     124     
145168 -       HR Min       47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47      45     
145169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145171 -              https://flow.polar.com/training/analysis/8173696688                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145174 -  ..
145175 - HRV seems 00% 0 and 30% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145178 -   
145179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145182 -  ..
145183 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145184 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145185 - Dinner - cheerios banana strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145187 -  ..
145188 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145228 -         ..
145229 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145230 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145231 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145232 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145233 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145234 -  232.  250820 1000............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145235 -               1000....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145236 -               1005....BP HR..................................................... 122  73  63  Kardia ECG reports HR status, see below. ref SDS 0 7F2H                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145237 -               1010....BP HR..................................................... 121  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145238 -               1015....weight.................................... 177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145239 -               1015....40 467540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
145240 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145241 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145242 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145243 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145244 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145245 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145246 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145247 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145248 -               1900... 40 126860 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                                                                                                                                                                                                                                                                                  
145249 -               1830............ 10 21900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145250 -               1830............ 10 22250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145251 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145252 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145253 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145254 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145255 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145256 -               2250... 1000 2543000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145257 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145258 -               2330... 40 467580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145259 -               2340... 40 101560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145261 -  ..
145262 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145263 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145265 -  ..
145266 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145267 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145268 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145269 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145270 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145271 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145273 -  ..
145274 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145275 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145277 -  ..
145278 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145279 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145283 -  ..
145284 - Kardia recorded HR 51 at 0733, Bradycardis, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145285 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145286 - hiking 15 miles temp 87 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145287 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145288 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145289 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145290 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145293 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145294 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250820-ecg-073325_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145298 -  ..
145299 - Post hike 250820 HR profile beginning 1952, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145300 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145301 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145302 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145303 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145306 -        ..
145307 -       Date      250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611  250610    
145308 -       Time       1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011    2019     
145309 -       Hours        11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10      10     
145310 -       HR AVG       61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72      80     
145311 -       HR MAX      100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     120     
145312 -       HR Min       40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42      47     
145313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145315 -              https://flow.polar.com/training/analysis/8174339556                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145318 -  ..
145319 - HRV seems 40% 0 and 60% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145322 -   
145323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145326 -  ..
145327 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145328 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145329 - Dinner - cheerios banana strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145331 -  ..
145332 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145370 -         ..
145371 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145372 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145373 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145374 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145375 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145376 -  233.  250821 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145377 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145378 -               0715....BP HR..................................................... 130  70  64  Kardia ECG reports HR status, see below. ref SDS 0 RBG2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145379 -               0720....BP HR..................................................... 136  74  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145380 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145381 -               0725....40 467540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
145382 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145383 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145384 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145385 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145386 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145387 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145388 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145389 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145390 -               1900... 40 126860 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                                                                                                                                                                                                                                                                                  
145391 -             1 0000............ 10 21900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145392 -             1 0000............ 10 22250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145393 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145394 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145395 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145396 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145397 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145398 -               2250... 1000 2543000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145399 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145400 -               2330... 40 467580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145401 -               2340... 40 101560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145404 -  ..
145405 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145406 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145408 -  ..
145409 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145410 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145411 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145412 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145413 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145414 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145416 -  ..
145417 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145418 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145420 -  ..
145421 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145422 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145428 -  ..
145429 - Kardia recorded HR 56 at 0802, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145430 - uniform heart beat lengths with p-waves and no artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145431 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145432 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145433 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145434 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145435 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145438 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145439 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250821-ecg-080237_mile_00_056_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145443 -  ..
145444 - Post hike 250821 HR profile beginning 2008, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145445 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145446 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145447 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145448 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145451 -        ..
145452 -       Date      250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612  250611    
145453 -       Time       2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106    2011     
145454 -       Hours        11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8      10     
145455 -       HR AVG       64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63      72     
145456 -       HR MAX      105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     131     
145457 -       HR Min       43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41      42     
145458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145460 -              https://flow.polar.com/training/analysis/8174948942                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145463 -  ..
145464 - HRV seems 30% 0 and 50% - good and 20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145467 -   
145468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145471 -  ..
145472 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145473 - Lunch - sandwich baloney onion tomato cheese, donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145474 - Dinner - macaroni cheese hamburger potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145476 -  ..
145477 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145518 -         ..
145519 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145520 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145521 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145522 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145523 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145524 -  234.  250822 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145525 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145526 -               0715....BP HR..................................................... 142  82  48  Kardia ECG reports HR status, see below. ref SDS 0 HWRZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145527 -               0720....BP HR..................................................... 141  81  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145528 -               0725....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145529 -               0725....40 467620 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
145530 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145531 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145532 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145533 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145534 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145535 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145536 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145537 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145538 -               1900... 40 126900 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                                                                                                                                                                                                                                                                                  
145539 -               1830............ 10 21900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145540 -               1830............ 10 22250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145541 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145542 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145543 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145544 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145545 -               2220... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145546 -               2250... 1000 2544000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145547 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145548 -               2330... 40 467640 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145549 -               2340... 40 101600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145552 -  ..
145553 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145554 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145556 -  ..
145557 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145558 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145559 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145560 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145561 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145562 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145564 -  ..
145565 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145566 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145568 -  ..
145569 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145570 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145573 -  ..
145574 - Today, no hiking feet injuries healing.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145581 -  ..
145582 - Kardia recorded HR 58 at 0705, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145583 - mostly variable heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145584 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145585 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145586 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145587 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145588 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145591 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145592 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250822-ecg-070538_mile_00_058_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145596 -  ..
145597 - Post hike 250822 HR profile beginning 2017, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145598 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145599 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145600 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145601 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145604 -        ..
145605 -       Date      250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613  250612    
145606 -       Time       2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320    2106     
145607 -       Hours        10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6       8     
145608 -       HR AVG       59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69      63     
145609 -       HR MAX      106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     106     
145610 -       HR Min       38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42      41     
145611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145613 -              https://flow.polar.com/training/analysis/8175541404                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145616 -  ..
145617 - HRV seems 70% 0 and 30% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145620 -   
145621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145625 -  ..
145626 - Breakfast - eggs hamburger                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145627 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145628 - Dinner - pancake milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145630 -  ..
145631 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145671 -         ..
145672 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145673 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145674 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145675 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145676 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145677 -  235.  250823 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145678 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145679 -               0715....BP HR..................................................... 143  90  58  Kardia ECG reports HR status, see below. ref SDS 0 SZTG                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145680 -               0720....BP HR..................................................... 139  73  54                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145681 -               0725....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145682 -               0725....40 467700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
145683 -               0900....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145684 -               0900... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145685 -               0900....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145686 -               0900....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145687 -               0900....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145688 -               0900....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145689 -               0900... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145690 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145691 -               1900... 40 126940 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                                                                                                                                                                                                                                                                                  
145692 -             1 0000............ 10 21900  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145693 -             1 0000............ 10 22250  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145694 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145695 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145696 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145697 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145698 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145699 -               2250... 1000 2545000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145700 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145701 -               2330... 40 467740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145702 -               2340... 40 101640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145705 -  ..
145706 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145707 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145709 -  ..
145710 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145711 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145712 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145713 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145714 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145715 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145717 -  ..
145718 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145719 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145721 -  ..
145722 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145723 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145729 -  ..
145730 - Kardia recorded HR 51 at 0656, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145731 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145732 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145733 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145734 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145735 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145736 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145739 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145740 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250823-ecg-065621_mile_00_051_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145744 -  ..
145745 - Post hike 250823 HR profile beginning 2050, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145746 - activity after hiking 13 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145747 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145748 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145749 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145752 -        ..
145753 -       Date      250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614  250613    
145754 -       Time       2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144    2320     
145755 -       Hours        12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9       6     
145756 -       HR AVG       61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63      69     
145757 -       HR MAX      120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     111     
145758 -       HR Min       42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43      42     
145759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145761 -              https://flow.polar.com/training/analysis/8176233238                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145764 -  ..
145765 - HRV seems  0% 0 and 30% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145768 -   
145769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145773 -  ..
145774 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145775 - Lunch - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145776 - Dinner - macaroni cheese hamburger broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145778 -  ..
145779 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145821 -         ..
145822 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145823 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145824 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145825 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145826 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145827 -  236.  250824 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145828 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145829 -               0725....BP HR..................................................... 147  78  55  Kardia ECG reports HR status, see below. ref SDS 0 STCP                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145830 -               0730....BP HR..................................................... 144  80  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145831 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145832 -               0735....40 467780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
145833 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145834 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145835 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145836 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145837 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145838 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145839 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145840 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145841 -               1700... 40 126980 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                                                                                                                                                                                                                                                                                  
145842 -               1830............ 10 21910  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145843 -               1830............ 10 22260  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145844 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145845 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145846 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145847 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145848 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145849 -               2250... 1000 2546000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145850 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145851 -               2330... 40 467820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145852 -               2340... 40 101680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145854 -  ..
145855 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145856 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145858 -  ..
145859 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145860 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145861 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145862 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145863 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145864 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145866 -  ..
145867 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145868 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145870 -  ..
145871 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145872 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145878 -  ..
145879 - Kardia recorded HR 50 at 0918, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145880 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145881 - after hiking 13 miles temp 92 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145882 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145883 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
145884 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
145885 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145888 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
145889 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250824-ecg-091814_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
145890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145894 -  ..
145895 - Post hike 250824 HR profile beginning 2334, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145896 - activity after hiking 13 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
145897 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145898 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145899 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145902 -        ..
145903 -       Date      250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615  250614    
145904 -       Time       2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247    2144     
145905 -       Hours         8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8       9     
145906 -       HR AVG       59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63      63     
145907 -       HR MAX      125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     116     
145908 -       HR Min       41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42      43     
145909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145911 -              https://flow.polar.com/training/analysis/8176780905                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145914 -  ..
145915 - HRV seems 15% 0 and 85% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145918 -   
145919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145924 -  ..
145925 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145926 - Lunch - sandwich baloney onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145927 - Dinner - eggs macaroni cheese hamburger asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145929 -  ..
145930 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
145974 -         ..
145975 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145976 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145977 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145978 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
145979 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145980 -  237.  250825 0725............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145981 -               0725....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145982 -               0730....BP HR..................................................... 141  78  57  Kardia ECG reports HR status, see below. ref SDS 0 8G2F                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145983 -               0735....BP HR..................................................... 134  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145984 -               0740....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145985 -               0740....40 467780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
145986 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
145987 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145988 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
145989 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
145990 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
145991 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
145992 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
145993 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
145994 -               1700... 40 126980 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                                                                                                                                                                                                                                                                                  
145995 -             1 0000............ 10 21910  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
145996 -             1 0000............ 10 22260  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
145997 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
145998 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
145999 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146000 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146001 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146002 -               2250... 1000 2546000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146003 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146004 -               2330... 40 467820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146005 -               2340... 40 101680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146008 -  ..
146009 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146010 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146012 -  ..
146013 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146014 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146015 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146016 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146017 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146018 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146020 -  ..
146021 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146022 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146024 -  ..
146025 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146026 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146033 -  ..
146034 - Kardia recorded HR 48 at 0904, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146035 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146036 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146037 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146038 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146039 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146040 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146043 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146044 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250825-ecg-090451_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146049 -  ..
146050 - Post hike 250825 HR profile beginning 2130, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146051 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146052 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146053 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146054 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146057 -        ..
146058 -       Date      250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616  250615    
146059 -       Time       2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212    2247     
146060 -       Hours        10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13       8     
146061 -       HR AVG       56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67      63     
146062 -       HR MAX       96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     117     
146063 -       HR Min       40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44      42     
146064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146066 -              https://flow.polar.com/training/analysis/8177442778                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146069 -  ..
146070 - HRV seems  0% 0 and 30% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146073 -   
146074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146078 -  ..
146079 - Breakfast - cheerios banana milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146080 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146081 - Dinner - rice hamburger broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146083 -  ..
146084 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146130 -         ..
146131 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146132 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146133 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146134 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146135 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146136 -  238.  250826 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146137 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146138 -               0725....BP HR..................................................... 143  91  48  Kardia ECG reports HR status, see below. ref SDS 0 8DG7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146139 -               0730....BP HR..................................................... 136  73  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146140 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146141 -               0735....40 467940 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
146142 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146143 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146144 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146145 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146146 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146147 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146148 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146149 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146150 -               1700... 40 127060 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                                                                                                                                                                                                                                                                                  
146151 -               1830............ 10 21930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146152 -               1830............ 10 22270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146153 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146154 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146155 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146156 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146157 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146158 -               2250... 1000 2548000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146159 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146160 -               2330... 40 467980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146161 -               2340... 40 101760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146164 -  ..
146165 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146166 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146168 -  ..
146169 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146170 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146171 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146172 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146173 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146174 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146176 -  ..
146177 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146178 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146180 -  ..
146181 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146182 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146188 -  ..
146189 - Kardia recorded HR 43 at 0719, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146190 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146191 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146192 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146193 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146194 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146195 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146198 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146199 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250826-ecg-071932_mile_00_043_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146203 -  ..
146204 - Post hike 250826 HR profile beginning 1957, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146205 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146206 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146207 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146208 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146211 -        ..
146212 -       Date      250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617  250616    
146213 -       Time       1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017    2212     
146214 -       Hours        11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8      13     
146215 -       HR AVG       62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81      67     
146216 -       HR MAX      101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     107     
146217 -       HR Min       41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60      44     
146218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146220 -              https://flow.polar.com/training/analysis/8178175389                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146223 -  ..
146224 - HRV seems  0% 0 and 30% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146227 -   
146228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146232 -  ..
146233 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146234 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146235 - Dinner - hamburger potato broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146237 -  ..
146238 - Vomiting: 0% - bloating PL 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146284 -         ..
146285 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146286 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146287 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146288 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146289 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146290 -  239.  250827 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146291 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146292 -               0725....BP HR..................................................... 137  84  51  Kardia ECG reports HR status, see below. ref SDS 0 XEDF                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146293 -               0730....BP HR..................................................... 133  79  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146294 -               0735....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146295 -               0735....40 468020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
146296 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146297 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146298 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146299 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146300 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146301 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146302 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146303 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146304 -               1700... 40 127100 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                                                                                                                                                                                                                                                                                  
146305 -             1 0000............ 10 21930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146306 -             1 0000............ 10 22270  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146307 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146308 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146309 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146310 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146311 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146312 -               2250... 1000 2549000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146313 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146314 -               2330... 40 468060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146315 -               2340... 40 101800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146317 -  ..
146318 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146319 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146321 -  ..
146322 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146323 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146324 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146325 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146326 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146327 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146329 -  ..
146330 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146331 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146333 -  ..
146334 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146335 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146339 -  ..
146340 - Kardia recorded HR 46 at 0741, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146341 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146342 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146343 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146344 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146345 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146346 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146349 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146350 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250827-ecg-074110_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146355 -  ..
146356 - Post hike 250827 HR profile beginning 2048, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146357 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146358 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146359 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146360 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146363 -        ..
146364 -       Date      250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618  250617    
146365 -       Time       2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018    2017     
146366 -       Hours        10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10       8     
146367 -       HR AVG       58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64      81     
146368 -       HR MAX      117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     116     
146369 -       HR Min       38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42      60     
146370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146372 -              https://flow.polar.com/training/analysis/8178746878                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146375 -  ..
146376 - HRV seems  6% 0 and 40% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146379 -   
146380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146384 -  ..
146385 - Breakfast - cream of wheat strawberries                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146386 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146387 - Dinner - macaroni cheese hot dog broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146389 -  ..
146390 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146434 -         ..
146435 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146436 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146437 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146438 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146439 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146440 -  240.  250828 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146441 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146442 -               0715....BP HR..................................................... 139  79  52  Kardia ECG reports HR status, see below. ref SDS 0 CA3R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146443 -               0720....BP HR..................................................... 143  75  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146444 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146445 -               0725....40 468180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
146446 -               0940....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146447 -               0940... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146448 -               0940....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146449 -               0940....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146450 -               0940....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146451 -               0940....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146452 -               0940... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
146453 -  ..
146454 -               1012....miles...........  17.0  17.0  286   286 minutes  temp  91 wind 14  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146455 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146456 -               1357....mile 13 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146457 -               1357....Tramadol 50 mg took 1 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146458 -               1357... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146459 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146460 -               1357... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146461 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146462 -               1500....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146463 -               1500....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146464 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146465 -               1500... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146466 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146467 -               1500... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146468 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146469 -               1635....mile 20 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146470 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146471 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146472 -               1635... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146473 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146474 -               1635... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146475 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146476 -               1513... Hike ends mile 17..... ref SDS 0 ZGWH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146477 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146478 -               1524....weight.................................... 175  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146479 -               1529....BP HR..................................................... 117  81 120                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146480 -               1537....BP HR..................................................... 114  75 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146481 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146482 -               1700... 40 127180 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                                                                                                                                                                                                                                                                                  
146483 -               1830............ 10 21940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
146484 -               1830............ 10 22290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
146485 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146486 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146487 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146488 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146489 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146490 -               2250... 1000 2551000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146491 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146492 -               2330... 40 468220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146493 -               2340... 40 101880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146496 -  ..
146497 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146498 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146500 -  ..
146501 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146502 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146503 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146504 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146505 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146506 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146508 -  ..
146509 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146510 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146512 -  ..
146513 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146514 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146517 -  ..
146518 - Today, hiked 17 miles - planned again to hike 30, doing Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146519 - 8-mile loop. hit low energy wall at mile 8, on Campus Drive heading up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146520 - to college.  Bandaging worked well.  No new injuires.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146521 - resolved by end of hike.  Switching to Urea 20% treatment works better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146522 - than Ammonium Lactate 12% for calluses; still need major tissue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146523 - release on left foot #1, as occurred last year on right foot #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146524 - Large size Corn bandages received from Doctor Tang in VA Podiatry on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146525 - 250807 0900. ref SDS A2 T49H  Post hike muscles not cramping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146528 -         ..
146529 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146530 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146531 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
146532 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
146533 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146534 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146535 -        Heat rash right quad.........................   3         20  post hike upper right leg rash - resolved late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146536 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146537 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
146538 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146539 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146540 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146541 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146542 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
146543 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146544 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
146545 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146546 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
146547 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146548 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146549 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146550 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146551 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
146552 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146553 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146554 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146555 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146556 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
146557 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146558 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146559 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146560 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146561 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146562 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146563 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146564 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
146565 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146566 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146567 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
146568 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
146569 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
146570 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
146571 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146572 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146573 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
146574 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
146575 -        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                                                                                                                                                                                                                                                                                                                           
146576 -        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                                                                                                                                                                                                                                                                                                                                                                                    
146577 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146578 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
146579 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
146580 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146581 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146582 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
146583 -        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                                                                                                                                                                                                                                                                                                                                           
146584 -        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                                                                                                                                                                                                                                                                                                                                           
146585 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146586 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
146587 -        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                                                                                                                                                                                                                                                                                                                                                                                        
146588 -        Callus ring toe #4 top right foot............   2         20  seems toenail was cut too close on 250807.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146589 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
146590 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146591 -        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                                                                                                                                                                                                                                                                                                                                                              
146592 -        Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
146593 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
146594 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146595 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146596 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
146597 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146598 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
146599 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
146600 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146601 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
146602 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146603 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146604 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146605 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146606 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146607 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146608 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146609 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Tramadol mile 13, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
146610 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146611 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146614 -  ..
146615 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146616 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146618 -  ..
146619 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146620 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146621 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146622 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146623 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146624 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146625 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146627 -  ..
146628 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146629 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146630 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146632 -  ..
146633 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146634 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146635 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146636 - occurred on 250819, wearing Smartwool socks.  Initially had good, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146637 - poor results entire hike using liquid bandaid.  Actually, was better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146638 - than on 250819 - no blisters today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146640 -  ..
146641 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146643 -  ..
146644 - Callus Injuries - today on 250818, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146645 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146647 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146648 -                    1 Tramadol mile 13 had PL 2 last 3 miles of 17 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146650 -  ..
146651 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146652 - mile 20 for rest of 25 mile hike.  Microsoft AI (Copilot) proposed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146653 - Naproxen can be taken to extend pain management with Tramadol, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146654 - exceeding neurology limits of Tramadol, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146655 - 200101 0701, ref SDS 18 K5FI, and citing research in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146656 - 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146658 -  ..
146659 - No energy loss after taking 1 magnesium at mile 00 and 1 at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146661 -  ..
146662 - In sum, bandaging little better results today.  Donut opening seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146663 - to be centered off on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146665 -  ..
146666 - For left foot #5... applied liquid bandaid like on 250819, to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146667 - another blood blister - this worked, but had PL 4+ 40% of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146669 -  ..
146670 - For right foot #5... also applied liquid bandaid. omitted bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146671 - This was not perfect, had PL 3+ last 5 miles.  Might be able to use a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146672 - small corn bandaid on this wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146674 -  ..
146675 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146676 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146677 - above, ref SDS 0 OK9M, and wearing 1 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146678 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146679 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146680 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146683 -  ..
146684 - Concord 17 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146685 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146686 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146687 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146688 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146689 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146690 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146691 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146692 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146693 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146694 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146695 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146696 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146697 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146698 - treatment by Doctor Tang at VAMCSF on 250807 0900. ref SDS A2 5Q5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146699 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146700 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146701 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146702 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146703 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146704 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146705 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146706 - Had small amount peanut butter that contains iron to elevate Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146707 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146708 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146709 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146710 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146711 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146712 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146713 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146714 - reported on 250813 0730, ref SDS A3 MJ5I; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146715 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146716 - and had small amount Chia Seeds for electrolytes (e.g., potassium) and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146717 - energy, and had 1/4 avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146718 - new Ubiquinol CoQ10 100 mg softgel tablet, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146719 - Z1AX CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146720 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146721 - 200101 0701. ref SDS 18 136K  Minimal breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146722 - feeling starting hike from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146723 - and other drugs, also symptomatic of diabetes, colitis and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146724 - fibrillation (arrhythmia - impaired heart rate variability (HRV) from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146725 - dysfunctional autonomic nervous system - ANS), see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146726 - 200101 0701. ref SDS 18 O33H  Took backpack to carry hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146727 - nutrition, meds, medical supplies.  Temperature 91 and wind 14 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146728 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146729 - stomach seemed less bloated (may align with reduced "impaired HRV"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146730 - overnight Polar study, above, ref SDS 0 Q5VG, ), and feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146731 - swelled and like pins and needles - actually minimal today, and - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146732 - not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146733 - peripheral neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146734 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146735 - indicating strong respiratory condition has sustained, despite 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146736 - hiking last week.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146737 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146738 - flat grade, some places 3% uphill, and very light traffic.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146739 - hike across Newhall Community across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146740 - today.  Left foot #1 PL 0, #5 PL 2; right foot #5 PL 1 - endorphins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146741 - and Tramadol effective.  Continued on Turtle Creek Road uphill 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146742 - grade.  At end of Turtle Creek Road turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146743 - .75 miles on asphalt road shoulder.  At mile 3, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146744 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146745 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146746 - continued on concrete sidewalk .5 miles.  Energy seemed okay - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146747 - feel sense of hitting a "wall" near mile 4, having to stop at Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146748 - Mike's Pizza restaurant to take interim magnesium and CoQ10.  This has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146749 - been major question for hikes past 6 months.  Continued hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146750 - mile 4.  Turned right heading West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146751 - concrete sidewalk .5 miles.  This is difficult part of hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146752 - metatarsalgia PL 2 hiking on sidewalk.  Continued crossing Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146753 - Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146754 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146755 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146756 - Boulevard.  Turned left onto Pine Hollow and hiked 1.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146757 - At Pennsylvania Boulevard turned around hiking back on Pine Hollow 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146758 - miles.  Stopped and turned around at Pennsylvania Boulevard, instead                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146759 - of hiking to end of Pine Hollow, since planning to hike 8-mile Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146760 - Ranch loop.  Hiked back on Pine Hollow.  Near Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146761 - turned left onto Campus Drive heading West uphill 3% grade.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146762 - mile against wind 12 mph.  The road bends North.  At Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146763 - road turned around and hiked uphill on Campus Drive 4% grade.  Body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146764 - slowed again with low energy - taking shorter steps about mile 9.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146765 - Legs not fatigued with lactic acid - feels like low ferritin, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146766 - im lab on 250807 0654, ref SDS A1 VP5H, per MAI research on 250430                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146767 - 2137. ref SDS 89 GW9J  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146768 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146769 - stopping in back at training area - did 20 half pulups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146770 - push ups, then continued back to Visitor parking.  Hiked 2 - 1.5 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146771 - loops through Faculty and Student parking lots, and another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146772 - around main buildings.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146773 - Administration building mile 13 time 1357 temp 83 and wind 09 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146774 - looks mostly uniform with no artifact.  Kardia reported HR 136                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146775 - Tachycardia - see below. ref SDS 0 OQLS  Bloating PL 5, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146776 - PL 2, both feet metatarsalgia PL 3, burning sensation PL 3.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146777 - #1 PL 1 and #5 PL 2.  Right foot #5 PL 2.  Took 1 Tramadol 50 mg total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146778 - 2, for pain.  Took 1 Magnesium complex 300 mg pill, total 3, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146779 - energy, absorbing lactic acid, and reducing inflammation, per research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146780 - on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146781 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146782 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146783 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146784 - Since temperature 83, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146785 - took 0 Nuun electrolyte pill, per above. ref SDS 0 YR6K  Exited from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146786 - campus heading North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146787 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile 14,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146788 - continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146789 - wind 10 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146790 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146791 - Hiked .5 miles uphill 3% grade to summit.  At end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146792 - mile 15, turned around.  Hiked East back to Cowell.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146793 - hiking downhill 5% grade .25 mile.  Continued flat grade .25 mile,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146794 - then .5 mile flat grade and very narrow shoulder against heavy commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146795 - traffic.  Turned left onto Treat heading West.  Crossed Treat at break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146796 - in traffic.  Turned onto Cuneo then home.  Ended hike mile 17 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146797 - 1513 temp 89, wind 09.  Bloated PL 3, feet PL 3, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146798 - 3, left foot #1 PL 2, #5 PL 3, right foot #5 PL 2.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146799 - uniform, with minor artifact, Kardia reported HR 137 Unclassified -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146800 - see below. ref SDS 0 ZGWH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146819 -  ..
146820 - Kardia recorded HR 48 at 0734, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146821 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146822 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146823 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146824 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146825 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146826 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146829 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146830 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250828-ecg-073419_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146840 -  ..
146841 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146842 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146843 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146844 - ..
146845 -                                                                                                                                                                                                                                                                                                              x
146846 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
146847 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146848 -       Date          250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 250609 25060  
146849 -       Miles            17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0      0  
146850 -       HR AVG          129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no  
146851 -         MAX           147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report report repo  
146852 -         Min            51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                       
146853 -       El Climb Ft     448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                       
146854 -       Temp Max         91                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                       
146855 -       Wind Max         14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                       
146856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146858 -              https://flow.polar.com/training/analysis/8179043412                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146861 -               ..
146863 -   
146864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146868 -  ..
146869 - EKG at mile 13 time 1357 HR 136 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146870 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146871 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146874 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146875 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250828-ecg-135726_mile_13_136_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146879 -  ..
146880 - End hike EKG at mile 17, time 1513 HR 137 temp 89 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146881 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146882 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146885 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
146886 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250828-ecg-151335_mile_17_137_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
146887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146891 -  ..
146892 - Post hike 250828 HR profile beginning 2113, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146893 - activity after hiking 17 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
146894 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146895 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146896 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146899 -        ..
146900 -       Date      250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619  250618    
146901 -       Time       2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032    2018     
146902 -       Hours        10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11      10     
146903 -       HR AVG       60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70      64     
146904 -       HR MAX      117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     103     
146905 -       HR Min       39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36      42     
146906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146908 -              https://flow.polar.com/training/analysis/8179374373                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146911 -  ..
146912 - HRV seems 10% 0 and 30% - good and 60% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146915 -   
146916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146920 -  ..
146921 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146922 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
146923 - Dinner - eggs macaroni cheese hot dog broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146925 -  ..
146926 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
146970 -         ..
146971 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146972 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146973 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146974 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146975 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146976 -  241.  250829 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146977 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
146978 -               0715....BP HR..................................................... 154  78  72  Kardia ECG reports HR status, see below. ref SDS 0 CA3R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146979 -               0720....BP HR..................................................... 126  76  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146980 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
146981 -               0725....40 468220 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
146982 -               1030....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
146983 -               1030... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146984 -               1030....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
146985 -               1030....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146986 -               1030....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146987 -               1030....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146988 -               1030... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
146989 -  ..
146990 -               1056....miles...........  20.0  37.0  337   623 minutes  temp  89 wind 14  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
146991 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146992 -               1307....mile 13 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146993 -               1307....Tramadol 50 mg took 1 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
146994 -               1307... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
146995 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
146996 -               1307... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
146997 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
146998 -               1543....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
146999 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147000 -               1543....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147001 -               1543... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147002 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147003 -               1543... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147004 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147005 -               1635....mile 20 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147006 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147007 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147008 -               1635... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147009 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147010 -               1635... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147011 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147012 -               1704... Hike ends mile 20..... ref SDS 0 7TJW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147013 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147014 -               1524....weight.................................... 173  lost 8#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147015 -               1529....BP HR..................................................... 108  66 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147016 -               1537....BP HR..................................................... 103  69 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147017 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147018 -               1700... 40 127220 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                                                                                                                                                                                                                                                                                  
147019 -             1 0000............ 10 21930  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
147020 -             1 0000............ 10 22280  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
147021 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147022 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147023 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147024 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147025 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147026 -               2250... 1000 2552000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147027 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147028 -               2330... 40 468260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147029 -               2340... 40 101920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147031 -  ..
147032 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147033 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147035 -  ..
147036 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147037 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147038 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147039 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147040 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147041 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147043 -  ..
147044 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147045 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147047 -  ..
147048 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147049 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147052 -  ..
147053 - Today, hiked 20 miles - planned again to hike 30, doing Crystal Ranch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147054 - 8-mile loop. hit low energy wall at mile 11, on Campus Drive heading up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147055 - to college.  Bandaging worked well.  No new injuires.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147056 - resolved by end of hike.  Switching to Urea 20% treatment works better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147057 - than Ammonium Lactate 12% for calluses; still need major tissue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147058 - release on left foot #1, as occurred last year on right foot #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147059 - Large size Corn bandages received from Doctor Tang in VA Podiatry on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147060 - 250807 0900. ref SDS A2 T49H  Post hike muscles not cramping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147063 -         ..
147064 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147065 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147066 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
147067 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
147068 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147069 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147070 -        Heat rash right quad.........................   3         20  post hike upper right leg rash - resolved late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147071 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147072 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
147073 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147074 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147075 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147076 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147077 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
147078 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147079 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
147080 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147081 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
147082 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147083 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147084 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147085 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147086 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
147087 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147088 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147089 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147090 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147091 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
147092 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147093 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147094 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147095 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147096 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147097 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147098 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147099 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
147100 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147101 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147102 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
147103 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
147104 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
147105 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
147106 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147107 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147108 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
147109 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
147110 -        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                                                                                                                                                                                                                                                                                                                           
147111 -        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                                                                                                                                                                                                                                                                                                                                                                                    
147112 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147113 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
147114 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
147115 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147116 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147117 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
147118 -        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                                                                                                                                                                                                                                                                                                                                           
147119 -        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                                                                                                                                                                                                                                                                                                                                           
147120 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147121 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
147122 -        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                                                                                                                                                                                                                                                                                                                                                                                        
147123 -        Callus ring toe #4 top right foot............   3         40  seems toenail was cut too close on 250807.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147124 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
147125 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147126 -        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                                                                                                                                                                                                                                                                                                                                                              
147127 -        Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
147128 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
147129 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147130 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147131 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
147132 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147133 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
147134 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
147135 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147136 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
147137 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147138 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147139 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147140 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147141 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147142 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147143 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147144 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Tramadol mile 13, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
147145 -        Wasted - very fatigued.......................   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147146 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147149 -  ..
147150 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147151 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147153 -  ..
147154 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147155 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147156 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147157 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147158 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147159 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147160 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147162 -  ..
147163 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147164 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147165 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147167 -  ..
147168 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147169 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147170 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147171 - occurred on 250819, wearing Smartwool socks.  Initially had good, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147172 - poor results entire hike using liquid bandaid.  Actually, was better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147173 - than on 250819 - no blisters today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147175 -  ..
147176 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147178 -  ..
147179 - Callus Injuries - today on 250818, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147180 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147182 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147183 -                    1 Tramadol mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147184 -                    1 Naproxen mile 16 had PL 2 last 3 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147186 -  ..
147187 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147188 - mile 20 for rest of 25 mile hike.  Microsoft AI (Copilot) proposed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147189 - Naproxen can be taken to extend pain management with Tramadol, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147190 - exceeding neurology limits of Tramadol, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147191 - 200101 0701, ref SDS 18 K5FI, and citing research in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147192 - 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147194 -  ..
147195 - No energy loss after taking 1 magnesium at mile 00 and 1 at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147197 -  ..
147198 - In sum, bandaging little better results today.  Donut opening seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147199 - to be centered off on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147201 -  ..
147202 - For left foot #5... applied liquid bandaid like on 250819, to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147203 - another blood blister - this worked, but had PL 4+ 40% of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147205 -  ..
147206 - For right foot #5... also applied liquid bandaid. omitted bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147207 - This was not perfect, had PL 3+ last 5 miles.  Might be able to use a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147208 - small corn bandaid on this wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147210 -  ..
147211 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147212 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147213 - above, ref SDS 0 OK9M, and wearing 1 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147214 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147215 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147216 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147219 -  ..
147220 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147221 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147222 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147223 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147224 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147225 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147226 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147227 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147228 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147229 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147230 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147231 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147232 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147233 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147234 - treatment by Doctor Tang at VAMCSF on 250807 0900. ref SDS A2 5Q5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147235 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147236 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147237 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147238 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147239 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147240 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147241 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147242 - Had small amount peanut butter that contains iron to elevate Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147243 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147244 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147245 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147246 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147247 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147248 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147249 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147250 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147251 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147252 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147253 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147254 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147255 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147256 - above. ref SDS 0 8H67  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147257 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147258 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147259 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147260 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147261 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147262 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147263 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147264 - hydration, nutrition, meds, medical supplies.  Temperature 101, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147265 - wind 13 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147266 - Starting hike stomach seemed less bloated (may align with reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147267 - "impaired HRV" overnight Polar study, above, ref SDS 0 Q5VG, ), and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147268 - feet feeling swelled and like pins and needles - actually minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147269 - today, and - did not feel electrical shocks in balls of feet this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147270 - morning - due to peripheral neuropathy caused by taking statins,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147271 - diabetes symptoms, and dysfunctional ANS.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147272 - entire hike with no dyspnea, indicating strong respiratory condition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147273 - has sustained, despite 0 hiking last week.  Hiked East on Treat .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147274 - miles.  Turned right hiking South on asphalt shoulder of Turtle Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147275 - Road for 1.5 miles mostly flat grade, some places 3% uphill, and very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147276 - light traffic.  Did not hike across Newhall Community across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147277 - Community park and back today.  Left foot #1 PL 0, #5 PL 2; right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147278 - #5 PL 1 - endorphins and Tramadol effective.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147279 - Creek Road uphill 4% grade.  At end of Turtle Creek Road turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147280 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147281 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147282 - pavement in parking lots of shopping complex.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147283 - traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147284 - seemed okay - did not feel sense of hitting a "wall" near mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147285 - having to stop at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147286 - magnesium and CoQ10.  This has been major question for hikes past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147287 - months.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147288 - Ygnacio Valley Road using concrete sidewalk .5 miles.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147289 - difficult part of hike with metatarsalgia PL 2 hiking on sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147290 - Continued crossing Park Highlands Road at Stop Light still heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147291 - West .25 miles now on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147292 - Valley Road to hike on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147293 - at Michigan Boulevard.  Turned left onto Pine Hollow and hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147294 - miles East.  Stopped at end of Pine Hollow mile 08 time 1307 temp 82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147295 - and wind 06 mph; EKG looks uniform with no artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147296 - HR 112 Tachycardia - see below. ref SDS 0 WIVL  Bloating PL 2, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147297 - deficit PL 3, both feet metatarsalgia PL 2, burning sensation PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147298 - Left foot #1 PL 3 and #5 PL 3.  Right foot #5 PL 2.  Took 1 Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147299 - 50 mg total today 1, for pain.  Took 1 Magnesium complex 300 mg pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147300 - total today 3, for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147301 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147302 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147303 - peanut butter, avocado with margarine and Mayonnaise.  Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147304 - electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147305 - complete hike.  Since temperature 82, which causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147306 - ejects electrolytes, took 0 Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147307 - ref SDS 0 QF1J  Turned around hiking back 2.5 miles on Pine Hollow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147308 - Near Ygnacio Valley road turned left onto Campus Drive heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147309 - uphill 3% grade.  Hiked 1 mile against wind 12 mph.  The road bends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147310 - North.  At Ygnacio Valley road turned around and hiked uphill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147311 - Campus Drive 4% grade.  Body slowed again with low energy - taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147312 - shorter steps about mile 11.  Legs not fatigued with lactic acid -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147313 - feels like low ferritin, reported im lab on 250807 0654, ref SDS A1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147314 - VP5H, per MAI research on 250430 2137. ref SDS 89 GW9J  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147315 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147316 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147317 - Campus.  Hiked loop around main buildings stopping in back at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147318 - area - did 20 half pulups and 20 half push ups, then continued back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147319 - Visitor parking.  Hiked 2 - 1.5 mile loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147320 - parking lots, and another loop around main buildings.  Hit energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147321 - deficit on 2nd loop, slowed noticably.  Back at Visitor Parking,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147322 - stopped at Administration building mile 16 time 1543 temp 97 and wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147323 - 06 mph; EKG looks mostly uniform with some artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147324 - HR 121 Tachycardia - see below. ref SDS 0 HJU2  Bloating PL 4, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147325 - deficit PL 8, both feet metatarsalgia PL 4, burning sensation PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147326 - Left foot #1 PL 2 and #5 PL 4.  Right foot #5 PL 4.  Took 1 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147327 - 250 mg total today 1 (Tramadol total 2), for pain.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147328 - complex 300 mg pill, total 4, for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147329 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147330 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147331 - nutrition - peanut butter, avocado with margarine and Mayonnaise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147332 - Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147333 - and energy to complete hike.  Since temperature 97, which causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147334 - sweating that ejects electrolytes, took 0 Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147335 - above. ref SDS 0 QF1J  Exited from campus heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147336 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147337 - flat grade .5 miles.  At mile 17, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147338 - uphill 3% grade .5 miles against wind 12 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147339 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147340 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147341 - end of concrete barriar mile 18, turned around.  Hiked East back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147342 - Cowell.  Turned left hiking downhill 5% grade .25 mile.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147343 - flat grade .25 mile, then .5 mile flat grade and very narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147344 - against heavy commute traffic.  Turned left onto Treat heading West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147345 - Crossed Treat at break in traffic.  Turned onto Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147346 - Ended hike mile 20 time 1704 temp 99, wind 12.  Bloated PL 3, low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147347 - energy PL 6, feet PL 3, burning sensation PL 2, left foot #1 PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147348 - PL 3, right foot #5 PL 2.  EKG looks mostly uniform, with some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147349 - artifact, Kardia reported HR 127 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147350 - 7TJW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147369 -  ..
147370 - Kardia recorded HR 47 at 0916, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147371 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147372 - hiking 17 miles temp 91 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147373 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147374 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147375 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147376 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147379 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147380 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250829-ecg-091612_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147381 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147382 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147390 -  ..
147391 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147392 - hike 20 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147393 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147394 - ..
147395 -                                                                                                                                                                                                                                                                                                              x
147396 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147397 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147398 -       Date          250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 250610 25060  
147399 -       Miles            20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0      0  
147400 -       HR AVG          119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no  
147401 -         MAX           136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   report repo  
147402 -         Min            66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48                
147403 -       El Climb Ft     450    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480                
147404 -       Temp Max        101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75                
147405 -       Wind Max         13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21                
147406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147408 -              https://flow.polar.com/training/analysis/8179611698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147411 -               ..
147413 -   
147414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147418 -  ..
147419 - EKG at mile 08 time 1307 HR 112 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147420 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147421 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147424 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147425 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250829-ecg-130758_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147430 -  ..
147431 - EKG at mile 16 time 1543 HR 121 temp 97, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147432 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147433 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147436 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147437 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250829-ecg-154341_mile_16_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147441 -  ..
147442 - End hike EKG at mile 20, time 1704 HR 127 temp 97 - Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147443 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147444 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147447 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147448 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250829-ecg-170442_mile_20_127_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147453 -  ..
147454 - Post hike 250829 HR profile beginning 2034, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147455 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147456 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147457 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147458 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147461 -        ..
147462 -       Date      250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620  250619    
147463 -       Time       2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050    2032     
147464 -       Hours        10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6      11     
147465 -       HR AVG       66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66      70     
147466 -       HR MAX      136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     172     
147467 -       HR Min       41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43      36     
147468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147470 -              https://flow.polar.com/training/analysis/8179912646                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147473 -  ..
147474 - HRV seems  0% 0 and 30% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147477 -   
147478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147482 -  ..
147483 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147484 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147485 - Dinner - hamburger potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147487 -  ..
147488 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147531 -         ..
147532 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147533 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147534 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147535 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147536 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147537 -  242.  250830 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147538 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147539 -               0645....BP HR..................................................... 127  74  46  Kardia ECG reports HR status, see below. ref SDS 0 CA3R                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147540 -               0650....BP HR..................................................... 118  66  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147541 -               0655....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147542 -               0655....40 468300 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
147543 -               0720....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147544 -               0720... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147545 -               0720....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147546 -               0720....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147547 -               0720....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147548 -               0720....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147549 -               0720... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
147550 -  ..
147551 -               0748....miles...........  15.0  52.0  257   880 minutes  temp 101 wind 08  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147552 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147553 -               0958....mile 13 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147554 -               0000....Tramadol 50 mg took 1 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147555 -               0958....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147556 -               0958... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
147557 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147558 -               0958... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147559 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147560 -               1543....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147561 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147562 -               1543....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147563 -               1543... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147564 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147565 -               1543... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147566 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147567 -               1635....mile 20 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147568 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147569 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147570 -               1635... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147571 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147572 -               1635... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147573 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147574 -               1221... Hike ends mile 15..... ref SDS 0 CJB4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147575 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147576 -               1234....weight.................................... 174  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147577 -               1250....BP HR..................................................... 112  72 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147578 -               1255....BP HR..................................................... 109  68  93                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147579 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147580 -               1700... 40 127260 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                                                                                                                                                                                                                                                                                  
147581 -               1830............ 10 21940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
147582 -               1830............ 10 22290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
147583 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147584 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147585 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147586 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147587 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147588 -               2250... 1000 2553000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147589 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147590 -               2330... 40 468340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147591 -               2340... 40 101960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147594 -  ..
147595 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147596 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147598 -  ..
147599 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147600 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147601 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147602 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147603 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147604 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147606 -  ..
147607 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147608 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147610 -  ..
147611 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147612 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147615 -  ..
147616 - Today, hiked 15 miles - hit low energy wall at mile 04 - unable to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147617 - hike loops at college.  Bandaging worked well.  New injury right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147618 - top #4 blister.  Getting heat rash right quad today, and past 2 days -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147619 - today, both quads.  Bloating resolved by end of hike.  Switching to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147620 - Urea 20% treatment works better than Ammonium Lactate 12% for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147621 - calluses; still need major tissue release on left foot #1, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147622 - last year on right foot #1.  Large size Corn bandages received from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147623 - Doctor Tang in VA Podiatry on 250807 0900. ref SDS A2 T49H  Post hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147624 - muscles not cramping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147627 -         ..
147628 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147629 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147630 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
147631 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
147632 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147633 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147634 -        Heat rash right quad.........................   3         20  post hike upper right and left leg rash - resolved late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147635 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147636 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
147637 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147638 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147639 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147640 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147641 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
147642 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147643 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
147644 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147645 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
147646 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147647 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147648 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147649 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147650 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
147651 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147652 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147653 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147654 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147655 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
147656 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147657 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147658 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147659 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147660 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147661 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147662 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147663 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
147664 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147665 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147666 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
147667 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
147668 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
147669 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
147670 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147671 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147672 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
147673 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
147674 -        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                                                                                                                                                                                                                                                                                                                           
147675 -        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                                                                                                                                                                                                                                                                                                                                                                                    
147676 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147677 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
147678 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
147679 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147680 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147681 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
147682 -        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                                                                                                                                                                                                                                                                                                                                           
147683 -        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                                                                                                                                                                                                                                                                                                                                           
147684 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147685 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
147686 -        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                                                                                                                                                                                                                                                                                                                                                                                        
147687 -        Callus ring toe #4 top right foot............   4         40  seems toenail was cut too close on 250807.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147688 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
147689 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147690 -        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                                                                                                                                                                                                                                                                                                                                                              
147691 -        Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
147692 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
147693 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147694 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147695 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
147696 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147697 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
147698 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
147699 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147700 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
147701 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147702 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147703 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147704 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147705 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147706 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147707 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147708 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
147709 -        Wasted - very fatigued.......................   8        100  energy low after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147710 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147713 -  ..
147714 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147715 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147717 -  ..
147718 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  continued use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147719 - Brooks Ghost size 10.5 extra-wide, received on 170526, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147720 - case study on 200101 0701. ref SDS 18 9VJS  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147721 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147722 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147723 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147724 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147726 -  ..
147727 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147728 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147729 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147731 -  ..
147732 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147733 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147734 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147735 - occurred on 250819, wearing Smartwool socks.  Initially had good, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147736 - poor results entire hike using liquid bandaid.  Actually, was better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147737 - than on 250819 - no blisters today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147739 -  ..
147740 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147742 -  ..
147743 - Callus Injuries - today on 250818, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147744 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147746 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147747 -                    1 Tramadol mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147748 -                    1 Naproxen mile 16 had PL 2 last 3 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147750 -  ..
147751 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147752 - mile 20 for rest of 25 mile hike.  Microsoft AI (Copilot) proposed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147753 - Naproxen can be taken to extend pain management with Tramadol, without                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147754 - exceeding neurology limits of Tramadol, reported in case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147755 - 200101 0701, ref SDS 18 K5FI, and citing research in another record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147756 - 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147758 -  ..
147759 - No energy loss after taking 1 magnesium at mile 00 and 1 at mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147761 -  ..
147762 - In sum, bandaging little better results today.  Donut opening seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147763 - to be centered off on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147765 -  ..
147766 - For left foot #5... applied liquid bandaid like on 250819, to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147767 - another blood blister - this worked, but had PL 4+ 40% of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147769 -  ..
147770 - For right foot #5... also applied liquid bandaid. omitted bandaging.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147771 - This was not perfect, had PL 3+ last 5 miles.  Might be able to use a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147772 - small corn bandaid on this wound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147774 -  ..
147775 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147776 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147777 - above, ref SDS 0 OK9M, and wearing 1 pair Rightsock dual-ply socks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147778 - help recover and avoid blisters to Tailor's Bunion and other calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147779 - both feet, case study on shaving skin to reduce pressure, shown on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147780 - 200101, ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147783 -  ..
147784 - Concord 15 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147785 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147786 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147787 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147788 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147789 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147790 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147791 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147792 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147793 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147794 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147795 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147796 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147797 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147798 - treatment by Doctor Tang at VAMCSF on 250807 0900. ref SDS A2 5Q5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147799 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147800 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147801 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147802 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147803 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147804 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147805 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147806 - Had small amount peanut butter that contains iron to elevate Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147807 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147808 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147809 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147810 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147811 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
147812 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147813 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147814 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147815 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147816 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147817 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147818 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147819 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147820 - above. ref SDS 0 HYDU  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147821 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147822 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147823 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147824 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147825 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147826 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147827 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147828 - hydration, nutrition, meds, medical supplies.  Temperature 101, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147829 - wind 08 mph.  Left early to avoid high temperature in afternoon.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147830 - Hiked Cuneo .25 mile and turned left, onto Treat.  Starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147831 - stomach seemed more bloated (may align with increased "impaired HRV"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147832 - overnight Polar study, above, ref SDS 0 IKV3), and feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147833 - swelled and like pins and needles - actually minimal today, and - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147834 - not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147835 - peripheral neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147836 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147837 - indicating strong respiratory condition - aligns with hiking past 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147838 - days.  Hiked East on Treat .5 miles.  Turned right hiking South on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147839 - asphalt shoulder of Turtle Creek Road for 1.5 miles mostly flat grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147840 - some places 3% uphill, and very light traffic.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147841 - Newhall Community across Newhall Community park and back today.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147842 - foot #1 PL 0, #5 PL 2; right foot #5 PL 1 - endorphins and Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147843 - effective.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147844 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147845 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147846 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147847 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147848 - concrete sidewalk .5 miles.  Energy deficit evident about mile 4, but                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147849 - did not stop at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147850 - magnesium and CoQ10.  This has been major question for hikes past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147851 - months.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147852 - Ygnacio Valley Road using concrete sidewalk .5 miles.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147853 - difficult part of hike with metatarsalgia PL 2 hiking on sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147854 - Continued crossing Park Highlands Road at Stop Light still heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147855 - West .25 miles now on asphalt shoulder.  Crossed to South side Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147856 - Valley Road to hike on wider shoulder.  Continued West past Stop Light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147857 - at Michigan Boulevard.  Turned left onto Pine Hollow and hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147858 - miles East.  Stopped at end of Pine Hollow mile 08 time 0958 temp 74                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147859 - and wind 01 mph; EKG looks mostly uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147860 - reported HR 103 Tachycardia - see below. ref SDS 0 KHDI  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147861 - 4, energy deficit PL 7, both feet metatarsalgia PL 4, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
147862 - sensation PL 3.  Left foot #1 PL 1 and #5 PL 3.  Right foot #5 PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147863 - #4 PL 3.  Took 1 Naproxan 250 mg total today 1, for pain.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147864 - Magnesium complex 300 mg pill, total today 3, for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147865 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147866 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147867 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147868 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147869 - pill for HDL and energy to complete hike.  Since temperature 82, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147870 - causes sweating that ejects electrolytes, took 0 Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147871 - pill, per above. ref SDS 0 6KW8  Turned around hiking back 2.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147872 - on Pine Hollow.  Near Ygnacio Valley road turned left onto Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147873 - Drive heading West uphill 3% grade.  Hiked 1 mile against wind 03 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147874 - The road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147875 - uphill on Campus Drive 4% grade.  Reached Visitor Parking California                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147876 - State University East Bay Concord Campus.  Body very slow -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147877 - significant energy deficit, as occurred yesterday.  Decided not to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147878 - hike usual loops through parking lots.  Exited from campus heading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147879 - North downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147880 - Hiked West on flat grade .5 miles.  At mile 13, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147881 - Ranch Road uphill 3% grade .5 miles against wind 03 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147882 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147883 - Ygnacio Valley Road to avoid severe camber.  Too weak to hike up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147884 - summit.  Turned left hiking downhill 5% grade .25 mile.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147885 - flat grade .25 mile, then .5 mile flat grade and very narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147886 - against heavy commute traffic.  Turned left onto Treat heading West.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147887 - Crossed Treat at break in traffic.  Turned onto Cuneo then home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147888 - Ended hike mile 15 time 1221 temp 88, wind 08.  Bloated PL 4, low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147889 - energy PL 8, feet metatarsalgia PL 3, burning sensation PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
147890 - foot #1 PL 1, #5 PL 2, right foot #5 PL 1, #4 PL 4.  EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147891 - uniform, with some artifact, Kardia reported HR 111 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147892 - below. ref SDS 0 CJB4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147911 -  ..
147912 - Kardia recorded HR 45 at 0637, Unclassified, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147913 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147914 - hiking 20 miles temp 97 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147915 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147916 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
147917 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147918 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147921 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147922 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250830-ecg-063737_mile_00_045_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147932 -  ..
147933 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
147934 - hike 15 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
147935 - TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147936 - ..
147937 -                                                                                                                                                                                                                                                                                                              x
147938 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147939 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147940 -       Date          250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 250613 250612 250611 25061  
147941 -       Miles            15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0      0     23      0  
147942 -       HR AVG          114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no     no    115     no  
147943 -         MAX           129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report report report  134   repo  
147944 -         Min            64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                                       48         
147945 -       El Climb Ft     450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                                      480         
147946 -       Temp Max        101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                                       75         
147947 -       Wind Max         08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                                       21         
147948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147950 -              https://flow.polar.com/training/analysis/8179611698                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
147951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147953 -               ..
147955 -   
147956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147960 -  ..
147961 - EKG at mile 08 time 0958 HR 103 temp 74, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147962 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147963 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147966 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147967 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250830-ecg-095841_mile_08_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147971 -  ..
147972 - End hike EKG at mile 15, time 1221 HR 111 temp 88 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
147973 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147974 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
147975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147977 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
147978 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250830-ecg-122159_mile_15_111_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
147979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147983 -  ..
147984 - Post hike 250830 HR profile beginning 2204, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147985 - activity after hiking 15 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
147986 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
147987 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
147988 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
147989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147991 -        ..
147992 -       Date      250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621  250620    
147993 -       Time       2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116    0050     
147994 -       Hours         9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8       6     
147995 -       HR AVG       63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65      66     
147996 -       HR MAX      116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     118     
147997 -       HR Min       40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45      43     
147998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
147999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148000 -              https://flow.polar.com/training/analysis/8180543420                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148003 -  ..
148004 - HRV seems  0% 0 and 40% - good and 60% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148007 -   
148008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148012 -  ..
148013 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148014 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148015 - Dinner - eggs macaroni cheese hot dog broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148017 -  ..
148018 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148063 -         ..
148064 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148065 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148066 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148067 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148068 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148069 -  243.  250831 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148070 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148071 -               0715....BP HR..................................................... 138  72  45  Kardia ECG reports HR status, see below. ref SDS 0 JN9I                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148072 -               0720....BP HR..................................................... 135  69  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148073 -               0725....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148074 -               0725....40 468380 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
148075 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148076 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148077 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148078 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148079 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148080 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148081 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148082 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148083 -               1700... 40 127300 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                                                                                                                                                                                                                                                                                  
148084 -             1 0000............ 10 21940  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148085 -             1 0000............ 10 22290  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148086 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148087 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148088 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148089 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148090 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148091 -               2250... 1000 2554000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148092 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148093 -               2330... 40 468420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148094 -               2340... 40 102000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148097 -  ..
148098 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148099 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148101 -  ..
148102 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148103 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148104 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148105 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148106 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148107 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148109 -  ..
148110 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148111 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148113 -  ..
148114 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148115 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148122 -  ..
148123 - Kardia recorded HR 49 at 0825, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148124 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148125 - hiking 20 miles temp 97 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148126 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148127 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148128 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148129 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148132 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148133 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250831-ecg-082555_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148137 -  ..
148138 - Post hike 250831 HR profile beginning 1917, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148139 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148140 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148141 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148142 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148145 -        ..
148146 -       Date      250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622  250621    
148147 -       Time       1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202    2116     
148148 -       Hours        12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9       8     
148149 -       HR AVG       57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72      65     
148150 -       HR MAX      105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     101     
148151 -       HR Min       39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47      45     
148152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148154 -              https://flow.polar.com/training/analysis/8181149028                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148157 -  ..
148158 - HRV seems 30% 0 and 60% - good and 10% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148161 -   
148162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148166 -  ..
148167 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148168 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148169 - Dinner - macaroni cheese hamburger asperagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148171 -  ..
148172 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148189 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148190 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148218 -         ..
148219 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148220 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148221 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148222 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148223 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148224 -  244.  250901 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148225 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148226 -               0735....BP HR..................................................... 142  75  49  Kardia ECG reports HR status, see below. ref SDS 0 RYQZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148227 -               0740....BP HR..................................................... 136  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148228 -               0745....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148229 -               0745....40 468460 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
148230 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148231 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148232 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148233 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148234 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148235 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148236 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148237 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148238 -               1700... 40 127340 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                                                                                                                                                                                                                                                                                  
148239 -               1830............ 10 21950  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148240 -               1830............ 10 22300  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148241 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148242 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148243 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148244 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148245 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148246 -               2250... 1000 2555000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148247 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148248 -               2330... 40 468500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148249 -               2340... 40 102040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148252 -  ..
148253 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148254 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148256 -  ..
148257 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148258 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148259 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148260 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148261 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148262 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148264 -  ..
148265 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148266 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148268 -  ..
148269 - Reflux slept in recliner until 0300 to avoid reflux, then in bed after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148270 - EGD dilation on 250718 0830. ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148276 -  ..
148277 - Kardia EKG not recorded today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148283 -  ..
148284 - Post hike 250901 HR profile beginning 2103, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148285 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148286 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148287 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148288 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148291 -        ..
148292 -       Date      250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623  250622    
148293 -       Time       2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351    2202     
148294 -       Hours        11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2       9     
148295 -       HR AVG       56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60      72     
148296 -       HR MAX      103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     163     
148297 -       HR Min       38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45      47     
148298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148300 -              https://flow.polar.com/training/analysis/8181817067                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148303 -  ..
148304 - HRV seems 10% 0 and 70% - good and 20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148307 -   
148308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148312 -  ..
148313 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148314 - Lunch - sandwich baloney onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148315 - Dinner - macaroni cheese hamburger asparagus broccoli onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148317 -  ..
148318 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148363 -         ..
148364 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148365 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148366 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148367 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148368 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148369 -  245.  250902 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148370 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148371 -               0715....BP HR..................................................... 155  92  64  Kardia ECG reports HR status, see below. ref SDS 0 6ED7                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148372 -               0720....BP HR..................................................... 136  76  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148373 -               0725....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148374 -               0725....40 468540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
148375 -               0930....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148376 -               0930... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148377 -               0930....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148378 -               0930....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148379 -               0930....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148380 -               0930....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148381 -               0930... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
148382 -  ..
148383 -               1011....miles...........  17.0  17.0  287   287 minutes  temp  92 wind 18  rain  0% light misty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148384 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148385 -               1220....mile 08 stopped EKG - no Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148386 -               0000....Tramadol 50 mg took 1 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148387 -               1220....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148388 -               1220... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
148389 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148390 -               1220... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148391 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148392 -               1543....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148393 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148394 -               1543....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148395 -               1543... Magnesium 300 mg 1 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148396 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148397 -               1543... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148398 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148399 -               1635....mile 20 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148400 -               0000....Tramadol 50 mg took 1 pill - 3 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148401 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148402 -               1635... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148403 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148404 -               1635... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148405 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148406 -               1511... Hike ends mile 17..... ref SDS 0 7WRJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148407 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148408 -               1525....weight.................................... 173  lost 9#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148409 -               1530....BP HR..................................................... 107  77 113                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148410 -               1535....BP HR..................................................... 104  74 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148411 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148412 -               1700... 40 127380 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                                                                                                                                                                                                                                                                                  
148413 -             1 0000............ 10 21950  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148414 -             1 0000............ 10 22300  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148415 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148416 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148417 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148418 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148419 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148420 -               2250... 1000 2556000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148421 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148422 -               2330... 40 468580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148423 -               2340... 40 102080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148426 -  ..
148427 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148428 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148430 -  ..
148431 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148432 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148433 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148434 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148435 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148436 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148438 -  ..
148439 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148440 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148442 -  ..
148443 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148444 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148447 -  ..
148448 - Today, hiked 17 miles - no energy deficit today - hiked strong entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148449 - route.  Experimented not taking backpack with hydration and nutrition.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148450 - At end of Pine Hollow mile 8, neighbor provided softdrink to take pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148451 - and energy meds.  Bandaging worked better today.  Wound up with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148452 - another blister below left foot #1 - recurrance.  Metatarsalgia pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148453 - less today, wearing thicker soled Hoka Bondi 9s.  Minor heat rash both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148454 - quads again.  Need "Closed Toe Surface Fabric Sleeve Protectors," for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148455 - left foot #5, and right foot #4, available at Amazon...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148457 -              https://www.amazon.com/Bukihome-Protectors-Silicone-Blisters-Toenails/dp/B094Y51GXT/ref=sr_1_2_sspa?dib=eyJ2IjoiMSJ9.JSj0dDVAgxYJyLCYpawTOpk2FlSGZFP2EXEzARa9cXL2Eyf713gD8lMtm7ZjXQfQjicGgPQGkp8k0or809lB5faBQJr0vnWd1fsvLQjYgAMqhUw_HH8e6h-rBWvQKFVUkbEZH7bLr0xhj8MeXFtrkaKQmyd-rAK7XogNTWRVFlUfP8Y3SKENQSlHfzal_a6DM-q1uSRnpdS9RjnNPutYhDXzJOCpBslCyIPKSKxgp7FmI1BY9x636uW8XgrMsW3aBxCCYaDSj6orGhNXwrJpg0f2few2Y5PGICnWQ_yraMM.tHa_lEK-kFu91SOQtTriDQ4BcZ_4NUWkcp7BOPbHwEs&dib_tag=se&  amp;963568777&hvdev=c&hvexpln=67&hvlocphy=9031996&hvnetw=g&hvocijid=7174958979902694075--&hvqmt=b&hvr
148459 -  ..
148460 - Tried Silicone toe protector on left foot #5 a few weeks ago, and it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148461 - caused severe blood blister.  Meeting with Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148462 - 250904 - will ask about this.  Switching to Urea 20% treatment works                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148463 - better than Ammonium Lactate 12% for calluses; still need major tissue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148464 - release on left foot #1, as occurred last year on right foot #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148465 - Large size Corn bandages received from Doctor Tang in VA Podiatry on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148466 - 250807 0900, ref SDS A2 T49H, worked well today.  Post hike muscles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148467 - not cramping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148470 -         ..
148471 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148472 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148473 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
148474 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
148475 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148476 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148477 -        Heat rash right quad.........................   2         20  post hike upper right and left leg rash - resolved late in evening                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148478 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148479 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
148480 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148481 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148482 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148483 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148484 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
148485 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148486 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
148487 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148488 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
148489 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148490 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148491 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148492 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148493 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
148494 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148495 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148496 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148497 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148498 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
148499 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148500 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148501 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148502 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148503 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148504 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148505 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148506 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
148507 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148508 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148509 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
148510 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
148511 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
148512 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
148513 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148514 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148515 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
148516 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
148517 -        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                                                                                                                                                                                                                                                                                                                           
148518 -        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                                                                                                                                                                                                                                                                                                                                                                                    
148519 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148520 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
148521 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
148522 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148523 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148524 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
148525 -        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                                                                                                                                                                                                                                                                                                                                           
148526 -        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                                                                                                                                                                                                                                                                                                                                           
148527 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148528 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
148529 -        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                                                                                                                                                                                                                                                                                                                                                                                        
148530 -        Callus ring toe #4 top right foot............   1        100  better today, using styrofoam tube protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148531 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
148532 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148533 -        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                                                                                                                                                                                                                                                                                                                                                              
148534 -        Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
148535 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
148536 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148537 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148538 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
148539 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148540 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
148541 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
148542 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148543 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
148544 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148545 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148546 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148547 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148548 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148549 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148550 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148551 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
148552 -        Wasted - severe energy deficit...............   8        100  energy low after taking 2 magnesium mile 00 and 1 magnesium mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148553 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148556 -  ..
148557 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148558 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148561 -  ..
148562 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148563 - Bondi 9 size 10.5 extra-wide, received on 250624, reported in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148564 - study on 200101 0701, ref SDS 18 913W  First eyelets not laced, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148565 - first laces very loose, then double weave to keep lower laces loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148566 - across forefoot to avoid lateral pressure on #1 and #5.  Calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148567 - left foot #1 and #5 were initially PL 0, but still took 1 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148569 -  ..
148570 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148571 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148572 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148574 -  ..
148575 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148576 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148577 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148578 - occurred on 250819, wearing Smartwool socks.  Had fairly good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148579 - entire hike using styrofoam tube toe protection - no blister recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148580 - left foot below #1 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148582 -  ..
148583 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148585 -  ..
148586 - Callus Injuries - today on 250902, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148587 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148589 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148590 -                    1 Naproxen mile 08 had PL 3 last 3 miles of 17 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148592 -  ..
148593 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148594 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148595 - management with Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148596 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148597 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148599 -  ..
148600 - No energy loss after taking 2 magnesium at mile 00 and 1 at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148602 -  ..
148603 - In sum, bandaging much better results today.  Donut opening seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148604 - be centered effectively on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148606 -  ..
148607 - Blister below #1 left foot recurred for some reason.  Will need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148608 - bandaging tomorrow to avoid making injury worse.  Did not feel PL on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148609 - this blister during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148611 -  ..
148612 - For left foot #5... applied styrofoam tube protection to blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148613 - recurring - this worked, but need longer tube next hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148615 -  ..
148616 - For right foot #5... tried no bandaging - had PL 0 entire hike.  On #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148617 - applied styrofoam tube protection.  This worked perfectly - PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148618 - entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148622 -  ..
148623 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148624 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148625 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148626 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148627 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148628 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148631 -  ..
148632 - Concord 17 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148633 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148634 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148635 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148636 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148637 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148638 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148639 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148640 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148641 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148642 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148643 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148644 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148645 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148646 - treatment by Doctor Tang at VAMCSF on 250807 0900. ref SDS A2 5Q5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148647 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148648 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148649 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148650 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148651 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148652 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148653 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148654 - Had small amount peanut butter that contains iron to elevate Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148655 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148656 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148657 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148658 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148659 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148660 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148661 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148662 - reported on 250813 0730, ref SDS A3 MJ5I; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148663 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148664 - and had small amount Chia Seeds for electrolytes (e.g., potassium) and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148665 - energy, and had 1/4 avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148666 - new Ubiquinol CoQ10 100 mg softgel tablet, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148667 - ZNBC  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148668 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148669 - study on 200101 0701. ref SDS 18 136K  Minimal breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148670 - bloating feeling starting hike from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148671 - statins and other drugs, also symptomatic of diabetes, colitis and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148672 - atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148673 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148674 - study on 200101 0701. ref SDS 18 O33H  Did not take backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148675 - hydration, nutrition, meds, medical supplies.  Wanted to reduce burden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148676 - on cardiovascular system to avoid energy deficit - just testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148677 - theory.  Temperature 92 and wind 18 mph.  Hiked Cuneo .25 mile and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148678 - turned left, onto Treat.  Starting hike stomach seemed less bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148679 - (may align with reduced "impaired HRV" overnight Polar study, above,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148680 - ref SDS 0 EFLV), and feet feeling swelled and like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148681 - actually minimal today, and - did not feel electrical shocks in balls                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148682 - of feet this morning - due to peripheral neuropathy caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148683 - statins, diabetes symptoms, and dysfunctional ANS.  Breathed through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148684 - nose entire hike with no dyspnea, indicating strong respiratory                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148685 - condition has sustained, despite reduced hiking recent months.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148686 - East on Treat .5 miles.  Turned right hiking South on asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148687 - of Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148688 - uphill, and very light traffic.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148689 - across Newhall Community park and back today.  Left foot #1 PL 0, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148690 - PL 0; right foot #5 PL 0 and #4 PL 0 - endorphins and Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148691 - effective.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148692 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148693 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148694 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148695 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148696 - concrete sidewalk .5 miles.  Energy seemed very good - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148697 - sense of hitting an "energy deficit wall" near mile 4, having to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148698 - at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148699 - CoQ10.  This has been major question for hikes past 6 months.  Hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148700 - past mile 4, turned right heading West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148701 - concrete sidewalk .5 miles.  This is difficult part of hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148702 - metatarsalgia PL 2 hiking on hard surface concrete sidewalk.  Crossws                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148703 - Park Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148704 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148705 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148706 - Boulevard.  Turned left onto Pine Hollow and hiked 2.50 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148707 - Stopped at end of Pine Hollow.  Since did not bring backpack with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148708 - hydration and nutrition, knocked on door at residence.  They know me                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148709 - from stopping at end of driveway past 5 years.  Was offered can of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148710 - Mountain Dew carbonated drink.  Mile 08 time 1220 temp 85 and wind 09                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148711 - mph; EKG looks uniform with no artifact.  Kardia reported HR 118                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148712 - Tachycardia - see below. ref SDS 0 QLGU  Bloating PL 1 (have been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148713 - burpping a lot so far, so stomach pressure reduced), energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148714 - 0, both feet metatarsalgia PL 4, burning sensation PL 0.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148715 - PL 1 and #5 PL 3.  Right foot #5 PL 0, #4 PL 0.  Took 1 Naproxem 250                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148716 - mg total 1, for pain.  Took 1 Magnesium complex 300 mg pill, total 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148717 - for energy, absorbing lactic acid, and reducing inflammation, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148718 - research on 200101 0701. ref SDS 18 QP6L  Sips softdrink provided by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148719 - owner of house (did not carry from home) for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148720 - medications, did not have nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148721 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148722 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148723 - Since temperature 85, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148724 - took 0 Nuun electrolyte pill, per above. ref SDS 0 NLUV  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148725 - hiking back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148726 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148727 - against wind 15 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148728 - turned around and hiked uphill on Campus Drive 4% grade.  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148729 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148730 - Hiked loop around main buildings; stop in back at training area - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148731 - 20 half pulups and 20 half push ups.  Continuing hiking back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148732 - Visitor parking.  Today, did not stoped at Administration building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148733 - mile 12 time ____ temp __ and wind __ mph; did not do EKG.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148734 - hiking 2.0 mile loop through Faculty and Student parking lots, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148735 - around main buildings.  Crossed paths with Laura going opposite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148736 - direction.  She looks well.  Brief discussion about Hoka Bondi shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148737 - She recently bought Bondi 8s for Ted, at Ross for $78.  After the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148738 - hike, inquired with MAI, who found ads at Dick's and REI for $115.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148739 - These were dated Jan 2025, and are no longer effective.  Back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148740 - Visitor Parking, mile 13, left campus heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148741 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148742 - grade .5 miles.  At mile 14, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148743 - 3% grade .5 miles against wind 18 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148744 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148745 - avoid severe camber.  Continued West .5 mile to summit - mile 15, end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148746 - of concrete traffic barrier.  Turned around and hiked back.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148747 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148748 - downhill 5% grade then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148749 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148750 - hiking West .25 miles back to Cuneo, then home.  Ended hike mile 17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148751 - time 1511 temp 90, wind 16, bloating PL 3, energy deficit PL 2, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148752 - metatarsalgia PL 3, burning sensation PL 3, left foot #1 PL 1, #5 edge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148753 - PL 3, right foot #1 fracture PL 0, #5 PL 0, #4 PL 1, shin splints PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148754 - 0, left knee PL 2 (not swollen), right knee PL 0, left shoulder PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148755 - neck and right shoulder PL 0 intermittantly, lower back middle PL 0 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148756 - usually stress carrying backpack, but not today, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148757 - lifting.  EKG uniform with minor artifact, Kardia reported HR 131                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148758 - Tachycardia - see below. ref SDS 0 7WRJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148769 -  ..
148770 - Kardia recorded HR 48 at 0826, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148771 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148772 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148773 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148774 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148775 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148776 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148779 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148780 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250902-ecg-082653_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148786 -  ..
148787 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148788 - hike 17 miles - Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148789 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148790 - ..
148791 -                                                                                                                                                                                                                                                                                                              x
148792 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148793 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148794 -       Date          250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 250615 250614 25061  
148795 -       Miles            17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0      0      0  
148796 -       HR AVG          126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no     no     no  
148797 -         MAX           149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report report report repo  
148798 -         Min            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                                             
148799 -       El Climb Ft     466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                                             
148800 -       Temp Max         92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                                             
148801 -       Wind Max         18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                                             
148802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148804 -              https://flow.polar.com/training/analysis/8182121686                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148807 -               ..
148809 -   
148810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148814 -  ..
148815 - EKG at mile 08 time 1220 HR 118 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148816 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148817 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148820 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148821 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250902-ecg-122006_mile_08_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148827 -  ..
148828 - End hike EKG at mile 17, time 1511 HR 131 temp 90 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148829 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148830 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148833 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148834 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250902-ecg-151139_mile_17_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148839 -  ..
148840 - Post hike 250902 HR profile beginning 2044, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148841 - activity after hiking 17 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148842 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148843 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148844 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148847 -        ..
148848 -       Date      250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624  250623    
148849 -       Time       2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025    2351     
148850 -       Hours         9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9       2     
148851 -       HR AVG       65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68      60     
148852 -       HR MAX      132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118      99     
148853 -       HR Min       44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43      45     
148854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148856 -              https://flow.polar.com/training/analysis/8182430209                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148859 -  ..
148860 - HRV seems 20% 0 and 80% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148863 -   
148864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148868 -  ..
148869 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148870 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148871 - Dinner - cheerios strawberries milk, potato hot dog asparagus onion mushroom - ate 30%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148873 -  ..
148874 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148920 -         ..
148921 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148922 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148923 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148924 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148925 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148926 -  246.  250903 0510............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148927 -               0510....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148928 -               0515....BP HR..................................................... 140  82  56  Kardia ECG reports HR status, see below. ref SDS 0 PICV                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148929 -               0520....BP HR..................................................... 138  79  59                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148930 -               0525....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148931 -               0525....40 468620 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
148932 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148933 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148934 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148935 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148936 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148937 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148938 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148939 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148940 -               1700... 40 127420 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                                                                                                                                                                                                                                                                                  
148941 -               1830............ 10 21960  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
148942 -               1830............ 10 22310  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
148943 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148944 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148945 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148946 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148947 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148948 -               2250... 1000 2557000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148949 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148950 -               2330... 40 468660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148951 -               2340... 40 102120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
148952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148954 -  ..
148955 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148956 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
148958 -  ..
148959 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148960 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148961 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148962 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148963 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148964 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148966 -  ..
148967 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148968 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148970 -  ..
148971 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
148972 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
148973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148978 -  ..
148979 - Kardia recorded HR 46 at 0642, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148980 - mostly variable heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
148981 - likely no AFL after hiking 17 miles temp 91 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
148982 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148983 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
148984 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
148985 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
148986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148988 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
148989 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250903-ecg-064241_mile_00_046_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
148990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
148993 -  ..
148994 - Post hike 250903 HR profile beginning 1903, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148995 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
148996 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
148997 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
148998 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
148999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149001 -        ..
149002 -       Date      250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625  250624    
149003 -       Time       1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106    2025     
149004 -       Hours         6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5       9     
149005 -       HR AVG       66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55      68     
149006 -       HR MAX      103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     118     
149007 -       HR Min       47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43      43     
149008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149010 -              https://flow.polar.com/training/analysis/8182923791                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149013 -  ..
149014 - HRV seems 10% 0 and 90% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149017 -   
149018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149022 -  ..
149023 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149024 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149025 - Dinner - potato hamburger asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149027 -  ..
149028 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149038 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149040 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149041 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149046 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149048 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149049 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149075 -         ..
149076 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149077 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149078 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149079 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149080 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149081 -  247.  250904 0210............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149082 -               0210....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149083 -               0215....BP HR..................................................... 136  81  51  Kardia ECG reports HR status, see below. ref SDS 0 LXCL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149084 -               0220....BP HR..................................................... 129  74  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149085 -               0225....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149086 -               0225....40 468700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
149087 -               0420....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149088 -               0420... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149089 -               0420....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149090 -               0420....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149091 -    forgot---> 0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149092 -               0420....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149093 -               0420... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
149094 -  ..
149095 -               0431....miles...........  13.0  30.0  220   507 minutes  temp  56 wind 08  rain  5% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149096 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149097 -               0613....mile 06 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149098 -               0000....Tramadol 50 mg took 1 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149099 -               0613....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149100 -               0613... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
149101 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149102 -               0613... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149103 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149104 -               0812... Hike ends mile 13..... ref SDS 0 B8MV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149105 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149106 -               0850....weight.................................... 178  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149107 -               0850....BP HR..................................................... 134  73  82                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149108 -               0855....BP HR..................................................... 138  77  76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149109 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149110 -               1700... 40 127460 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                                                                                                                                                                                                                                                                                  
149111 -             1 0000............ 10 21960  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
149112 -             1 0000............ 10 22310  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
149113 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149114 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149115 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149116 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149117 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149118 -               2250... 1000 2558000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149119 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149120 -               2330... 40 468740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149121 -               2340... 40 102160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149124 -  ..
149125 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149126 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149128 -  ..
149129 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149130 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149131 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149132 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149133 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149134 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149136 -  ..
149137 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149138 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149140 -  ..
149141 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149142 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149145 -  ..
149146 - Today, hiked 13 miles - hiked strong most of route.  At end on Point                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149147 - Lobos had brief energy deficit for about 200 yards going uphill. then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149148 - energy restored until end of hike.  Bandaging not great, could be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149149 - orthotic inserts are beginning to fail.  Wound up with another blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149150 - below left foot #1 - recurrance.  Metatarsalgia pain less today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149151 - wearing thinner soled Brooks Ghost.  After hike drove to CVS on way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149152 - home and bought "Closed Toe Surface Fabric Sleeve Protectors," for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149153 - left foot #5, and right foot #4, available at Amazon...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149155 -              https://www.amazon.com/Bukihome-Protectors-Silicone-Blisters-Toenails/dp/B094Y51GXT/ref=sr_1_2_sspa?dib=eyJ2IjoiMSJ9.JSj0dDVAgxYJyLCYpawTOpk2FlSGZFP2EXEzARa9cXL2Eyf713gD8lMtm7ZjXQfQjicGgPQGkp8k0or809lB5faBQJr0vnWd1fsvLQjYgAMqhUw_HH8e6h-rBWvQKFVUkbEZH7bLr0xhj8MeXFtrkaKQmyd-rAK7XogNTWRVFlUfP8Y3SKENQSlHfzal_a6DM-q1uSRnpdS9RjnNPutYhDXzJOCpBslCyIPKSKxgp7FmI1BY9x636uW8XgrMsW3aBxCCYaDSj6orGhNXwrJpg0f2few2Y5PGICnWQ_yraMM.tHa_lEK-kFu91SOQtTriDQ4BcZ_4NUWkcp7BOPbHwEs&dib_tag=se&  amp;963568777&hvdev=c&hvexpln=67&hvlocphy=9031996&hvnetw=g&hvocijid=7174958979902694075--&hvqmt=b&hvr
149157 -  ..
149158 - Tried Silicone toe protector on left foot #5 a few weeks ago, and it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149159 - caused severe blood blister.  Meeting with Doctor Tang at VAMCSF on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149160 - 250904 - will ask about this.  Switching to Urea 20% treatment works                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149161 - better than Ammonium Lactate 12% for calluses; still need major tissue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149162 - release on left foot #1, as occurred last year on right foot #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149163 - Large size Corn bandages received from Doctor Tang in VA Podiatry on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149164 - 250807 0900, ref SDS A2 T49H, worked well today.  Post hike muscles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149165 - not cramping.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149168 -         ..
149169 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149170 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149171 -        Stomach pain ischemic colitis bloating.......   4         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
149172 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
149173 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149174 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149175 -        Heat rash right quad.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149176 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149177 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
149178 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149179 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149180 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149181 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149182 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
149183 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149184 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
149185 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149186 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
149187 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149188 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149189 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149190 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149191 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
149192 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149193 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149194 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149195 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149196 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
149197 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149198 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149199 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149200 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149201 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149202 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149203 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149204 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
149205 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149206 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149207 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
149208 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
149209 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
149210 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
149211 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149212 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149213 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
149214 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
149215 -        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                                                                                                                                                                                                                                                                                                                           
149216 -        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                                                                                                                                                                                                                                                                                                                                                                                    
149217 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149218 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
149219 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
149220 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149221 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149222 -        Blister below big toe left foot..............   4         30  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
149223 -        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                                                                                                                                                                                                                                                                                                                                           
149224 -        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                                                                                                                                                                                                                                                                                                                                           
149225 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149226 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
149227 -        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                                                                                                                                                                                                                                                                                                                                                                                        
149228 -        Callus ring toe #4 top right foot............   1        100  better today, using styrofoam tube protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149229 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
149230 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149231 -        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                                                                                                                                                                                                                                                                                                                                                              
149232 -        Callus little toe #5 left foot...PRP 210705..   2         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
149233 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
149234 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149235 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149236 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
149237 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149238 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
149239 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
149240 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149241 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
149242 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149243 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149244 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149245 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149246 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149247 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149248 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149249 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 08, and 0 Tramadol mile 00, and 0 Tramadol mile __ - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
149250 -        Wasted - severe energy deficit...............   3        100  energy low after taking 2 magnesium mile 00 and 1 magnesium mile 06                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149251 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149254 -  ..
149255 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149256 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149259 -  ..
149260 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149261 - Bondi 9 size 10.5 extra-wide, received on 250624, reported in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149262 - study on 200101 0701, ref SDS 18 913W  First eyelets not laced, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149263 - first laces very loose, then double weave to keep lower laces loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149264 - across forefoot to avoid lateral pressure on #1 and #5.  Calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149265 - left foot #1 and #5 were initially PL 0, but still took 1 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149267 -  ..
149268 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149269 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149270 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149272 -  ..
149273 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149274 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149275 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149276 - occurred on 250819, wearing Smartwool socks.  Had fairly good results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149277 - entire hike using styrofoam tube toe protection - no blister recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149278 - left foot below #1 today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149280 -  ..
149281 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149283 -  ..
149284 - Callus Injuries - today on 250902, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149285 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149287 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149288 -                    1 Naproxen mile 08 had PL 3 last 3 miles of 17 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149290 -  ..
149291 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149292 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149293 - management with Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149294 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149295 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149297 -  ..
149298 - No energy loss after taking 2 magnesium at mile 00 and 1 at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149300 -  ..
149301 - In sum, bandaging much better results today.  Donut opening seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149302 - be centered effectively on #1 callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149304 -  ..
149305 - Blister below #1 left foot recurred for some reason.  Will need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149306 - bandaging tomorrow to avoid making injury worse.  Did not feel PL on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149307 - this blister during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149309 -  ..
149310 - For left foot #5... applied styrofoam tube protection to blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149311 - recurring - this worked, but need longer tube next hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149313 -  ..
149314 - For right foot #5... tried no bandaging - had PL 0 entire hike.  On #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149315 - applied styrofoam tube protection.  This worked perfectly - PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149316 - entire hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149320 -  ..
149321 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149322 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149323 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149324 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149325 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149326 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149329 -  ..
149330 - San Francisco 13 mile route, reported on 170519, ref SDS 8 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149331 - forgot to take Glucosamine Chondroitin for OA protection, mainly left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149332 - knee treated with PRP intra articular injection 13 times, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149333 - study on 200101 0701, ref SDS 18 TTPV, and also left hip.  At the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149334 - hospital, before starting the hike, took 1 Tramadol for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149335 - management, mostly metatarsalgia and other feet injuries, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149336 - ref SDS 0 1GXT  Took 2 Magnesium Complex 300 mg pills for energy; and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149337 - to absorb lactic acid for pain management, and resolve inflammation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149338 - enable HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149339 - vessels - see research on 200101 0701, ref SDS 18 QP6L - was able to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149340 - swallow pill whole after EGD dilated LESV on 250408 1030, ref SDS 86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149341 - 433O; this avoids capsule clogging LESV, as occurred on 240824.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149342 - ref SDS 36 PPTU  Had small amount peanut butter and margarine, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149343 - Mayonnaise, and chia seeds for electrolytes and energy, and had some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149344 - avocado for HDL, ...and took 5 ml liquid Ubiquinol CoQ10 - all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149345 - above. ref SDS 0 1GXT  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149346 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149347 - see case study on 200101 0701. ref SDS 18 136K  No breakfast reduces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149348 - bloating feeling, but still bloated starting hike today, from ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149349 - colitis caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149350 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149351 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149352 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149353 - backpack to carry stuff.  Temperature mild 53 and wind 12 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149354 - Slightly misty entire hike.  Departed VAMCSF campus in dark at 0431.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149355 - Hiked slowly downhill on 42nd Street to warm up.  Turned corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149356 - heading downhill West on Point Lobos to Cliff House at mile 1.  Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149357 - bends and changes to "Great Highway" going South along ocean beach.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149358 - Pace picked up as CoQ10 and magnesium was digested and increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149359 - strength.  At mile 2 turned onto John F Kennedy (JFK) Drive entering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149360 - Golden Gate Park.  Maintained pace going slightly uphill into the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149361 - for .5 miles.  May have encountered early morning jogger going West -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149362 - normally this pass occurs nearer to the Highway 1 bridge, but today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149363 - happened earlier in the hike, and he as hiking not jogging, so his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149364 - situation may have changed.  Turned corner and continued East on JFK.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149365 - Dark and with few widely spaced street lights, cannot see the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149366 - Passed Buffalo compound, then Spreckles Lake.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149367 - Meadow.  Encountered a few bikers passing Helman Hollow.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149368 - pain level 1.  Hiked under bridge at Crossover Drive (part of highway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149369 - 1 that goes to Golden Gate Bridge). - JFK is blocked to vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149370 - traffic the rest of the way through the park to Stanyon, limiting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149371 - attendance to keep people separated that minimizes spreading                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149372 - coronavirus.  Now that the epidemic has been declared over, the park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149373 - continues to deny access to drivers on JFK.  At mile 5, hiked past De                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149374 - Young Museum.  Encountering more hikers and bikers heading in both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149375 - directions.  Past Conservatory and Nancy Pelosi Way.  Stopped on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149376 - Stanyon at mile 6.5 time 0613, temp 56, wind 08; EKG mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149377 - with minor artifact.  Kardia reported HR 108 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149378 - ref SDS 0 ZXWI  Bloating PL 4.  Both feet PL 2, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149379 - 0, left foot #1 PL 0, and blister below #1 PL 4 (may have recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149380 - today), and #5 PL 3; right foot #5 PL 1, and #4 PL 2.  Left knee PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149381 - and left hamstring PL 0.  Took 1 Naproxen.  Took 1 Magnesium.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149382 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149383 - nutrition - peanut butter, margarine, Mayonnaise, and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149384 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149385 - HDL, did not take Nuun electrolyte pill.  Took CoQ10 pill, and some                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149386 - liquid. all per above. ref SDS 0 DZR7  Hiked back on JFK heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149387 - toward the Ocean.  Stayed on South side against traffic (no actual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149388 - vehicle traffic in park).  Increased pace with endorphins rising.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149389 - Past DeYoung Museum tried keeping up with a group hiking together.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149390 - The Waterfall not running this morning at 0650, before hiking under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149391 - Crossover Road bridge at highway 1.  Hiked past Hellman Hollow then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149392 - Lindley Meadow, where 10 years ago, a truck backed up because missed a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149393 - turn, and struck Kathy's car; this got her a new car, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149394 - 150729 0942. ref SDS 6 0001  Continued hiking past Spreckles Lake,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149395 - then saw 20 Buffalo or so grazing in North-West area of compound.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149396 - Crossed to North side of JFK going with traffic.  Turned corner and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149397 - headed toward the ocean.  Hiked past the Soccor fields then turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149398 - North onto Great Highway.  Hiked parallel to ocean toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149399 - House and hospital.  Halfway to Cliff House took more liquid CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149400 - energy.  Slowed pace hiking up steep hill - 5% - 6% grade - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149401 - stop, and maintained breathing without dyspnea today, i.e., breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149402 - through mouth last mile uphill to the hospital, similar to hike on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149403 - 240829, ref SDS 36 QTSP  At the Cliff House, turned onto Point Lobos                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149404 - Avenue going East; hiked uphill for 1 mile.  After rounding curve onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149405 - Point Lobos, suddenly slowed and staggered slightly.  Thought hit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149406 - another energy deficit.  However, did not stop - continued uphill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149407 - After 200 yards or so, miraculously energy returned to end of hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149408 - very unusual, since normally, this low energy deficit persists and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149409 - increases to end of hike.  Turned onto 42nd street and maintained pace                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149410 - going up final hill to the VA campus.  Ended hike mile 13, time 0812                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149411 - temp 60, wind 11, bloating PL 4, energy deficit PL 4, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149412 - metatarsalgia PL 3, burning sensation PL 0, left foot #1 PL 3, blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149413 - below #1 PL 3, #5 PL 4.  Right foot #5 PL 1, and #4 PL 2.  Both ankles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149414 - PL 0.  Left knee meniscus PL 2.  EKG mostly variable with no artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149415 - Kardia reported HR 108 Possible Atrial Fibrillation - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149416 - ref SDS 0 B8MV                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149428 -  ..
149429 - Kardia recorded HR 46 at 0243, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149430 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149431 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149432 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149433 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149434 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149435 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149438 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149439 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250904-ecg-024323_mile_00_054_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149445 -  ..
149446 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149447 - used*** hike 13 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149448 - ref SDS 18 TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149449 - ..
149450 -                                                                                                                                                                                                                                                                                                              x
149451 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149452 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149453 -       Date          250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 250617 250616 25061  
149454 -       Miles            13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0      0      0  
149455 -       HR AVG          115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no     no     no  
149456 -         MAX           138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report report report repo  
149457 -         Min            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                               
149458 -       El Climb Ft     333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                               
149459 -       Temp Max         60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                               
149460 -       Wind Max         13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                               
149461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149463 -              https://flow.polar.com/training/analysis/8183165470                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149466 -               ..
149468 -   
149469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149473 -  ..
149474 - EKG at mile 06 time 0613 HR 108 temp 56, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149475 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149476 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149479 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149480 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250904-ecg-061317_mile_06_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149486 -  ..
149487 - End hike EKG at mile 13, time 0812 HR 108 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149488 - Possible Atrial Fibrillation... looks mostly variable with no artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149489 - - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149492 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149493 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250904-ecg-081245_mile_13_108_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149498 -  ..
149499 - Post hike 250904 HR profile beginning 1952, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149500 - activity after hiking 13 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149501 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149502 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149503 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149506 -        ..
149507 -       Date      250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626  250625    
149508 -       Time       1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313    0106     
149509 -       Hours         8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4       5     
149510 -       HR AVG       54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62      55     
149511 -       HR MAX      126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     113     
149512 -       HR Min       38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46      43     
149513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149515 -              https://flow.polar.com/training/analysis/8183643032                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149518 -  ..
149519 - HRV seems 10% 0 and 60% - good and 30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149522 -   
149523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149527 -  ..
149528 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149529 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149530 - Dinner - potato hamburger asparagus onion mushroom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149532 -  ..
149533 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149536 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149539 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149540 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149579 -         ..
149580 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149581 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149582 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149583 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149584 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149585 -  248.  250905 0410............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149586 -               0410....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149587 -               0415....BP HR..................................................... 144  82  44  Kardia ECG reports HR status, see below. ref SDS 0 Z1FO                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149588 -               0420....BP HR..................................................... 138  81  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149589 -               0425....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149590 -               0425....40 468780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
149591 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149592 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149593 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149594 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149595 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149596 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149597 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149598 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149599 -               1700... 40 127500 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                                                                                                                                                                                                                                                                                  
149600 -               1830............ 10 21970  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
149601 -               1830............ 10 22320  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
149602 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149603 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149604 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149605 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149606 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149607 -               2250... 1000 2559000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149608 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149609 -               2330... 40 468820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149610 -               2340... 40 102200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149613 -  ..
149614 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149615 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149617 -  ..
149618 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149619 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149620 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149621 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149622 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149623 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149625 -  ..
149626 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149627 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149629 -  ..
149630 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149631 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149638 -  ..
149639 - Kardia recorded HR 44 at 0414, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149640 - mostly uniform heart beat lengths with p-waves and minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149641 - likely no AFL after hiking 13 miles temp 56 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149642 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149643 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149644 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149645 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149648 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149649 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250905-ecg-041454_mile_00_044_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149653 -  ..
149654 - Post hike 250905 HR profile beginning 2016, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149655 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149656 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149657 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149658 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149661 -        ..
149662 -       Date      250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627  250626    
149663 -       Time       2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328    0313     
149664 -       Hours        10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7       4     
149665 -       HR AVG       57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67      62     
149666 -       HR MAX      103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     116     
149667 -       HR Min       37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44      46     
149668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149670 -              https://flow.polar.com/training/analysis/8184346127                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149673 -  ..
149674 - HRV seems 20% 0 and 80% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149677 -   
149678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149682 -  ..
149683 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149684 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149685 - Dinner - steak potato asparagus onion mushroom, peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149687 -  ..
149688 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149735 -         ..
149736 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149737 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149738 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149739 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149740 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149741 -  249.  250906 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149742 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149743 -               0715....BP HR..................................................... 162  84  46  Kardia ECG reports HR status, see below. ref SDS 0 NOCB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149744 -               0720....BP HR..................................................... 164  89  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149745 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149746 -               0725....40 468860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
149747 -               0900....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149748 -               0900... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149749 -               0900....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149750 -               0900....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149751 -               0900....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149752 -               0900....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149753 -               0900... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
149754 -  ..
149755 -               0938....miles...........  26.0  56.0  445   952 minutes  temp  79 wind 16  rain  5% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149756 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149757 -               1149....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149758 -               1149....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149759 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149760 -               1149... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
149761 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149762 -               1149... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149763 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149764 -               1428....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149765 -               0000....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149766 -               1428....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149767 -               1428... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
149768 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149769 -               1428... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149770 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149771 -               1629....mile 22 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149772 -               0000....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149773 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149774 -               1629... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
149775 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149776 -               1629... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149777 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149778 -               1755... Hike ends mile 26..... ref SDS 0 8G56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149779 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149780 -               1825....weight.................................... 177  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149781 -               1840....BP HR..................................................... 104  73 117                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149782 -               1845....BP HR..................................................... 108  77 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149783 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149784 -               1900... 40 127540 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                                                                                                                                                                                                                                                                                  
149785 -             1 0000............ 10 21970  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
149786 -             1 0000............ 10 22320  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
149787 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149788 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149789 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149790 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149791 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149792 -               2250... 1000 2560000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149793 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149794 -               2330... 40 468900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149795 -               2340... 40 102240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149798 -  ..
149799 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149800 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149802 -  ..
149803 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149804 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149805 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149806 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149807 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149808 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149810 -  ..
149811 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149812 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149814 -  ..
149815 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149816 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149819 -  ..
149820 - Today, hiked 26 miles - was strong entire route.  Gel toe cap                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149821 - protectors failed #5s both feet.  Wound up with another blister below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149822 - left foot #1 - recurrance.  Metatarsalgia pain less today, wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149823 - thinner soled Brooks Ghost.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149826 -         ..
149827 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149828 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149829 -        Stomach pain ischemic colitis bloating.......   4         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
149830 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
149831 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149832 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149833 -        Heat rash right quad.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149834 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149835 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
149836 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149837 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149838 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149839 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149840 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
149841 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149842 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
149843 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149844 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
149845 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149846 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149847 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149848 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149849 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
149850 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149851 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149852 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149853 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149854 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
149855 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
149856 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149857 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149858 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149859 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149860 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149861 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149862 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
149863 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149864 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149865 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
149866 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
149867 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
149868 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
149869 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149870 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149871 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
149872 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
149873 -        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                                                                                                                                                                                                                                                                                                                           
149874 -        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                                                                                                                                                                                                                                                                                                                                                                                    
149875 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149876 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
149877 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
149878 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149879 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149880 -        Blister below big toe left foot..............   0         30  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
149881 -        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                                                                                                                                                                                                                                                                                                                                           
149882 -        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                                                                                                                                                                                                                                                                                                                                           
149883 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149884 -        Callus little toe right foot..top of toe.....   0        100  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
149885 -        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                                                                                                                                                                                                                                                                                                                                                                                        
149886 -        Callus ring toe #4 top right foot............   1        100  better today, using styrofoam tube protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149887 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
149888 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149889 -        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                                                                                                                                                                                                                                                                                                                                                              
149890 -        Callus little toe #5 left foot...PRP 210705..   5         40  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
149891 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
149892 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149893 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149894 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
149895 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149896 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
149897 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
149898 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149899 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
149900 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149901 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
149902 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149903 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149904 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149905 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149906 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149907 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 2 Tramadol mile 08, and 1 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
149908 -        Wasted - severe energy deficit...............   0        100  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08, 1 magnesium mile 16 and 1 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
149909 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149912 -  ..
149913 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149914 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149917 -  ..
149918 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149919 - Bondi 9 size 10.5 extra-wide, received on 250624, reported in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149920 - study on 200101 0701, ref SDS 18 913W  First eyelets not laced, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149921 - first laces very loose, then double weave to keep lower laces loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149922 - across forefoot to avoid lateral pressure on #1 and #5.  Calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149923 - left foot #1 and #5 were initially PL 0, but still took 1 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149925 -  ..
149926 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149927 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149928 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149930 -  ..
149931 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149932 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149933 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
149934 - occurred on 250819, wearing Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
149936 -  ..
149937 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
149939 -  ..
149940 - Callus Injuries - today on 250902, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
149941 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149943 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149944 -                    3 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149945 -                    1 Naproxen mile 16 had PL 3 last 6 miles of 27 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149947 -  ..
149948 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149949 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149950 - management with Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149951 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149952 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
149954 -  ..
149955 - No energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149957 -            2 magnesium at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149958 -            1 magnesium at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149959 -            1 magnesium at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149960 -            1 magnesium at mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
149962 -  ..
149963 - Bandaging poor results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149965 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149966 -        in place.  Max PL 2 entire hike - worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149968 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149969 -        ref SDS A6 ESVZ, applied to protect blister left foot below #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149970 -        callus - worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149972 -         ..
149973 -        Gel toe protector purchased at CVS on 250904 1233, ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149974 -        RK2M, applied to protect callus and blister on left foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149975 -        failed totally - somehow slid off the top of the toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149976 -        remained in place beneath the toe for large part of hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149977 -        not work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149979 -         ..
149980 -        Gel toe protector purchased at CVS on 250904 1233, ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
149981 -        RK2M, applied to protect callus and blister on right foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149982 -        failed totally - somehow slid off the top of the toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
149983 -        remained in place beneath the toe for large part of hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
149984 -        not work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149986 -         ..
149987 -        Gel toe caps purchased at CVS on 250904 1233, ref SDS A6 XEQS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149988 -        applied to protect callus and blister on right foot #4 - work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149989 -        well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
149991 -  ..
149992 - Need to keep "Gel toe protector" bandaging held in place, possibly a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
149993 - taping scheme???  The bandaging seems likely effective if it can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
149994 - held in place throughout the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149996 -  ..
149997 - Gel Toe Caps that worked well on right foot #4, may work well in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
149998 - place of Gel Toe Protector on #5s, but the 1 we have is too large.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
149999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150001 -  ..
150002 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150003 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150004 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150005 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150006 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150007 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150010 -  ..
150011 - Concord 26 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150012 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150013 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150014 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150015 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150016 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150017 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150018 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150019 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150020 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150021 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150022 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150023 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150024 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150025 - treatment by Doctor Tang at VAMCSF on 250807 0900. ref SDS A2 5Q5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150026 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150027 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150028 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150029 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150030 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150031 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150032 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150033 - Had small amount peanut butter that contains iron to elevate Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150034 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150035 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150036 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150037 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150038 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150039 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150040 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150041 - reported on 250813 0730, ref SDS A3 MJ5I; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150042 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150043 - and had small amount Chia Seeds for electrolytes (e.g., potassium) and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150044 - energy, and had 1/4 avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150045 - new Ubiquinol CoQ10 100 mg softgel tablet, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150046 - ZPB7  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150047 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150048 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150049 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150050 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150051 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150052 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150053 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150054 - backpack to carry stuff.  Hiked Cuneo .25 mile and turned left, onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150055 - Treat.  Feet starting hike not feeling like pins and needles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150056 - peripheral neuropathy taking statins.  Breathed through nose entire                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150057 - hike without dyspnea.  Temp started at 50, and reached 62.  West wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150058 - 12 mph and mostly 04 mph.  Hiked East on Treat .5 miles.  Turned right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150059 - hiking South on asphalt shoulder of Turtle Creek Road for 1.5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150060 - mostly flat grade, some places 2% uphill, and very light traffic.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150061 - not hike across Newhall Community park and back today.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150062 - Turtle Creek Road uphill 4% grade.  Turned left onto Ayers hiking East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150063 - .75 miles on asphalt road shoulder.  At mile 3, feeling less bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150064 - and left foot #1 and #5 PL 1, turned right onto Clayton Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150065 - South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150066 - complex.  Crossed Alberto Way at traffic light and continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150067 - concrete sidewalk .5 miles.  At mile 4, turned right hiking West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150068 - Ygnacio Valley Road using concrete sidewalk .5 miles.  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150069 - crossing Park Highlands Road at Stop Light and heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150070 - on asphalt shoulder.  Crossed to South side Ygnacio Valley Road hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150071 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150072 - Boulevard.  Did not stop at Union 76 Texaco Gas Station store mile 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150073 - time ____,  Police car heading West with sirens turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150074 - Hollow.  Continued on Ygnacio Valley Road; turned left hiked 2.50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150075 - miles East on Pine Hollow.  Another police care went by on Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150076 - with sirens went by.  Did not encounter vehicle accident.  Hiked to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150077 - end of Pine Hollow.  Stopped mile 08 time 1149 temp 72 and wind 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150078 - mph; EKG uniform with minor artifact, Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150079 - Tachycardia - see below. ref SDS 0 VFXY  Bloated PL 4, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150080 - PL 1.  Both feet PL 2, burning sensation PL 2, left foot #1 PL 3, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150081 - PL 3.  Took 2 Tramadol, took Magnesium Complex 300 mg pill for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150082 - absorb lactic acid for pain management, and resolve inflammation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150083 - enable HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150084 - vessels - see research on 200101 0701, ref SDS 18 QP6L - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150085 - pill whole after EGD Dilation on 250718 0830, ref SDS 99 E84I, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150086 - capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150087 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150088 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150089 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150090 - not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 0.5 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150091 - and energy to complete hike. per above. ref SDS 0 NBUJ  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150092 - and hiked back to YV.  Turned left onto Campus Drive hiking West 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150093 - mile uphill 3% - 4% grade with wind 14 mph.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150094 - Ygnacio Valley road turned around and hiked uphill on Campus Drive 4%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150095 - grade.  Reached Visitor Parking California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150096 - Concord Campus.  Hiked loop around main buildings; stop in back at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150097 - training area - did 20 half pull-ups and 20 half push-ups.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150098 - hike.  Back at Visitor Parking at California State University East Bay                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150099 - Concord Campus.  Hiked around main campus buildings.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150100 - training station to do 20 half-pullups, 30 half-pushups and 00 situps                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150101 - using training equipment.  Back at Visitor Parking hiked 2 2-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150102 - loops through Faculty and Student parking lots.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150103 - Parking stopped at Administration Building mile 16 time 1428 temp 79                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150104 - and wind 16 mph; EKG mostly uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150105 - reported HR 119 Tachycardia - see below. ref SDS 0 3L1A  Bloated PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150106 - energy deficit PL 2.  Both feet PL 2.  Left foot #1 PL 4, #5 PL 5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150107 - Burning sensation PL 3.  Left hip PL 0.  Took 1 Naproxen again.  Took,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150108 - ref SDS 0 3L1A, Magnesium to control pain by absorbing lactic acid in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150109 - muscles, resolves inflammation which then enables HDL to rise in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150110 - liver, increases energy for hiking.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150111 - for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150112 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150113 - energy, and avocado for HDL, did not take Nuun electrolyte pill, took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150114 - Ubiquinol CoQ10 0.5 ml for HDL and energy to complete hike. per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150115 - ref SDS 0 NBUJ  Exited college hiking North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150116 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150117 - miles.  Continued past Crystal Ranch Road uphill 3% grade .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150118 - against wind 16 mph.  Crossed Cowell at stop light.  At break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150119 - traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150120 - camber.  Hiked .5 miles uphill 3% grade to summit.  At end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150121 - barriar mile 18, at break in traffic crossed back to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150122 - Ygnacio Valley Road.  Continued 2 miles downhill 3% grade; crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150123 - back to North side Ygnacio Valley Road.  Crossed Oak Grove at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150124 - light.  Hiked 2 1-mile loops around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150125 - Stopped at Mod Pizza mile 22, time 1629, temp 80 and wind 14 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150126 - mostly uniform with no artifact, Kardia reported HR 112 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150127 - see below. ref SDS 0 CPAQ  Bloated PL 3, energy deficit PL 2 (actually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150128 - hiking very well).  Both feet PL 2, burning sensation PL 0, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150129 - #1 PL 3, #5 PL 4, right foot #5 PL 1, #4 PL 0.  Took no pain meds to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150130 - avoid seizure.  Took 1 magnesium total today 5.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150131 - carried from home for hydration, swallowing meds and nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150132 - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150133 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150134 - electrolyte pill, getting low on Ubiquinol CoQ10, so did not take 0.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150135 - ml for HDL and energy to complete hike. per above. ref SDS 0 NBUJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150136 - Continued hiking 1-mile loop around the block - turned right onto path                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150137 - parallel to Via Monte hiking North .25 miles, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150138 - Shadelands hiking .25 miles, and turned left onto Oak Grove.  Hiked 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150139 - mile North on asphalt shoulder.  Crossed Treat at street light.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150140 - 1 mile East on flat grade concrete sidewalk.  At San Miguel continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150141 - .75 miles on Treat uphill 5% grade temp 59.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150142 - summit, mile 24, hiked another mile to Cuneo and .25 mile to Cowell.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150143 - Turned around hiked back to Cuneo, then home.  Ended hike mile 26 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150144 - 1755 temp 75, wind 15.  Bloated PL 3, energy deficit PL 3, feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150145 - burning sensation PL 3, left foot #1 PL 3, #5 PL 4, right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150146 - 1, #4 PL 2, left knee PL 0, wobbly PL 0.  EKG looks mostly uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150147 - with artifact, Kardia reported HR 112 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150148 - ref SDS 0 8G56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150158 -  ..
150159 - Kardia recorded HR 44 at 0753, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150160 - beat lengths with p-waves and artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150161 - miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150162 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150163 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150164 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150165 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150168 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150169 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250906-ecg-075305_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150175 -  ..
150176 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150177 - used*** hike 27 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150178 - ref SDS 18 TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150179 - ..
150180 -                                                                                                                                                                                                                                                                                                              x
150181 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150182 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150183 -       Date          250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 250618 25061  
150184 -       Miles            27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0      0  
150185 -       HR AVG          118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no     no  
150186 -         MAX           135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report report repo  
150187 -         Min            74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                                 
150188 -       El Climb Ft     457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                                 
150189 -       Temp Max         79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                                 
150190 -       Wind Max         16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                                 
150191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150193 -              https://flow.polar.com/training/analysis/8184615528                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150196 -               ..
150198 -   
150199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150203 -  ..
150204 - EKG at mile 08 time 1149 HR 109 temp 72, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150205 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150206 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150209 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150210 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250906-ecg-114912_mile_08_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150215 -  ..
150216 - EKG at mile 16 time 1428 HR 119 temp 79, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150217 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150218 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150221 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150222 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250906-ecg-142827_mile_16_119_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150227 -  ..
150228 - EKG at mile 22 time 1629 HR 112 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150229 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150230 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150233 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150234 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250906-ecg-162956_mile_22_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150240 -  ..
150241 - End hike EKG at mile 26, time 1755 HR 112 temp 75 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150242 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150243 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150246 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150247 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250906-ecg-175527_mile_26_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150252 -  ..
150253 - Post hike 250906 HR profile beginning 0105, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150254 - activity after hiking 26 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150255 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150256 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150257 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150260 -        ..
150261 -       Date      250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628  250627    
150262 -       Time       0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149    2328     
150263 -       Hours         6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8       7     
150264 -       HR AVG       55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59      67     
150265 -       HR MAX      106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     102     
150266 -       HR Min       40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40      44     
150267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150269 -              https://flow.polar.com/training/analysis/8185004796                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150272 -  ..
150273 - HRV seems 10% 0 and 90% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150276 -   
150277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150281 -  ..
150282 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150283 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150284 - Dinner - steak potato asparagus onion mushroom, peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150286 -  ..
150287 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150318 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150320 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150330 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150332 -         ..
150333 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150334 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150335 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150336 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150337 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150338 -  250.  250907 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150339 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150340 -               0725....BP HR..................................................... 142  75  43  Kardia ECG reports HR status, see below. ref SDS 0 DT9A                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150341 -               0730....BP HR..................................................... 147  86  43                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150342 -               0735....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150343 -               0735....40 468940 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
150344 -               0950....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150345 -               0950... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150346 -               0950....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150347 -               0950....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150348 -               0950....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150349 -               0950....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150350 -               0950... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
150351 -  ..
150352 -               1020....miles...........  20.0  76.0  340  1292 minutes  temp  85 wind 16  rain  5% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150353 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150354 -               1303....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150355 -               0000....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150356 -               1303....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150357 -               1303... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
150358 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150359 -               1303... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150360 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150361 -               1604... Hike ends mile 20..... ref SDS 0 L7BM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150362 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150363 -               1625....weight.................................... 175  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150364 -               1636....BP HR..................................................... 116  80  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150365 -               1638....BP HR..................................................... 114  77  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150366 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150367 -               1700... 40 127580 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                                                                                                                                                                                                                                                                                  
150368 -               1830............ 10 21980  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
150369 -               1830............ 10 22330  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
150370 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150371 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150372 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150373 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150374 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150375 -               2250... 1000 2561000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150376 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150377 -               2330... 40 468980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150378 -               2340... 40 102280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150382 -  ..
150383 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150384 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150386 -  ..
150387 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150388 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150389 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150390 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150391 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150392 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150394 -  ..
150395 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150396 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150398 -  ..
150399 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150400 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150403 -  ..
150404 - Today, hiked 20 miles - difficult hike - energy good for 8 miles or                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150405 - so.  Did not carry backpack with hydration, nutrition.  Did not stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150406 - at mile 8, for hydration, nutrition, meds end of Pine Hollow.  Stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150407 - at U76 gas station mile 10, first time a long time.  Bought softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150408 - and hamburger.  Ate meat in hamburger for protein to elevate HDL.  Gel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150409 - toe protectors failed #5s both feet.  Did not cause another blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150410 - below left foot #1 - recurrance.  Metatarsalgia pain worse today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150411 - wearing thicker sole Hoka Bondi 9s.  Bloating seemed to decline                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150412 - during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150415 -         ..
150416 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150417 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150418 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
150419 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
150420 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150421 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150422 -        Heat rash right quad.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150423 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150424 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
150425 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150426 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150427 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150428 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150429 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
150430 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150431 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
150432 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150433 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
150434 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150435 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150436 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150437 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150438 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
150439 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150440 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150441 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150442 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150443 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
150444 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150445 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150446 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150447 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150448 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150449 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150450 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150451 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
150452 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150453 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150454 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
150455 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
150456 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
150457 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
150458 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150459 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150460 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
150461 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
150462 -        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                                                                                                                                                                                                                                                                                                                           
150463 -        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                                                                                                                                                                                                                                                                                                                                                                                    
150464 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150465 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
150466 -        Callus big toe left foot...PRP 210705........   5         30  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
150467 -        Callus big toe right foot...PRP 210705.......   2         20  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150468 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150469 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
150470 -        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                                                                                                                                                                                                                                                                                                                                           
150471 -        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                                                                                                                                                                                                                                                                                                                                           
150472 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150473 -        Callus little toe right foot..top of toe.....   4         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
150474 -        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                                                                                                                                                                                                                                                                                                                                                                                        
150475 -        Callus ring toe #4 top right foot............   2         20  better today, using styrofoam tube protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150476 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
150477 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150478 -        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                                                                                                                                                                                                                                                                                                                                                              
150479 -        Callus little toe #5 left foot...PRP 210705..   7         30  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
150480 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
150481 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150482 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150483 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
150484 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150485 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
150486 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
150487 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150488 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
150489 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150490 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150491 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150492 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150493 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150494 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150495 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150496 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 10, and 0 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
150497 -        Wasted - severe energy deficit...............   2         10  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 10, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
150498 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150501 -  ..
150502 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150503 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150506 -  ..
150507 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150508 - Bondi 9 size 10.5 extra-wide, received on 250624, reported in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150509 - study on 200101 0701, ref SDS 18 913W  First eyelets not laced, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150510 - first laces very loose, then double weave to keep lower laces loose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150511 - across forefoot to avoid lateral pressure on #1 and #5.  Calluses on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150512 - left foot #1 and #5 were initially PL 0, but still took 1 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150514 -  ..
150515 - Orthotic inserts - continued with new version of Powerstep inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150516 - created by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150517 - explained in case study record on 200101 0701. ref SDS 18 Q34F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150519 -  ..
150520 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150521 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150522 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150523 - occurred on 250819, wearing Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150525 -  ..
150526 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150528 -  ..
150529 - Callus Injuries - today on 250902, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150530 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150532 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150533 -                    3 Tramadol mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150534 -                    1 Naproxen mile 16 had PL 3 last 6 miles of 27 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150536 -  ..
150537 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150538 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150539 - management with Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150540 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150541 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150543 -  ..
150544 - No energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150546 -            2 magnesium at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150547 -            1 magnesium at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150548 -            1 magnesium at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150549 -            1 magnesium at mile 22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150551 -  ..
150552 - Bandaging poor results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150554 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150555 -        in place.  Max PL 2 entire hike - worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150557 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150558 -        ref SDS A6 ESVZ, applied to protect blister left foot below #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150559 -        callus - worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150561 -         ..
150562 -        Gel toe protector purchased at CVS on 250904 1233, ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150563 -        RK2M, applied to protect callus and blister on left foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150564 -        failed totally - somehow slid off the top of the toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150565 -        remained in place beneath the toe for large part of hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150566 -        not work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150568 -         ..
150569 -        Gel toe protector purchased at CVS on 250904 1233, ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150570 -        RK2M, applied to protect callus and blister on right foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150571 -        failed totally - somehow slid off the top of the toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150572 -        remained in place beneath the toe for large part of hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150573 -        not work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150575 -         ..
150576 -        Gel toe caps purchased at CVS on 250904 1233, ref SDS A6 XEQS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150577 -        applied to protect callus and blister on right foot #4 - work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150578 -        well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150580 -  ..
150581 - Need to keep "Gel toe protector" bandaging held in place, possibly a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150582 - taping scheme???  The bandaging seems likely effective if it can be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150583 - held in place throughout the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150585 -  ..
150586 - Gel Toe Caps that worked well on right foot #4, may work well in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150587 - place of Gel Toe Protector on #5s, but the 1 we have is too large.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150590 -  ..
150591 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150592 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150593 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150594 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150595 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150596 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150599 -  ..
150600 - Concord 26 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150601 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150602 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150603 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150604 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150605 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150606 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150607 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150608 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150609 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150610 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150611 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150612 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150613 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150614 - treatment by Doctor Tang at VAMCSF on 250807 0900. ref SDS A2 5Q5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150615 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150616 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150617 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150618 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150619 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150620 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150621 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150622 - Had small amount peanut butter that contains iron to elevate Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150623 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150624 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150625 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150626 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150627 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150628 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150629 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150630 - reported on 250813 0730, ref SDS A3 MJ5I; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150631 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150632 - and had small amount Chia Seeds for electrolytes (e.g., potassium) and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150633 - energy, and had 1/4 avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150634 - new Ubiquinol CoQ10 100 mg softgel tablet, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150635 - ZBAV  CoQ10 is an enzyme produced in the body that supports an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150636 - electron transport chain (ETC) giving human cells energy - see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150637 - study on 200101 0701. ref SDS 18 136K  No breakfast reduces bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150638 - feeling, but still bloated starting hike today, from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150639 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150640 - diabetes, and atrial fibrillation, and since 6th cardiac ablation on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150641 - 240611, variable heart rate may occur from dysfunctional autonomic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150642 - nervous system (see analysis on 250114 1202, ref SDS 69 PQ5Y).  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150643 - not take backpack to carry stuff.  Hiked Cuneo .25 mile and turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150644 - left, onto Treat.  Feet starting hike not feeling like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150645 - needles - peripheral neuropathy taking statins.  Breathed through nose                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150646 - entire hike without dyspnea.  Temp started at 74, and reached 85.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150647 - West wind 16 mph and mostly 12 mph.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150648 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150649 - 1.5 miles mostly flat grade, some places 2% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150650 - traffic.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150651 - Continued on Turtle Creek Road uphill 4% grade.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150652 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150653 - feeling less bloated and left foot #1 and #5 PL 1, turned right onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150654 - Clayton Road hiking South .5 miles on asphalt pavement in parking lots                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150655 - of shopping complex.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150656 - continued on concrete sidewalk .5 miles.  Did not feel energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150657 - today - did not need another magnesium and CoQ10 to continue.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150658 - 4, turned right hiking West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150659 - sidewalk .5 miles.  Continued hike crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150660 - Stop Light and heading West .25 miles on asphalt shoulder.  Crossed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150661 - South side Ygnacio Valley Road hiking on wider shoulder.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150662 - West past Stop Light at Michigan Boulevard.  Did not stop at Union 76                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150663 - Texaco Gas Station store mile 5. time ____,  Police car heading West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150664 - with sirens turned left onto Pine Hollow.  Continued on Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150665 - Road; turned left hiked 2.50 miles East on Pine Hollow.  Another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150666 - police care went by on Pine Hollow with sirens went by.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150667 - encounter vehicle accident.  Hiked to end of Pine Hollow.  Did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150668 - stopped mile 08, for hydration, nutrition and pain meds.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150669 - around and hiked 2.5 miles back to YV.  Stop at Union 76 Texaco Gas                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150670 - Station store mile 5. time 1303 temp 81 and wind 13 mph; EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150671 - with significant artifact, Kardia reported HR 102 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150672 - below. ref SDS 0 LK6X  Bloated PL 3, energy deficit PL 3.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150673 - PL 3, burning sensation PL 2, left foot #1 PL 2, #5 PL 5.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150674 - Naproxen, took 1 Magnesium Complex 300 mg pill for energy, absorb                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150675 - lactic acid for pain management, and resolve inflammation to enable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150676 - HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150677 - vessels - see research on 200101 0701, ref SDS 18 QP6L - swallowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150678 - pill whole after EGD Dilation on 250718 0830, ref SDS 99 E84I, avoids                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150679 - capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150680 - softdrink carried from home for hydration, swallowing meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150681 - swallowing nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150682 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150683 - not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 0.5 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150684 - and energy to complete hike. per above. ref SDS 0 NUTO  Continued hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150685 - on YV and turned left onto Pine Hollow again.  After .25 miles, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150686 - right onto Campus Drive hiking West 1 mile uphill 3% - 4% grade with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150687 - wind 14 mph.  The road bends North.  At Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150688 - around and hiked uphill on Campus Drive 4% grade.  Reached Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150689 - Parking California State University East Bay Concord Campus.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150690 - loop around main campus buildings.  Stopped at training station to do                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150691 - 20 half-pullups, 30 half-pushups and 00 situps using training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150692 - equipment.  Back at Visitor Parking hiked 2 2-mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150693 - Faculty and Student parking lots.  Back at Visitor Parking, exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150694 - college hiking North downhill on Campus Drive.  Turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150695 - Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150696 - past Crystal Ranch Road uphill 3% grade .5 miles against wind 16 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150697 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150698 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150699 - uphill 3% grade to summit.  At end of concrete barriar mile 18, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150700 - around and hiked back.  Turned left onto Cowell heading North .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150701 - miles using asphalt shoulder downhill 5% grade then flat grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150702 - miles, then .5 miles in narrow shoulder against oncoming commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150703 - traffic.  Turned left onto Treat hiking West .25 miles back to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150704 - then home.  Ended hike mile 20 time 1604 temp 85, wind 12, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150705 - 2, energy deficit PL 4, feet metatarsalgia PL 6, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150706 - 3, left foot #1 PL 4, #5 edge PL 7, right foot #1 fracture PL 0, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150707 - 4, #4 PL 4, shin splints PL 0, left knee PL 2 (not swollen), right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150708 - knee PL 0, left shoulder PL 0, neck and right shoulder PL 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150709 - intermittantly, lower back middle PL 0 - usually stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150710 - backpack, but not today, left elbow PL 0, when lifting.  EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150711 - with no artifact, Kardia reported HR 113 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150712 - ref SDS 0 L7BM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150723 -  ..
150724 - Kardia recorded HR 45 at 0904, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150725 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150726 - hiking 26 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150727 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150728 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150729 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150730 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150733 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150734 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250907-ecg-090450_mile_00_045_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150740 -  ..
150741 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150742 - used*** hike 20 miles - Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150743 - ref SDS 18 TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150744 - ..
150745 -                                                                                                                                                                                                                                                                                                              x
150746 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150747 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150748 -       Date          250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 250620 250619 25061  
150749 -       Miles            20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0      0      0  
150750 -       HR AVG          115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no     no     no  
150751 -         MAX           133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report report report repo  
150752 -         Min            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                                          
150753 -       El Climb Ft     457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                                          
150754 -       Temp Max         85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                                          
150755 -       Wind Max         16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                                          
150756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150758 -              https://flow.polar.com/training/analysis/8185290694                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150761 -               ..
150763 -   
150764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150768 -  ..
150769 - EKG at mile 10 time 1303 HR 102 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150770 - Tachycardia... heart rate looks mostly uniform with significant                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150771 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150774 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150775 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250907-ecg-130303_mile_10_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150780 -  ..
150781 - End hike EKG at mile 20, time 1604 HR 113 temp 85 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150782 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150783 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150786 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150787 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250907-ecg-160451_mile_20_113_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150792 -  ..
150793 - Post hike 250907 HR profile beginning 1925, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150794 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150795 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150796 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150797 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150800 -        ..
150801 -       Date      250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629  250628    
150802 -       Time       1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413    2149     
150803 -       Hours        12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5       8     
150804 -       HR AVG       55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66      59     
150805 -       HR MAX      135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197      98     
150806 -       HR Min       38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42      40     
150807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150809 -              https://flow.polar.com/training/analysis/8185623867                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150812 -  ..
150813 - HRV seems 10% 0 and 20% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150816 -   
150817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150821 -  ..
150822 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150823 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150824 - Dinner - steak potato asparagus onion mushroom, peach                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150826 -  ..
150827 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150871 -         ..
150872 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150873 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150874 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150875 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150876 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150877 -  251.  250908 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150878 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150879 -               0715....BP HR..................................................... 133  65  47  Kardia ECG reports HR status, see below. ref SDS 0 8WUT                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150880 -               0720....BP HR..................................................... 143  75  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150881 -               0725....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150882 -               0725....40 469020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
150883 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150884 -               0000... Magnesium 300 mg 2 pills Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150885 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150886 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150887 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150888 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150889 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150890 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150891 -               1700... 40 127620 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                                                                                                                                                                                                                                                                                  
150892 -             1 0000............ 10 21980  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
150893 -             1 0000............ 10 22330  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
150894 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150895 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
150896 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150897 -               2150... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150898 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150899 -               2250... 1000 2562000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150900 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150901 -               2330... 40 469060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150902 -               2340... 40 102320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150904 -  ..
150905 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150906 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
150908 -  ..
150909 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150910 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150911 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150912 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150913 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150914 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150916 -  ..
150917 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150918 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150920 -  ..
150921 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150922 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150926 -  ..
150927 - Kardia recorded HR 46 at 1005, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150928 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150929 - likely no AFL after hiking 20 miles temp 85 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150930 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150931 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
150932 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
150933 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
150934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150936 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
150937 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250908-ecg-100507_mile_00_046_PAF_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
150938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150941 -  ..
150942 - Post hike 250908 HR profile beginning 2207, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150943 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
150944 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150945 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150946 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
150947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150949 -        ..
150950 -       Date      250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630  250629    
150951 -       Time       2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011    0413     
150952 -       Hours         9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7       5     
150953 -       HR AVG       71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60      66     
150954 -       HR MAX      112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     197     
150955 -       HR Min       41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41      42     
150956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150958 -              https://flow.polar.com/training/analysis/8186304177                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
150959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150961 -  ..
150962 - HRV seems 75% 0 and 25% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
150963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150965 -   
150966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150970 -  ..
150971 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
150972 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
150973 - Dinner - hamburger onion rings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
150975 -  ..
150976 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
150977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
150999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151024 -         ..
151025 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151026 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151027 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151028 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151029 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151030 -  252.  250909 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151031 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151032 -               0725....BP HR..................................................... 141  78  51  Kardia ECG reports HR status, see below. ref SDS 0 JKFU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151033 -               0730....BP HR..................................................... 137  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151034 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151035 -               0735....40 469180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
151036 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151037 -               1040... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151038 -               1040....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151039 -               1040....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151040 -               1040....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151041 -               1040....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151042 -               1040... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
151043 -  ..
151044 -           *   1107....miles...........  11.0  11.0  217   217 minutes  temp  74 wind 08  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151045 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151046 -               0000....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151047 -               0000....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151048 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151049 -               0000... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
151050 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151051 -               0000... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151052 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151053 -               1712... Hike ends mile 11..... ref SDS 0 L7BM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151054 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151055 -               1725....weight.................................... 178  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151056 -               1736....BP HR..................................................... 128  83  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151057 -               1746....BP HR..................................................... 121  76  87                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151058 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151059 -               1700... 40 127700 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                                                                                                                                                                                                                                                                                  
151060 -               1830............ 10 22000  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151061 -               1830............ 10 22350  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151062 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151063 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151064 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151065 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151066 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151067 -               2250... 1000 2564000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151068 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151069 -               2330... 40 469220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151070 -               2340... 40 102400 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151073 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151074 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151075 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151076 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151077 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151078 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151079 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151080 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151083 -  ..
151084 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151085 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151087 -  ..
151088 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151089 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151090 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151091 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151092 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151093 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151095 -  ..
151096 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151097 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151099 -  ..
151100 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151101 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151104 -  ..
151105 - Today, hiked 11 miles - Yosemite Valley with Ross, including from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151106 - Curry Village to Half Dome trailhead at Happy Isle.  Very easy hike,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151107 - despite forgetting to bring orthotic inserts for Brooks Ghost shoes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151108 - Did not carry backpack with hydration, nutrition.  Did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151109 - hydration nor nutrition, nor pain and energy meds during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151112 -         ..
151113 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151114 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151115 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
151116 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
151117 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151118 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151119 -        Heat rash right quad.........................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151120 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151121 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
151122 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151123 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151124 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151125 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151126 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
151127 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151128 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
151129 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151130 -        Hip left.....................................   0        100  noticed on Treat starting hike about mile 01 continued most of hike off and on - endorphins helped                                                                                                                                                                                                                                                                                                                                                                                                                                           
151131 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151132 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151133 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151134 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151135 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
151136 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151137 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151138 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151139 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151140 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
151141 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151142 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151143 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151144 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151145 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151146 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151147 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151148 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
151149 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151150 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151151 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
151152 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
151153 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
151154 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
151155 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151156 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151157 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
151158 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
151159 -        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                                                                                                                                                                                                                                                                                                                           
151160 -        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                                                                                                                                                                                                                                                                                                                                                                                    
151161 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151162 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
151163 -        Callus big toe left foot...PRP 210705........   5         30  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
151164 -        Callus big toe right foot...PRP 210705.......   2         20  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151165 -        Blister below big toe right foot.............   0        000                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151166 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
151167 -        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                                                                                                                                                                                                                                                                                                                                           
151168 -        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                                                                                                                                                                                                                                                                                                                                           
151169 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151170 -        Callus little toe right foot..top of toe.....   4         20  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
151171 -        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                                                                                                                                                                                                                                                                                                                                                                                        
151172 -        Callus ring toe #4 top right foot............   2         20  better today, using styrofoam tube protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151173 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
151174 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151175 -        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                                                                                                                                                                                                                                                                                                                                                              
151176 -        Callus little toe #5 left foot...PRP 210705..   7         30  Doctor Tang shaved calluses 250708 - took 1 Tramadol mile 00 and 1 Tramadol at mile 13 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
151177 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
151178 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151179 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151180 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
151181 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151182 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
151183 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
151184 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151185 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
151186 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151187 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151188 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151189 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151190 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151191 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151192 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151193 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 10, and 0 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
151194 -        Wasted - severe energy deficit...............   2         10  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 10, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
151195 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151198 -  ..
151199 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151200 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151203 -  ..
151204 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Switched to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151205 - Brooks Ghost size 10.5 extra-wide, received on 250624, reported in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151206 - case study on 200101 0701, ref SDS 18 SO4L  First eyelets not laced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151207 - and first laces very loose, then double weave to keep lower laces                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151208 - loose across forefoot to avoid lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151209 - Calluses on left foot #1 and #5 were initially PL 0, but still took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151210 - Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151212 -  ..
151213 - Orthotic inserts - somehow forgot to bring Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151214 - by Doctor Hewittson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151215 - case study record on 200101 0701. ref SDS 18 Q34F  Hiked with no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151216 - inserts.  Wasn't too bad hiking on flat terrain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151218 -  ..
151219 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151220 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151221 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151222 - occurred on 250819, wearing Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151224 -  ..
151225 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151227 -  ..
151228 - Callus Injuries - today on 250909, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151229 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151231 -                    0 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151232 -                    0 Tramadol mile 06                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151233 -                    0 Naproxen mile 06 had PL 2 last 3 miles of 11 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151235 -  ..
151236 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151237 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151238 - management with Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151239 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151240 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151242 -  ..
151243 - No energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151245 -            1 magnesium at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151246 -            0 magnesium at mile 05                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151247 -            0 magnesium at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151248 -            0 magnesium at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151250 -  ..
151251 - Bandaging gooe results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151253 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151254 -        in place.  Max PL 2 entire hike - worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151256 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151257 -        ref SDS A6 ESVZ, applied to protect blister left foot below #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151258 -        callus - worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151260 -         ..
151261 -        Gel toe protector purchased at CVS on 250904 1233, ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151262 -        RK2M, applied to protect callus and blister on left foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151263 -        failed totally - somehow slid off the top of the toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151264 -        remained in place beneath the toe for large part of hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151265 -        not work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151267 -         ..
151268 -        Gel toe protector purchased at CVS on 250904 1233, ref SDS A6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151269 -        RK2M, applied to protect callus and blister on right foot #5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151270 -        failed totally - somehow slid off the top of the toe and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151271 -        remained in place beneath the toe for large part of hike - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151272 -        not work well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151274 -         ..
151275 -        Gel toe caps purchased at CVS on 250904 1233, ref SDS A6 XEQS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151276 -        applied to protect callus and blister on right foot #4 - work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151277 -        well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151279 -  ..
151280 - Kept "Gel toe protector" bandaging held in place with taping scheme.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151281 - Seemed likely effective throughout the hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151283 -  ..
151284 - Gel Toe Caps that worked well on right foot #4, worked well in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151285 - place of Gel Toe Protector on #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151288 -  ..
151289 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151290 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151291 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151292 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151293 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151294 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151297 -  ..
151298 - Yosemite Valley 11 mile route - before starting hike did not take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151299 - Glucosamine Chondroitin for OA protection, mainly left knee treated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151300 - with PRP intra articular injection 13 times over 3 years, see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151301 - study on 200101 0701, ref SDS 18 TTPV, and also left hip.  Left knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151302 - has expressed less pain in recent months, because elevated HDL from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151303 - hiking past 15 years has repaired some cartilage loss thereby reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151304 - osteoarthritis pain.  Today, left knee PL 0 entire hike.  With feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151305 - 0, decided to take 0 Tramadol for pain management.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151306 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151307 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151308 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151309 - - swallowed pill whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151310 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151311 - amount peanut butter that contains iron to elevate Ferritin and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151312 - Transferrin Saturation, which both tested below range on 250428 0940,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151313 - ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151314 - 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151315 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151316 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151317 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151318 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151319 - reported on 250813 0730, ref SDS A3 MJ5I; and had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151320 - margarine and Mayonaise which aid absorbtion (digestion) of Magnesium,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151321 - and had small amount Chia Seeds for electrolytes (e.g., potassium) and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151322 - energy, and had 1/4 avocado for HDL.  Just before starting hike took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151323 - new Ubiquinol CoQ10 100 mg softgel tablet, all per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151324 - 9JSW CoQ10 is an enzyme produced in the body that supports an electron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151325 - transport chain (ETC) giving human cells energy - see case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151326 - 200101 0701. ref SDS 18 136K  Today, had breakfast scrambled eggs and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151327 - sausage with softdrink that increases bloating feeling starting hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151328 - today, from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151329 - also symptomatic of diabetes, and atrial fibrillation, and since 6th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151330 - cardiac ablation on 240611, variable heart rate may occur from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151331 - dysfunctional autonomic nervous system (see analysis on 250114 1202,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151332 - ref SDS 69 PQ5Y).  Did not take backpack to carry stuff.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151333 - through Curry Village, then to Upper Pines Campsite, then continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151334 - Happy Isles Loop road to Half Dome trailhead on Mist Trial.  Ross used                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151335 - cellphone to make reservations for Upper Pines campsite.  Hiked back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151336 - to Upper Pines campsite and confirmed reservations for tonight.  Hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151337 - back to Curry Village.  Drove to Yosemite Village to buy supplies for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151338 - camping tonight.  Drove back to Upper Pines campsite and setup                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151339 - campsite at location #55.  Hiked back to Curry Village, then hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151340 - back to trailhead for Half Dome.  Hiked back to Curry Village.  Had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151341 - pizza and beer for dinner.  Hiked back to Upper Pines campsite.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151342 - hike mile 11 time 1712 temp 70, wind 10, bloating PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151343 - PL 2, feet metatarsalgia PL 2, burning sensation PL 0, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151344 - 2, #5 edge PL 3, right foot #1 fracture PL 0, #5 PL 0, #4 PL 0, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151345 - splints PL 0, left knee PL 1 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151346 - shoulder PL 0, neck and right shoulder PL 0 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151347 - middle PL 0 - usually stress carrying backpack, but not today, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151348 - elbow PL 0, when lifting.  EKG uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151349 - reported HR 091 Normal Sinus Rhythm - see below. ref SDS 0 9W7D                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151360 -  ..
151361 - Kardia recorded HR 49 at 0808, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151362 - mostly uniform heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151363 - no AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151364 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151365 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151366 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151367 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151370 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151371 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250909-ecg-080855_mile_00_049_PAF_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151377 -  ..
151378 - Polar HR GPS study in Yosemite, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151379 - hike 11 miles - 2 or 3 miles were driving - Medical history case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151380 - on 200101 0701. ref SDS 18 TSYT  Launched Polar about 10 minutes after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151381 - hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151382 - ..
151383 -                                                                                                                                                                                                                                                                                                              x
151384 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151385 -                                                               x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151386 -       Date          250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 250625 250624 250623 250622 250621 25062  
151387 -       Miles            11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0      0      0      0      0      0  
151388 -       HR AVG          100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no     no     no     no     no     no  
151389 -         MAX           134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   report report report report report repo  
151390 -         Min            51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57                                            
151391 -       El Climb Ft     190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454                                            
151392 -       Temp Max         74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87                                            
151393 -       Wind Max         08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15                                            
151394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151396 -              https://flow.polar.com/training/analysis/8187217112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151399 -               ..
151401 -   
151402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151406 -  ..
151407 - End hike EKG at mile 11, time 1712 HR 091 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151408 - Normal Sinus Rhythm... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151409 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151412 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151413 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250909-ecg-171258_mile_11_091_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151418 -  ..
151419 - Post hike 250909 HR profile beginning 1933, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151420 - activity after hiking 11 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151421 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151422 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151423 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151426 -        ..
151427 -       Date      250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701  250630    
151428 -       Time       1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949    0011     
151429 -       Hours        11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10       7     
151430 -       HR AVG       67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69      60     
151431 -       HR MAX      121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     112     
151432 -       HR Min       41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43      41     
151433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151435 -              https://flow.polar.com/training/analysis/8187217175                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151438 -  ..
151439 - HRV seems 25% 0 and 25% - good and 50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151440 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151442 -   
151443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151447 -  ..
151448 - Breakfast - eggs sausage softdrink at Yosemite Lodge cafeteria                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151449 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151450 - Dinner - pizza beer at Curry Village                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151452 -  ..
151453 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151464 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151471 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151482 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151498 -         ..
151499 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151500 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151501 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151502 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151503 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151504 -  253.  250910 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151505 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151506 -               0655....BP HR..................................................... 154  78  62  Kardia ECG reports HR status, see below. ref SDS 0 UV9F                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151507 -               0700....BP HR..................................................... 156  83  58                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151508 -               0705....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151509 -               0705....40 469260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
151510 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151511 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151512 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151513 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151514 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151515 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151516 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151517 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151518 -               1700... 40 127740 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                                                                                                                                                                                                                                                                                  
151519 -             1 0000............ 10 22000  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151520 -             1 0000............ 10 22350  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151521 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151522 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151523 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151524 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151525 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151526 -               2250... 1000 2565000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151527 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151528 -               2330... 40 469300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151529 -               2340... 40 102440 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151532 -  ..
151533 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151534 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151536 -  ..
151537 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151538 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151539 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151540 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151541 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151542 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151544 -  ..
151545 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151546 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151548 -  ..
151549 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151550 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151555 -  ..
151556 - Kardia recorded HR 57 at 0824, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151557 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151558 - AFL after hiking 11 miles temp 68 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151559 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151560 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151561 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151562 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151565 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151566 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250910-ecg-082424_mile_00_057_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151570 -  ..
151571 - Post hike 250910 HR profile beginning 2251, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151572 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151573 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151574 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151575 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151578 -        ..
151579 -       Date      250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702  250701    
151580 -       Time       2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024    1949     
151581 -       Hours         8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9      10     
151582 -       HR AVG       70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63      69     
151583 -       HR MAX      110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     108     
151584 -       HR Min       43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42      43     
151585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151587 -              https://flow.polar.com/training/analysis/8187968644                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151590 -  ..
151591 - HRV seems 90% 0 and 10% - good and  0% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151594 -   
151595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151599 -  ..
151600 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151601 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151602 - Dinner - steak potato brocolli cauliflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151604 -  ..
151605 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151631 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151651 -         ..
151652 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151653 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151654 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151655 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151656 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151657 -  254.  250911 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151658 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151659 -               0725....BP HR..................................................... 146  73  57  Kardia ECG reports HR status, see below. ref SDS 0 BHGI                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151660 -               0730....BP HR..................................................... 141  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151661 -               0735....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151662 -               0735....40 469340 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
151663 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151664 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151665 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151666 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151667 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151668 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151669 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151670 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151671 -               1700... 40 127780 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                                                                                                                                                                                                                                                                                  
151672 -               1830............ 10 22010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151673 -               1830............ 10 22360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151674 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151675 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151676 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151677 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151678 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151679 -               2250... 1000 2566000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151680 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151681 -               2330... 40 469380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151682 -               2340... 40 102480 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151685 -  ..
151686 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151687 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151689 -  ..
151690 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151691 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151692 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151693 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151694 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151695 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151697 -  ..
151698 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151699 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151701 -  ..
151702 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151703 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151708 -  ..
151709 - Kardia recorded HR 57 at 0824, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151710 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151711 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151712 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151713 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151714 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151715 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151718 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151719 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250911-ecg-082424_mile_00_057_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151723 -  ..
151724 - Post hike 250911 HR profile beginning 2245, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151725 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151726 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151727 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151728 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151731 -        ..
151732 -       Date      250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704  250703  250702    
151733 -       Time       2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951    2352    2024     
151734 -       Hours         9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10       6       9     
151735 -       HR AVG       63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64      63      63     
151736 -       HR MAX       99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106      96      95     
151737 -       HR Min       44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43      41      42     
151738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151740 -              https://flow.polar.com/training/analysis/8187968682                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151743 -  ..
151744 - HRV seems 40% 0 and 60% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151747 -   
151748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151752 -  ..
151753 - Breakfast - cheerios peaches milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151754 - Lunch - sandwich ham cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151755 - Dinner - eggs steak potato asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151757 -  ..
151758 - Vomiting: 0% - bloating PL 3                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151805 -         ..
151806 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151807 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151808 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151809 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151810 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151811 -  255.  250912 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151812 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151813 -               0725....BP HR..................................................... 147  78  55  Kardia ECG reports HR status, see below. ref SDS 0 TR8W                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151814 -               0730....BP HR..................................................... 142  84  52                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151815 -               0735....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151816 -               0735....40 469500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
151817 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151818 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151819 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151820 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151821 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151822 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151823 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151824 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151825 -               1700... 40 127860 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                                                                                                                                                                                                                                                                                  
151826 -             1 0000............ 10 22010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151827 -             1 0000............ 10 22360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151828 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151829 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151830 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151831 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151832 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151833 -               2250... 1000 2568000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151834 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151835 -               2330... 40 469540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151836 -               2340... 40 102560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151839 -  ..
151840 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151841 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151843 -  ..
151844 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151845 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151846 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151847 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151848 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151849 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151851 -  ..
151852 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151853 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151855 -  ..
151856 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151857 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151860 -  ..
151861 - Kardia recorded HR 55 at 0821, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151862 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151863 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151864 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151865 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151866 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
151867 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151870 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
151871 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250912-ecg-082132_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
151872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151876 -  ..
151877 - Post hike 250913 HR profile beginning 2030, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151878 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151879 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151880 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151881 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151884 -        ..
151885 -       Date      250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704    
151886 -       Time       2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951     
151887 -       Hours        10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10     
151888 -       HR AVG       70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64     
151889 -       HR MAX      105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106     
151890 -       HR Min       43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43     
151891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151893 -              https://flow.polar.com/training/analysis/8189034329                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151896 -  ..
151897 - HRV seems 80% 0 and 20% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151900 -   
151901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151905 -  ..
151906 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151907 - Lunch - sandwich ham onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
151908 - Dinner - hamburger broccoli cauliflower asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151910 -  ..
151911 - Vomiting: 0% - bloating PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151956 -         ..
151957 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151958 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151959 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151960 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151961 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151962 -  256.  250913 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151963 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151964 -               0715....BP HR..................................................... 145  82  55  Kardia ECG reports HR status, see below. ref SDS 0 9ZVI                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151965 -               0720....BP HR..................................................... 137  78  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151966 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151967 -               0725....40 469420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
151968 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151969 -               0000... Magnesium 300 mg 1 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
151970 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151971 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151972 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151973 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
151974 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151975 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
151976 -               1700... 40 127820 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                                                                                                                                                                                                                                                                                  
151977 -               1830............ 10 22010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
151978 -               1830............ 10 22360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
151979 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151980 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
151981 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151982 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151983 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
151984 -               2250... 1000 2567000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
151985 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
151986 -               2330... 40 469460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151987 -               2340... 40 102520 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
151988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151990 -  ..
151991 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
151992 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
151994 -  ..
151995 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151996 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
151997 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151998 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
151999 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152000 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152002 -  ..
152003 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152004 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152006 -  ..
152007 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152008 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152013 -  ..
152014 - Kardia recorded HR 49 at 0800, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152015 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152016 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152017 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152018 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152019 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152020 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152023 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152024 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250913-ecg-080007_mile_00_049_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152029 -  ..
152030 - Post hike 250913 HR profile beginning 2030, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152031 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152032 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152033 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152034 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152037 -        ..
152038 -       Date      250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705  250704    
152039 -       Time       2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043    1951     
152040 -       Hours        10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10      10     
152041 -       HR AVG       70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60      64     
152042 -       HR MAX      105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     106     
152043 -       HR Min       43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41      43     
152044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152045 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152046 -              https://flow.polar.com/training/analysis/8189034329                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152047 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152049 -  ..
152050 - HRV seems 10% 0 and 90% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152053 -   
152054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152058 -  ..
152059 - Breakfast - eggs toast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152060 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152061 - Dinner - steak potato hamburger broccoli cauliflower asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152063 -  ..
152064 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152075 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152076 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152078 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152081 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152082 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152111 -         ..
152112 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152113 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152114 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152115 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152116 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152117 -  257.  250914 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152118 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152119 -               0725....BP HR..................................................... 146  84  53  Kardia ECG reports HR status, see below. ref SDS 0 RM57                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152120 -               0730....BP HR..................................................... 133  80  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152121 -               0735....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152122 -               0735....40 469500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
152123 -               1210....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152124 -               1210... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152125 -               1210....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152126 -               1210....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152127 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152128 -               1210....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152129 -               1210... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
152130 -  ..
152131 -           *   1239....miles...........  20.0  31.0  338   555 minutes  temp  85 wind 17  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152132 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152133 -               1504....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152134 -               0000....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152135 -               1504....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152136 -               1504... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
152137 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152138 -               1504... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152139 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152140 -               1739....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152141 -               0000....Tramadol 50 mg took 2 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152142 -               1739....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152143 -               1739... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
152144 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152145 -               1739... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152146 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152147 -               1906... Hike ends mile 20..... ref SDS 0 6Z3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152148 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152149 -               1925....weight.................................... 176  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152150 -               1932....BP HR..................................................... 111  70 106                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152151 -               1943....BP HR..................................................... 111  71 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152152 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152153 -               2000... 40 127860 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                                                                                                                                                                                                                                                                                  
152154 -             1 0000............ 10 22010  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152155 -             1 0000............ 10 22360  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152156 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152157 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152158 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152159 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152160 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152161 -               2250... 1000 2568000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152162 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152163 -               2330... 40 469540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152164 -               2340... 40 102560 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152167 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152168 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152169 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152170 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152171 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152172 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152173 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152174 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152177 -  ..
152178 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152179 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152181 -  ..
152182 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152183 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152184 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152185 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152186 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152187 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152189 -  ..
152190 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152191 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152193 -  ..
152194 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152195 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152198 -  ..
152199 - Today, hiked 20 miles - switched to Stable Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152200 - because Doctor Tang determined Powerstep inserts used since 2022, need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152201 - to be replaced.  Pain OA mile 4, seemed to require not hiking to end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152202 - of Pine Hollow.  Pain resolved at mile 6.  Continued to end Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152203 - Hollow at mile 8.  Took 2 magnesium to resolve energy deficit.  OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152204 - mile 11 hiking up Campus Road to college energy deficit recurred.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152205 - Took another magnesium at mile 16, to hike 4 miles home.  Discovered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152206 - orthotic insert on right foot was placed incorrectly.  After fixing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152207 - this blistering continued.  Needed less bandaging, mostly worked well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152208 - on left foot #1 and silicon toe caps on #5 and on right foot #4.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152209 - not need bandaging on right foot #5.  There was more metatarsalgis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152210 - pain, and new pain below right foot #1, which seemed like new blister.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152211 - On arriving home, there was no blister - thankfully.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152212 - resolved by end of hike.  Switching to Urea 20% treatment works better                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152213 - than Ammonium Lactate 12% for calluses; Large size Corn bandages                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152214 - received from Doctor Tang in VA Podiatry on 250807 0900. ref SDS A2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152215 - T49H  Post hike muscles not cramping, and heat rash on quads recurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152216 - today, feet hurt PL 6 for 8 hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152219 -         ..
152220 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152221 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152222 -        Stomach pain ischemic colitis bloating.......   2         60  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
152223 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
152224 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152225 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152226 -        Heat rash quads..............................   3         10  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152227 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152228 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
152229 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152230 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152231 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152232 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152233 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
152234 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152235 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
152236 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152237 -        Hip left.....................................   3         20  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
152238 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152239 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152240 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152241 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152242 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
152243 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152244 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152245 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152246 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152247 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
152248 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152249 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152250 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152251 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152252 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152253 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152254 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152255 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
152256 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152257 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152258 -        Metatarsalgia left foot...PRP 210705.........   6         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
152259 -        Metatarsalgia right foot..PRP 210705.........   6         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
152260 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
152261 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
152262 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152263 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152264 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
152265 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
152266 -        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                                                                                                                                                                                                                                                                                                                           
152267 -        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                                                                                                                                                                                                                                                                                                                                                                                    
152268 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152269 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
152270 -        Callus big toe left foot...PRP 210705........   4         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
152271 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152272 -        Blister below big toe right foot.............   4         30                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152273 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
152274 -        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                                                                                                                                                                                                                                                                                                                                           
152275 -        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                                                                                                                                                                                                                                                                                                                                           
152276 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152277 -        Callus little toe #5 right foot...PRP 210705.   0        100  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
152278 -        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                                                                                                                                                                                                                                                                                                                                                                                        
152279 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152280 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
152281 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152282 -        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                                                                                                                                                                                                                                                                                                                                                              
152283 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
152284 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
152285 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152286 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152287 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
152288 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152289 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
152290 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
152291 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152292 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
152293 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152294 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152295 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152296 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152297 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152298 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152299 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152300 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
152301 -        Wasted - severe energy deficit...............   3         30  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
152302 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152305 -  ..
152306 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152307 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152310 -  ..
152311 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Wore Brooks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152312 - Ghost size 10.5 extra-wide, received on 250624, reported in case study                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152313 - on 200101 0701, ref SDS 18 SO4L  First eyelets not laced, and first                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152314 - laces very loose, then double weave to keep lower laces loose across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152315 - forefoot to avoid lateral pressure on #1 and #5.  Calluses on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152316 - foot #1 and #5 were initially PL 0, but still took 1 Tramadol.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152318 -  ..
152319 - Orthotic inserts - switched to Stable Elite purchased from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152320 - Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because Doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152321 - Tang advised Powerstep inserts created by Doctor Hewittson on 250325                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152322 - 0830. ref SDS 83 5Q5M and explained in case study record on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152323 - 0701, ref SDS 18 Q34F, have begun to fail causing continual feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152324 - injuries, reported on 250904 1030. ref SDS A5 1Z7N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152326 -  ..
152327 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152328 - pair Smartwool 1-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152329 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152330 - occurred on 250819, wearing Smartwool socks.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152332 -  ..
152333 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152335 -  ..
152336 - Callus Injuries - today on 250914, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152337 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152339 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152340 -                    1 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152341 -                    1 Naproxen mile 16 had PL 6 last 3 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152343 -  ..
152344 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152345 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152346 - management with Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152347 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152348 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152350 -  ..
152351 - Some energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152353 -            2 magnesium at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152354 -            2 magnesium at mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152355 -            1 magnesium at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152357 -  ..
152358 - Bandaging poor results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152360 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152361 -        in place.  Max PL 4 last 3 miles - worked mostly well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152363 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152364 -        ref SDS A6 ESVZ, was not applied to protect blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152365 -        below #1 callus, because this has mostly healed - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152366 -        pain this area.  Did have pain on right foot below #1, will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152367 -        apply tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152369 -         ..
152370 -        Gel toe caps purchased at CVS on 250904 1233, ref SDS A6 XEQS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152371 -        applied to protect callus and blister on right foot #4 - work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152372 -        well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152374 -  ..
152375 - Silicone Toe Caps worked well on left foot #5, and on right foot #4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152376 - worked well in place of Gel Toe Protector on #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152379 -  ..
152380 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152381 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152382 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152383 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152384 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152385 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152388 -  ..
152389 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152390 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152391 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152392 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152393 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152394 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152395 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152396 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152397 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152398 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152399 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152400 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152401 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152402 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152403 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152404 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152405 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152406 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152407 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152408 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152409 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152410 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152411 - Both magnesium and CoQ10 are large pills and are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152412 - difficult to swallow, now over 2 months since last LESV was dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152413 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152414 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152415 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152416 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152417 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152418 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152419 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152420 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152421 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152422 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152423 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152424 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152425 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152426 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152427 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152428 - above. ref SDS 0 7J9I  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152429 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152430 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152431 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152432 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152433 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152434 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152435 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152436 - hydration, nutrition, meds, medical supplies.  Temperature 85, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152437 - wind 17 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152438 - Starting hike stomach seemed less bloated (may align with reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152439 - "impaired HRV" overnight Polar study, above, ref SDS 0 CZB7, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152440 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152441 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152442 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152443 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152444 - with no dyspnea, indicating strong respiratory condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152445 - sustained, despite hiking only 11 miles this past week.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152446 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152447 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152448 - uphill, and very light traffic.  After passing Rising Dawn Lane, felt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152449 - something on lower right leg, and heard brief sound.  Continuing this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152450 - occurred again, turned and looked down.  There was a small bulldog                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152451 - running along beside.  A car pulled up and stopped.  Thought this was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152452 - the owner.  The driver rolled down the passenger window and asked if                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152453 - the dog was mine.  The drive said she saw the dog run from the corner                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152454 - and assumed it was mine, and recommended it should be on a leash.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152455 - Turned around and led the dog back to Rising Dawn Lane.  Walking up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152456 - front porch of 1st house, a man came out from the backyard gate and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152457 - called his dog.  He gave thanks for guiding the dog home.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152458 - around and continued South on Turtle Creek Road.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152459 - Newhall Community across Newhall Community park and back today.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152460 - foot #1 PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152461 - effective.  Continued on Turtle Creek Road uphill 4% grade.  At end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152462 - Turtle Creek Road turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152463 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152464 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152465 - complex.   About mile 3.5 burning sensation PL 3.  Crossed Alberto Way                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152466 - at traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152467 - seemed okay - did not feel sense of hitting a "wall" near mile 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152468 - having to stop at Mountain Mike's Pizza restaurant to take interim                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152469 - magnesium and CoQ10.  This has been major question for hikes past 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152470 - months.  Continued hiking past mile 4.  Turned right heading West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152471 - Ygnacio Valley Road using concrete sidewalk .5 miles.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152472 - difficult part of hike with metatarsalgia PL 4 hiking on sidewalk.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152473 - Disappointing PL rising - considered not hiking to end of Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152474 - today.  Continued crossing Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152475 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152476 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152477 - Stop Light at Michigan Boulevard.  At mile 5, turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152478 - Hollow - left foot #1 PL 3, considered turning onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152479 - heading to college instead of hiking to end of Pine Hollow.  About                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152480 - mile 6, PL dropped as Tramadol medication reached maximum effect -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152481 - hiked 2.50 miles East.  Stopped at end of Pine Hollow mile 08 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152482 - 1504 temp 85 and wind 13 mph; EKG looks uniform with initial artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152483 - and mostly clear of artifact; Kardia reported HR 128 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152484 - below. ref SDS 0 MXEW  Bloating PL 3, energy deficit PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152485 - metatarsalgia PL 4, burning sensation PL 4.  Left foot #1 PL 4 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152486 - PL 1.  Right foot #5 PL 1, #1 below PL 3 - might be blister forming.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152487 - Took 1 Naproxen 250 mg total today 1, for pain.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152488 - complex 300 mg pill, total today 4, for energy, absorbing lactic acid,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152489 - and reducing inflammation, per research on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152490 - QP6L  Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152491 - nutrition - peanut butter, avocado with margarine and Mayonnaise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152492 - Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152493 - and energy to complete hike.  Since temperature 85, which causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152494 - sweating that ejects electrolytes, took 0 Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152495 - above. ref SDS 0 PHLB  Turned around starting to hike back, noticed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152496 - right foot seemed to have something in the shoe.  Found tree stump to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152497 - sit and remove right shoe.  Discovered insert was folded over, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152498 - error with initial placement before starting hike.  Corrected this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152499 - error.  This could have caused new injury to right foot below #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152500 - Hiked back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152501 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152502 - against wind 10 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152503 - turned around and hiked uphill on Campus Drive 4% grade.  Body slowed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152504 - with low energy - taking shorter steps about mile 11.  Legs not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152505 - fatigued with lactic acid - feels like low ferritin, reported im lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152506 - on 250807 0654, ref SDS A1 VP5H, per MAI research on 250430 2137.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152507 - ref SDS 89 GW9J  Reached Visitor Parking California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152508 - East Bay Concord Campus.  Hiked loop around main buildings stopping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152509 - back at training area - did 20 half pulups and 20 half push ups, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152510 - continued back to Visitor parking.  Hiked 2 - 1.5 mile loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152511 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152512 - buildings.  About mile 13 left hip PL 3.  Hit energy deficit on 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152513 - loop, slowed noticably.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152514 - Administration building mile 16 time 1739 temp 83 and wind 14 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152515 - looks mostly uniform with some initial artifact.  Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152516 - 131 Tachycardia - see below. ref SDS 0 ZDR4  Bloating PL 4, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152517 - deficit PL 4, both feet metatarsalgia PL 3, burning sensation PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152518 - Left foot #1 PL 4 and #5 PL 2.  Right foot #5 PL 2, right foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152519 - below likely blister PL 5.  Took 1 Naproxen 250 mg total today 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152520 - (Tramadol total 1), for pain.  Took 1 Magnesium complex 300 mg pill,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152521 - total 5, for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152522 - per research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152523 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152524 - avocado with margarine and Mayonnaise.  Chia Seeds for electrolytes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152525 - Took Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152526 - Since temperature 83, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152527 - took 0 Nuun electrolyte pill, per above. ref SDS 0 PHLB   Hiked 2 more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152528 - loops around main buildings.  Exited from campus heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152529 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152530 - Hiked West on flat grade .5 miles.  At mile 17, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152531 - Ranch Road uphill 3% grade .5 miles against wind 12 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152532 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152533 - Ygnacio Valley Road to avoid severe camber.  Did not hike .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152534 - uphill 3% grade to summit, and at end of concrete barriar mile 18,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152535 - turned around, and hike East back to Cowell.  Turned left hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152536 - downhill 5% grade .25 mile.  Continued flat grade .25 mile, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152537 - mile flat grade and very narrow shoulder against heavy traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152538 - Turned left onto Treat heading West.  Crossed Treat at break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152539 - traffic.  Turned onto Cuneo then home.  Ended hike mile 20 time 1906                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152540 - temp 78, wind 08.  Bloated PL 3, energy deficit PL 3 (energy seemed to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152541 - increase), feet PL 4, burning sensation PL 3, left foot #1 PL 4, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152542 - 0, right foot #5 PL 0, #1 below PL 3 seems like blister, but no actual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152543 - blister,  EKG looks mostly uniform, with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152544 - reported HR 123 Tachycardia - see below. ref SDS 0 6Z3K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152561 -  ..
152562 - Kardia recorded HR 48 at 0805, Bradycardia, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152563 - lengths with p-waves and no artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152564 - miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152565 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152566 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152567 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152568 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152571 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152572 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250914-ecg-080513_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152578 -  ..
152579 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152580 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152581 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152582 - ..
152583 -                                                                                                                                                                                                                                                                                                              x
152584 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152585 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152586 -       Date          250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 250627 250626 25062  
152587 -       Miles            20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0     17      0  
152588 -       HR AVG          130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no    123     no  
152589 -         MAX           149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report report  138   repo  
152590 -         Min            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                           57         
152591 -       El Climb Ft     517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                          454         
152592 -       Temp Max         85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                           87         
152593 -       Wind Max         17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                           15         
152594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152596 -              https://flow.polar.com/training/analysis/8189291780                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152599 -               ..
152601 -   
152602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152607 -  ..
152608 - EKG at mile 08 time 1504 HR 128 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152609 - Tachycardia... heart rate looks mostly uniform with initial artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152610 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152613 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152614 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250914-ecg-150418_mile_08_128_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152618 -  ..
152619 - EKG at mile 16 time 1739 HR 131 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152620 - Tachycardia... heart rate looks mostly uniform with initial artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152621 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152624 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152625 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250914-ecg-173901_mile_16_131_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152627 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152629 -  ..
152630 - End hike EKG at mile 20, time 1906 HR 123 temp 78 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152631 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152632 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152635 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152636 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250914-ecg-190635_mile_20_123_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152641 -  ..
152642 - Post hike 250914 HR profile beginning 2353, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152643 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152644 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152645 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152646 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152649 -        ..
152650 -       Date      250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706  250705    
152651 -       Time       2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341    2043     
152652 -       Hours        10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3      10     
152653 -       HR AVG       68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53      60     
152654 -       HR MAX      108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     117     
152655 -       HR Min       44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42      41     
152656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152658 -              https://flow.polar.com/training/analysis/8189654537                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152661 -  ..
152662 - HRV seems 40% 0 and 30% - good and 30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152665 -   
152666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152670 -  ..
152671 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152672 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152673 - Dinner - steak potato hamburger broccoli cauliflower asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152675 -  ..
152676 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152702 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152703 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152721 -         ..
152722 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152723 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152724 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152725 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152726 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152727 -  258.  250915 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152728 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152729 -               0715....BP HR..................................................... 127  68  54  Kardia ECG reports HR status, see below. ref SDS 0 P3SG                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152730 -               0720....BP HR..................................................... 133  80  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152731 -               0725....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152732 -               0725....40 469580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
152733 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152734 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152735 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152736 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152737 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152738 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152739 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152740 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152741 -               1730... 40 127900 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                                                                                                                                                                                                                                                                                  
152742 -               1830............ 10 22020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152743 -               1830............ 10 22370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152744 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152745 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152746 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152747 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152748 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152749 -               2250... 1000 2569000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152750 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152751 -               2330... 40 469620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152752 -               2340... 40 102600 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152755 -  ..
152756 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152757 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152759 -  ..
152760 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152761 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152762 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152763 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152764 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152765 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152767 -  ..
152768 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152769 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152771 -  ..
152772 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152773 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152778 -  ..
152779 - Kardia recorded HR 50 at 1102, Unclassified, looks uniform heart beat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152780 - lengths with p-waves and minor artifact, likely no AFL after hiking 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152781 - miles temp 85 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152782 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152783 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152784 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152785 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152788 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
152789 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250915-ecg-110246_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152793 -  ..
152794 - Post hike 250915 HR profile beginning 2035, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152795 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152796 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152797 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152798 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152801 -        ..
152802 -       Date      250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707  250706    
152803 -       Time       2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051    2341     
152804 -       Hours         9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9       3     
152805 -       HR AVG       71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57      53     
152806 -       HR MAX      110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     110     
152807 -       HR Min       43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40      42     
152808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152810 -              https://flow.polar.com/training/analysis/8190093650                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152813 -  ..
152814 - HRV seems 60% 0 and 30% - good and 10% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152817 -   
152818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152822 -  ..
152823 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152824 - Lunch - sandwich ham cheese tomato onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152825 - Dinner - steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152827 -  ..
152828 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152875 -         ..
152876 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152877 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152878 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152879 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152880 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152881 -  259.  250916 0530............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152882 -               0530....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152883 -               0535....BP HR..................................................... 137  77  53  Kardia ECG reports HR status, see below. ref SDS 0 9LBD                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152884 -               0540....BP HR..................................................... 129  80  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152885 -               0545....weight.................................... 184                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152886 -               0545....40 469660 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
152887 -               0630....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152888 -               0630... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152889 -               0630....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152890 -               0630....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152891 -               0630....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152892 -               0630....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152893 -               0630... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
152894 -  ..
152895 -               0709....miles...........  17.0  17.0  283   283 minutes  temp  86 wind 10  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152896 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152897 -               1044....mile 12 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152898 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152899 -               1044....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152900 -               1044... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
152901 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152902 -               1044... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152903 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152904 -               1210... Hike ends mile 17..... ref SDS 0 9BUF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152905 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152906 -               1235....weight.................................... 179  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152907 -               1250....BP HR..................................................... 112  67  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152908 -               1255....BP HR..................................................... 111  71 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152909 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152910 -               1700... 40 127940 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                                                                                                                                                                                                                                                                                  
152911 -             1 0000............ 10 22020  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
152912 -             1 0000............ 10 22370  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
152913 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152914 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152915 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152916 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152917 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152918 -               2250... 1000 2570000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152919 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152920 -               2330... 40 469700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152921 -               2340... 40 102640 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
152922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152924 -  ..
152925 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152926 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
152928 -  ..
152929 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152930 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152931 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152932 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152933 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152934 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152936 -  ..
152937 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152938 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152940 -  ..
152941 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152942 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152945 -  ..
152946 - Today, hiked 17 miles - continued with Stable Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152947 - because Doctor Tang determined Powerstep inserts used since 2022, need                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152948 - to be replaced.  Seemed less pain today, than prior hike 2 days ago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152949 - Needed less bandaging, mostly worked well on left foot #1 and silicon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152950 - toe caps on #5 and on right foot #4.  Did not need bandaging on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152951 - foot #5.  There was more metatarsalgis pain, but reduced wearing Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152952 - Bondi 9 shoes with more cushioned soles.  Bloating resolved by end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
152953 - hike.  Switching to Urea 20% treatment works better than Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152954 - Lactate 12% for calluses; Large size Corn bandages received from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152955 - Doctor Tang in VA Podiatry on 250807 0900. ref SDS A2 T49H  Post hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152956 - muscles not cramping, and no heat rash on quads after starting early                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152957 - and avoiding high heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
152960 -         ..
152961 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152962 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152963 -        Stomach pain ischemic colitis bloating.......   4         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
152964 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
152965 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
152966 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152967 -        Heat rash quads..............................   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152968 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
152969 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
152970 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152971 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152972 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
152973 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152974 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
152975 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152976 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
152977 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152978 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
152979 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
152980 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152981 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152982 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152983 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
152984 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152985 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
152986 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
152987 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152988 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
152989 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
152990 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152991 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152992 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152993 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
152994 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152995 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
152996 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
152997 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
152998 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
152999 -        Metatarsalgia left foot...PRP 210705.........   5         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
153000 -        Metatarsalgia right foot..PRP 210705.........   5         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
153001 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
153002 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
153003 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153004 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153005 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
153006 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
153007 -        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                                                                                                                                                                                                                                                                                                                           
153008 -        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                                                                                                                                                                                                                                                                                                                                                                                    
153009 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153010 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
153011 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
153012 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153013 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153014 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
153015 -        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                                                                                                                                                                                                                                                                                                                                           
153016 -        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                                                                                                                                                                                                                                                                                                                                           
153017 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153018 -        Callus little toe #5 right foot...PRP 210705.   0        100  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
153019 -        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                                                                                                                                                                                                                                                                                                                                                                                        
153020 -        Callus ring toe #4 top right foot............   0        100  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153021 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
153022 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153023 -        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                                                                                                                                                                                                                                                                                                                                                              
153024 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
153025 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
153026 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153027 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153028 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
153029 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153030 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
153031 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
153032 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153033 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
153034 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153035 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153036 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153037 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153038 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153039 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153040 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153041 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 12, and 0 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
153042 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 12, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
153043 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153044 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153046 -  ..
153047 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153048 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153050 -  ..
153051 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  switched to new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153052 - Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153053 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153054 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153055 - extra-wide reduces lateral pressure on #1 and #5.  Didn't hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153056 - yesterday, because feet still swollen from metatarsalgia pain after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153057 - hiking Sunday.  Today, swelling declined - metatarsalgia PL 0.  Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153058 - Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153059 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153060 - 1 Tramadol.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153061 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153062 - HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153064 -  ..
153065 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153066 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153067 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153068 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153069 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153070 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153071 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153073 -  ..
153074 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched to 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153075 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153076 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153077 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153078 - nor recurrent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153080 -  ..
153081 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153083 -  ..
153084 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153085 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153086 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153087 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153088 -                    1 Naproxen mile 12 had PL 4 last 3 miles of 17 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153090 -  ..
153091 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153092 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153093 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153094 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153095 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153097 -  ..
153098 - Some energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153100 -            2 magnesium at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153101 -            1 magnesium at mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153103 -  ..
153104 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153106 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153107 -        in place.  Max PL 3 last 3 miles - worked mostly well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153109 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153110 -        ref SDS A6 ESVZ, was not applied to protect blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153111 -        below #1 callus, because this has mostly healed - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153112 -        pain this area.  Did have pain on right foot below #1, will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153113 -        apply tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153115 -         ..
153116 -        Gel toe caps purchased at CVS on 250904 1233, ref SDS A6 XEQS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153117 -        applied to protect callus and blister on right foot #4 - work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153118 -        well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153120 -  ..
153121 - Silicone Toe Caps worked well on left foot #5, and on right foot #4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153122 - worked well in place of Gel Toe Protector on #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153124 -  ..
153125 - Tape was applied on blistered area below right foot #1.  When shoes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153126 - were removed at end of hike, the tape had rolled into very small mass                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153127 - that did not contribute to pain relief.  Will try nothing tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153130 -  ..
153131 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153132 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153133 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153134 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153135 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153136 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153139 -  ..
153140 - Concord 17 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153141 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153142 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153143 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153144 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153145 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153146 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153147 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153148 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153149 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153150 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153151 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153152 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153153 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153154 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153155 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153156 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153157 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153158 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153159 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153160 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153161 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153162 - Both magnesium and CoQ10 are large pills and are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153163 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153164 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153165 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153166 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153167 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153168 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153169 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153170 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153171 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153172 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153173 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153174 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153175 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153176 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153177 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153178 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153179 - above. ref SDS 0 9E3Y  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153180 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153181 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153182 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153183 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153184 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153185 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153186 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153187 - hydration, nutrition, meds, medical supplies.  Temperature 80, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153188 - wind 10 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153189 - Starting hike stomach seemed less bloated (may align with reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153190 - "impaired HRV" overnight Polar study, above, ref SDS 0 CZB7, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153191 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153192 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153193 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153194 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153195 - with no dyspnea, indicating strong respiratory condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153196 - sustained, despite hiking minimal miles this past week.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153197 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153198 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153199 - uphill, and very light traffic.  Initial 2 miles hiking slow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153200 - concerned energy deficit may be significant.  Did not hike across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153201 - Newhall Community across Newhall Community park and back today.  Left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153202 - foot #1 PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and Tramadol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153203 - effective.  Continued on Turtle Creek Road uphill 4% grade.  Speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153204 - increased, energy good at end of Turtle Creek Road - turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153205 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153206 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153207 - pavement in parking lots of shopping complex.   About mile 3.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153208 - metatarsalgia bottom both feet PL 2.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153209 - light and continued on concrete sidewalk .5 miles.  Energy good - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153210 - not feel sense of hitting a "wall" near mile 4, having to stop at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153211 - Mountain Mike's Pizza restaurant to take interim magnesium and CoQ10.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153212 - This has been major question for hikes past 6 months.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153213 - hiking past mile 4.  Turned right heading West on Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153214 - using concrete sidewalk .5 miles.  This is difficult part of hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153215 - metatarsalgia PL 2 hiking on sidewalk and wearing Hoka Bondi 9 shoes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153216 - per above. ref SDS 0 ZICJ  Continued crossing Park Highlands Road at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153217 - Stop Light still heading West .25 miles now on asphalt shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153218 - Crossed to South side Ygnacio Valley Road to hike on wider shoulder.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153219 - Continued West past Stop Light at Michigan Boulevard.  At mile 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153220 - turned left onto Pine Hollow.  Hiked 1.5 miles East.  At Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153221 - Middle School turned around.  Hiked back on Pine Hollow.  Near Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153222 - Valley road turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153223 - grade.  Hiked 1 mile against wind 04 mph.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153224 - Ygnacio Valley road turned around and hiked uphill 4% grade .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153225 - Legs not fatigued with lactic acid - feels like low ferritin, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153226 - im lab on 250807 0654, ref SDS A1 VP5H, per MAI research on 250430                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153227 - 2137. ref SDS 89 GW9J  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153228 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153229 - stopping in back at training area - did 20 half pulups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153230 - push ups, then continued back to Visitor parking.  Hiked loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153231 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153232 - buildings.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153233 - building mile 12 time 1044 temp 75 and wind 02 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153234 - uniform with some artifact.  Kardia reported HR 115 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153235 - below. ref SDS 0 HYWF  Bloating PL 3, energy deficit PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153236 - metatarsalgia PL 4, burning sensation PL 4.  Left foot #1 PL 5 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153237 - PL 1.  Right foot #5 PL 0, right foot #1 below likely blister PL 3.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153238 - Took 1 Naproxen 250 mg total today 1 (Tramadol total 1), for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153239 - Took 1 Magnesium complex 300 mg pill, total 1, for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153240 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153241 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153242 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153243 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153244 - pill for HDL and energy to complete hike.  Since temperature 83, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153245 - causes sweating that ejects electrolytes, took 0 Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153246 - pill, per above. ref SDS 0 3XFV  Exited campus heading North downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153247 - on Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153248 - flat grade .5 miles.  At mile 14, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153249 - uphill 3% grade .5 miles against wind 04 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153250 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153251 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153252 - at end of concrete barriar mile 15, turned around, and hike East back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153253 - to Cowell.  Turned left hiking downhill 5% grade .25 mile.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153254 - flat grade .25 mile, then .5 mile flat grade and very narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153255 - against heavy traffic.  Turned left onto Treat heading West.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153256 - Treat at break in traffic.  Turned onto Cuneo and hiked .25 mile at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153257 - intersection with Kaski.  Turned around hiking back .25 mile, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153258 - home.  Ended hike mile 17 time 1210 temp 86, wind 05.  Bloated PL 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153259 - energy deficit PL 3 (energy seemed to increase), feet PL 4, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153260 - sensation PL 5, left foot #1 PL 2, #5 PL 0, right foot #5 PL 0, #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153261 - below PL 2 seems like blister, but no actual blister, #4 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153262 - indicating silicon toe caps effective.  EKG looks mostly uniform, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153263 - significant artifact, Kardia reported HR 115 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153264 - ref SDS 0 9BUF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153281 -  ..
153282 - Kardia recorded HR 52 at 0546, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153283 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153284 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153285 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153286 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153287 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153288 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153291 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153292 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250916-ecg-054634_mile_00_052_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153298 -  ..
153299 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153300 - hike 17 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153301 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153302 - ..
153303 -                                                                                                                                                                                                                                                                                                              x
153304 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153305 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153306 -       Date          250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 250629 250628 25062  
153307 -       Miles            17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0      0      0  
153308 -       HR AVG          119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no     no     no  
153309 -         MAX           134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report report report repo  
153310 -         Min            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                                        
153311 -       El Climb Ft     400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                                        
153312 -       Temp Max         80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                                        
153313 -       Wind Max         10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                                        
153314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153316 -              https://flow.polar.com/training/analysis/8190377457                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153317 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153319 -               ..
153321 -   
153322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153325 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153327 -  ..
153328 - EKG at mile 12 time 1044 HR 128 temp 75, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153329 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153330 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153332 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153333 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153334 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250916-ecg-104415_mile_12_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153339 -  ..
153340 - End hike EKG at mile 17, time 1210 HR 115 temp 86 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153341 - Tachycardia... looks mostly uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153342 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153345 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153346 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250916-ecg-121044_mile_17_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153351 -  ..
153352 - Post hike 250916 HR profile beginning 2019, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153353 - activity after hiking 17 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153354 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153355 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153356 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153359 -        ..
153360 -       Date      250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708  250707    
153361 -       Time       2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026    2051     
153362 -       Hours         9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11       9     
153363 -       HR AVG       68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61      57     
153364 -       HR MAX      141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     113     
153365 -       HR Min       44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42      40     
153366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153368 -              https://flow.polar.com/training/analysis/8190822618                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153371 -  ..
153372 - HRV seems 70% 0 and 30% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153375 -   
153376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153380 -  ..
153381 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153382 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153383 - Dinner - steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153385 -  ..
153386 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153387 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153431 -         ..
153432 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153433 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153434 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153435 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153436 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153437 -  260.  250917 0725............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153438 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153439 -               0735....BP HR..................................................... 133  76  56  Kardia ECG reports HR status, see below. ref SDS 0 OXSB                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153440 -               0740....BP HR..................................................... 136  75  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153441 -               0745....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153442 -               0745....40 469740 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
153443 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153444 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153445 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153446 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153447 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153448 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153449 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153450 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153451 -               1700... 40 127980 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                                                                                                                                                                                                                                                                                  
153452 -               1830............ 10 22030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153453 -               1830............ 10 22380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153454 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153455 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153456 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153457 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153458 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153459 -               2250... 1000 2571000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153460 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153461 -               2330... 40 469780 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153462 -               2340... 40 102680 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153463 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153465 -  ..
153466 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153467 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153469 -  ..
153470 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153471 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153472 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153473 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153474 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153475 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153477 -  ..
153478 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153479 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153481 -  ..
153482 - Reflux slept in chair after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153483 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153484 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153485 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153489 -  ..
153490 - Kardia recorded HR 49 at 1137, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153491 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153492 - 17 miles temp 86 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153493 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153494 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153495 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153496 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153499 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153500 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250917-ecg-113729_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153505 -  ..
153506 - Post hike 250917 HR profile beginning 2256, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153507 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153508 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153509 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153510 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153513 -        ..
153514 -       Date      250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709  250708    
153515 -       Time       2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051    2026     
153516 -       Hours         9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10      11     
153517 -       HR AVG       61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69      61     
153518 -       HR MAX      111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     109     
153519 -       HR Min       40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42      42     
153520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153522 -              https://flow.polar.com/training/analysis/8191364699                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153525 -  ..
153526 - HRV seems 60% 0 and 40% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153529 -   
153530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153534 -  ..
153535 - Breakfast - cheerios milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153536 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153537 - Dinner - eggs steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153539 -  ..
153540 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153545 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153546 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153547 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153548 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153549 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153550 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153552 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153553 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153554 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153556 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153557 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153558 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153559 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153562 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153564 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153565 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153573 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153574 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153575 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153576 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153577 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153578 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153587 -         ..
153588 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153589 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153590 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153591 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153592 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153593 -  261.  250918 0655............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153594 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153595 -               0705....BP HR..................................................... 139  75  45  Kardia ECG reports HR status, see below. ref SDS 0 ZCDA                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153596 -               0710....BP HR..................................................... 149  86  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153597 -               0715....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153598 -               0715....40 469820 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
153599 -               0850....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153600 -               0850... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153601 -               0850....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153602 -               0850....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153603 -               0850....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153604 -               0850....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153605 -               0850... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
153606 -  ..
153607 -               0930....miles...........  22.0  39.0  383   666 minutes  temp  83 wind 22  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153608 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153609 -               1313....mile 12 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153610 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153611 -               1313....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153612 -               1313... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
153613 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153614 -               1313... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153615 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153616 -               1521....mile 18 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153617 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153618 -               1521....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153619 -               1521... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
153620 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153621 -               1521... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153622 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153623 -               1645... Hike ends mile 22..... ref SDS 0 JG5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153624 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153625 -               1700....weight.................................... 176  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153626 -               1705....BP HR..................................................... 113  71 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153627 -               1713....BP HR..................................................... 101  63  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153628 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153629 -               1730... 40 128020 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                                                                                                                                                                                                                                                                                  
153630 -             1 0000............ 10 22030  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
153631 -             1 0000............ 10 22380  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
153632 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153633 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153634 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153635 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153636 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153637 -               2250... 1000 2572000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153638 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153639 -               2330... 40 469860 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153640 -               2340... 40 102720 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153644 -  ..
153645 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153646 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153648 -  ..
153649 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153650 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153651 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153652 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153653 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153654 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153656 -  ..
153657 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153658 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153660 -  ..
153661 - Reflux slept in chair after EGD dilation on 250718 0830. ref SDS 99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153662 - UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153665 -  ..
153666 - Today, hiked 22 miles - lucky - best hike in recent months with very                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153667 - minimal pain.  Continued with Stable Elite orthotic inserts, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153668 - Doctor Tang determined Powerstep inserts used since 2022, need to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153669 - replaced.  Seemed less pain today, than prior hike 2 days ago.  Needed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153670 - less bandaging - worked well on left foot #1 and silicon toe caps on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153671 - #5 and on right foot #4.  Did not need bandaging on right foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153672 - There was much less metatarsalgis pain wearing Hoka Bondi 9 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153673 - more cushioned soles.  Bloating resolved by end of hike.  Switching to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153674 - Urea 20% treatment works better than Ammonium Lactate 12% for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153675 - calluses; Large size Corn bandages received from Doctor Tang in VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153676 - Podiatry on 250807 0900. ref SDS A2 T49H  Post hike muscles not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153677 - cramping, and no heat rash on quads after starting early and avoiding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153678 - high heat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153681 -         ..
153682 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153683 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153684 -        Stomach pain ischemic colitis bloating.......   2         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
153685 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
153686 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153687 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153688 -        Heat rash quads..............................   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153689 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153690 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
153691 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153692 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153693 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153694 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153695 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
153696 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153697 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
153698 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153699 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
153700 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153701 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153702 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153703 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153704 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
153705 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153706 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153707 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153708 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153709 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
153710 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153711 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153712 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153713 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153714 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153715 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153716 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153717 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
153718 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153719 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153720 -        Metatarsalgia left foot...PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
153721 -        Metatarsalgia right foot..PRP 210705.........   2         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
153722 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
153723 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
153724 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153725 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153726 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
153727 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
153728 -        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                                                                                                                                                                                                                                                                                                                           
153729 -        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                                                                                                                                                                                                                                                                                                                                                                                    
153730 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153731 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
153732 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
153733 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153734 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153735 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
153736 -        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                                                                                                                                                                                                                                                                                                                                           
153737 -        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                                                                                                                                                                                                                                                                                                                                           
153738 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153739 -        Callus little toe #5 right foot...PRP 210705.   0        100  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
153740 -        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                                                                                                                                                                                                                                                                                                                                                                                        
153741 -        Callus ring toe #4 top right foot............   0        100  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153742 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
153743 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153744 -        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                                                                                                                                                                                                                                                                                                                                                              
153745 -        Callus little toe #5 left foot...PRP 210705..   0        100  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
153746 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
153747 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153748 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153749 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
153750 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153751 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
153752 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
153753 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153754 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
153755 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153756 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153757 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153758 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153759 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153760 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153761 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153762 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 12, and 1 Naproxen mile 18, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
153763 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 12, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
153764 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153767 -  ..
153768 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153769 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153771 -  ..
153772 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153773 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153774 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153775 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153776 - extra-wide reduces lateral pressure on #1 and #5.  Didn't hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153777 - yesterday, because feet still swollen from metatarsalgia pain after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153778 - hiking Sunday.  Today, swelling declined - metatarsalgia PL 0.  Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153779 - Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153780 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153781 - 1 Tramadol.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153782 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153783 - HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153785 -  ..
153786 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153787 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153788 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153789 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153790 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153791 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153792 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153794 -  ..
153795 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153796 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153797 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153798 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153799 - nor recurrent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153801 -  ..
153802 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153804 -  ..
153805 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153806 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153808 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153809 -                    1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153810 -                    1 Naproxen mile 18 had PL 1 last 4 miles of 22 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153812 -  ..
153813 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153814 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153815 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153816 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153817 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153819 -  ..
153820 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153822 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153823 -            1 magnesium at mile 12 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153824 -            1 magnesium at mile 18 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153826 -  ..
153827 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153829 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153830 -        in place.  Max PL 1 last 4 miles - worked very well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153832 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153833 -        ref SDS A6 ESVZ, was not applied to protect blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153834 -        below #1 callus, because this has mostly healed - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153835 -        pain this area.  Did have pain on right foot below #1, will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153836 -        apply tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153838 -         ..
153839 -        Gel toe caps purchased at CVS on 250904 1233, ref SDS A6 XEQS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153840 -        applied to protect callus and blister on right foot #4 - work                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153841 -        well                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153843 -  ..
153844 - Silicone Toe Caps worked well on left foot #5, and on right foot #4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153845 - worked well in place of Gel Toe Protector on #5s.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153847 -  ..
153848 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153849 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153850 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153851 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153852 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153853 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153856 -  ..
153857 - Concord 22 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153858 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153859 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153860 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
153861 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153862 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153863 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153864 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153865 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153866 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153867 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153868 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153869 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153870 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153871 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153872 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153873 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153874 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153875 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153876 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153877 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
153878 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153879 - Both magnesium and CoQ10 are large pills and are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153880 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153881 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153882 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153883 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153884 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153885 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153886 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153887 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153888 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153889 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153890 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153891 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153892 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153893 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153894 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153895 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153896 - above. ref SDS 0 UV7Z  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153897 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153898 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
153899 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153900 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153901 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153902 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153903 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153904 - hydration, nutrition, meds, medical supplies.  Temperature 83, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153905 - wind 22 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153906 - Starting hike stomach seemed less bloated (may align with reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153907 - "impaired HRV" overnight Polar study, above, ref SDS 0 YC4V, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153908 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153909 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153910 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153911 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153912 - with no dyspnea, indicating strong respiratory condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153913 - sustained, despite hiking minimal miles this past weeks.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153914 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153915 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153916 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153917 - continued at good 15-minute mile pace.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153918 - Community across Newhall Community park and back today.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153919 - PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and Tramadol effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153920 - Continued on Turtle Creek Road uphill 4% grade.  Speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153921 - energy good at end of Turtle Creek Road - turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153922 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153923 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153924 - parking lots of shopping complex.   About mile 3.5 metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153925 - bottom both feet PL 0, better than yesterday.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153926 - traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153927 - good - did not feel sense of hitting a "wall" near mile 4, having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153928 - stop at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153929 - CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153930 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153931 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153932 - of hike with metatarsalgia often greater than PL 2; however, today PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153933 - 0 hiking on sidewalk and wearing Hoka Bondi 9 shoes, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153934 - ref SDS 0 EF7J  Crossed Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153935 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153936 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153937 - Stop Light at Michigan Boulevard.  About mile 5, turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153938 - Hollow.  Hiked 1.5 miles East.  At Pine Hollow Middle School turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153939 - around.  Hiked back on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153940 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153941 - against wind 16 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153942 - turned around and hiked uphill 4% grade .25 mile.  Legs not fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153943 - with lactic acid - seemed easier hiking uphill today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153944 - increased sinus rhythm on hikes has increased previously low ferritin,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153945 - reported im lab on 250807 0654, ref SDS A1 VP5H, per MAI research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
153946 - 250430 2137. ref SDS 89 GW9J  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
153947 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153948 - stopping in back at training area - did 20 half pull-ups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153949 - push-ups, then continued back to Visitor parking.  Hiked loop through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153950 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153951 - buildings.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153952 - building mile 12 time 1313 temp 83 and wind 19 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153953 - uniform with some artifact.  Kardia reported HR 118 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153954 - below. ref SDS 0 8PZY  Bloating PL 4, energy deficit PL 3, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153955 - metatarsalgia PL 2, burning sensation PL 0.  Left foot #1 PL 2 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153956 - PL 1.  Right foot #5 PL 0, #4 PL 0.  Took 1 Naproxen 250 mg total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153957 - today 1 (Tramadol total 1), for pain.  Took 1 Magnesium complex 300 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153958 - pill, total 1, for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153959 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153960 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153961 - peanut butter, avocado with margarine and Mayonnaise.  Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153962 - electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153963 - complete hike.  Since temperature 83, which causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153964 - ejects electrolytes, took 0 Nuun electrolyte pill, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
153965 - ref SDS 0 CH2S  Exited campus heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153966 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153967 - miles.  At mile 14, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153968 - .5 miles against wind 20 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153969 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153970 - camber.  Hiked .5 miles uphill 3% grade to summit at end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153971 - barriar mile 15.  When break in afternoon commute traffic occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153972 - crossed back to South side Ygnacio Valley Road.  Continued 2 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153973 - downhill 3% grade; crossed back to North side Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153974 - Crossed Oak Grove at traffic light.  Hiked 1-mile loop around block at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153975 - Safeway shopping complex.  Stopped at Mod Pizza mile 18, time 1521,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
153976 - temp 82 and wind 15 mph; EKG mostly uniform with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153977 - Kardia reported HR 116 Tachycardia - see below. ref SDS 0 4CB5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
153978 - Bloated PL 2, energy deficit PL 4 (noticably tired).  Both feet PL 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153979 - (unusually low pain), burning sensation PL 0, left foot #1 PL 1, #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153980 - 1, right foot #5 PL 0, #4 PL 0.  Took 1 Naproxen; took 1 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153981 - total today 4.  Sips softdrink carried from home (with ice courtesy of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153982 - Mod Pizza) for hydration, swallowing meds and nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
153983 - butter, margarine and chia seeds (soaked in water/Coca Cola/orange                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153984 - juice) for energy, and avocado for HDL, did not take Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153985 - pill, getting low on Ubiquinol CoQ10, so did not take 0.5 ml for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153986 - and energy to complete hike. per above. ref SDS 0 CH2S  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153987 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153988 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153989 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
153990 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153991 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
153992 - miles on Treat uphill 5% grade temp 82.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
153993 - summit, mile 21, hiked another mile to Cuneo, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153994 - mile 22 time 1645 temp 82, wind 17.  Bloated PL 3, energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153995 - 3, feet PL 2, burning sensation PL 0, left foot #1 PL 0, #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
153996 - right foot #5 PL 0, #4 PL 0, left knee PL 0, wobbly PL 0.  EKG looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
153997 - mostly uniform, with no artifact, Kardia reported HR 117 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
153998 - see below. ref SDS 0 JG5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
153999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154017 -  ..
154018 - Kardia recorded HR 49 at 0822, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154019 - beat lengths with p-waves and artifact, likely no AFL after hiking 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154020 - miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154021 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154022 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154023 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154024 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154027 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154028 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250918-ecg-082235_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154034 -  ..
154035 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154036 - hike 22 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154037 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154038 - ..
154039 -                                                                                                                                                                                                                                                                                                              x
154040 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154041 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154042 -       Date          250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 250630 25062  
154043 -       Miles            22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0      0  
154044 -       HR AVG          119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no     no  
154045 -         MAX           138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report report repo  
154046 -         Min            84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                          
154047 -       El Climb Ft     426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                          
154048 -       Temp Max         83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                          
154049 -       Wind Max         22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                          
154050 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154052 -              https://flow.polar.com/training/analysis/8191643987                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154055 -               ..
154057 -   
154058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154063 -  ..
154064 - EKG at mile 12 time 1313 HR 118 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154065 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154066 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154069 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154070 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250918-ecg-131354_mile_12_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154075 -  ..
154076 - EKG at mile 18 time 1521 HR 116 temp 82, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154077 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154078 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154080 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154081 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154082 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250918-ecg-152141_mile_18_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154086 -  ..
154087 - End hike EKG at mile 22, time 1645 HR 117 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154088 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154089 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154092 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154093 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250918-ecg-164554_mile_22_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154094 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154095 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154096 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154098 -  ..
154099 - Post hike 250918 HR profile beginning 0019, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154100 - activity after hiking 22 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154101 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154102 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154103 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154106 -        ..
154107 -       Date      250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710  250709    
154108 -       Time       0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046    2051     
154109 -       Hours         6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9      10     
154110 -       HR AVG       60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60      69     
154111 -       HR MAX       94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     124     
154112 -       HR Min       41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40      42     
154113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154115 -              https://flow.polar.com/training/analysis/8191949466                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154118 -  ..
154119 - HRV seems 20% 0 and 50% - good and 30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154122 -   
154124 -  ..
154125 - Waking up next morning, stomach seemed less bloated - more pliable,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154126 - easier to depress...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154129 -  ..
154130 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154131 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154132 - Dinner - eggs steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154134 -  ..
154135 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154179 -         ..
154180 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154181 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154182 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154183 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154184 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154185 -  262.  250919 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154186 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154187 -               0725....BP HR..................................................... 142  76  49  Kardia ECG reports HR status, see below. ref SDS 0 9IQR                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154188 -               0730....BP HR..................................................... 135  76  49                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154189 -               0735....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154190 -               0735....40 469900 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
154191 -               1100....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154192 -               1100... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154193 -               1100....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154194 -               1100....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154195 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154196 -               1100....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154197 -               1100... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
154198 -  ..
154199 -               1126....miles...........  20.0  59.0  343  1009 minutes  temp  84 wind 12  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154200 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154201 -               1342....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154202 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154203 -               1342....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154204 -               1342... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
154205 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154206 -               1342... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154207 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154208 -               1550....mile 14 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154209 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154210 -               1550....Naproxen 250 mg took 1 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154211 -               1550... Magnesium 300 mg 1 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
154212 -               1550... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154213 -               1550... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154214 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154215 -               1645... Hike ends mile 17..... ref SDS 0 JG5K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154216 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154217 -               1810....weight.................................... 174  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154218 -               1815....BP HR.....................................................  93  71 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154219 -               1827....BP HR.....................................................  89  62  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154220 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154221 -               1810... 40 128060 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                                                                                                                                                                                                                                                                                  
154222 -               1830............ 10 22040  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154223 -               1830............ 10 22390  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154224 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154225 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154226 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154227 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154228 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154229 -               2250... 1000 2573000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154230 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154231 -               2330... 40 469940 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154232 -               2340... 40 102760 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154235 -  ..
154236 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154237 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154239 -  ..
154240 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154241 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154242 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154243 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154244 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154245 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154247 -  ..
154248 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154249 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154251 -  ..
154252 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154253 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154256 -  ..
154257 - Today, hiked 20 miles - continued with Stable Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154258 - because Powerstep inserts need to be replaced, pending meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154259 - Doctor Hewitson in Podiatry on 250929.  Pain increased compared to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154260 - yesterday, when it was very minimal.  After hike today, discovered new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154261 - buble blister on left foot #1.  Will try enhanced protective bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154262 - for hike tomorrow.  Used less bandaging, actually none on right foot,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154263 - which caused increased pain.  Tomorrow will add silicone toe cap on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154264 - right foot #4 or #5, maybe both.  There was more metatarsalgis pain,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154265 - but reduced wearing Hoka Bondi 9 shoes with more cushioned soles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154266 - Bloating resolved by end of hike.  Out of Urea 20% for calluses, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154267 - Ammonium Lactate 12% for metatarsalgia - ordered yesterday, pending                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154268 - delivery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154271 -         ..
154272 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154273 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154274 -        Stomach pain ischemic colitis bloating.......   4         20  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
154275 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250412 has been occurring before hike sitting at desk entering the record                                                                                                                                                                                                                                                                                                                                                                                         
154276 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154277 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154278 -        Heat rash quads..............................   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154279 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154280 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
154281 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154282 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154283 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154284 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154285 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
154286 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154287 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
154288 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154289 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
154290 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154291 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154292 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154293 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154294 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
154295 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154296 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154297 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154298 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154299 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
154300 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154301 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154302 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154303 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154304 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154305 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154306 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154307 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
154308 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154309 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154310 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
154311 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
154312 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
154313 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
154314 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154315 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154316 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
154317 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
154318 -        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                                                                                                                                                                                                                                                                                                                           
154319 -        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                                                                                                                                                                                                                                                                                                                                                                                    
154320 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154321 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
154322 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
154323 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154324 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154325 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
154326 -        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                                                                                                                                                                                                                                                                                                                                           
154327 -        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                                                                                                                                                                                                                                                                                                                                           
154328 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154329 -        Callus little toe #5 right foot...PRP 210705.   2         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
154330 -        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                                                                                                                                                                                                                                                                                                                                                                                        
154331 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154332 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
154333 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154334 -        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                                                                                                                                                                                                                                                                                                                                                              
154335 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
154336 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
154337 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154338 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154339 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
154340 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154341 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
154342 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
154343 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154344 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
154345 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154346 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154347 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154348 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154349 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154350 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154351 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154352 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 12, and 0 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
154353 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 12, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
154354 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154357 -  ..
154358 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154359 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154361 -  ..
154362 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154363 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154364 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154365 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154366 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154367 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154368 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154369 - 1 Tramadol.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154370 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154371 - HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154373 -  ..
154374 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154375 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154376 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154377 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154378 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154379 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154380 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154382 -  ..
154383 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154384 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154385 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154386 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154387 - nor recurrent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154389 -  ..
154390 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154392 -  ..
154393 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154394 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154396 -                    1 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154397 -                    1 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154398 -                    1 Naproxen mile 14 had PL 1 last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154400 -  ..
154401 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154402 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154403 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154404 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154405 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154407 -  ..
154408 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154410 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154411 -            1 magnesium at mile 08 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154412 -            1 magnesium at mile 14 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154414 -  ..
154415 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154417 -        Large donut opening on left foot #1 well centered and stayed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154418 -        in place.  Max PL 1 last 4 miles - worked mostly well; bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154419 -        blister formed within opening of bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154421 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154422 -        ref SDS A6 ESVZ, was not applied to protect blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154423 -        below #1 callus, because this has mostly healed - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154424 -        pain this area.  Did have pain on right foot below #1, will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154425 -        apply tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154427 -  ..
154428 - Silicone Toe Caps worked well on left foot #5; did not use on right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154429 - foot #4, worked well in place of Gel Toe Protector on #5s.  This was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154430 - a mistake.  Tomorrow will apply to #4 and/or #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154432 -  ..
154433 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154434 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154435 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154436 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154437 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154438 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154439 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154441 -  ..
154442 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154443 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154444 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154445 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154446 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154447 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154448 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154449 - take 1 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154450 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154451 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154452 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154453 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154454 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154455 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154456 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154457 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154458 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154459 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154460 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154461 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154462 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154463 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154464 - Both magnesium and CoQ10 are large pills and are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154465 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154466 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154467 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154468 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154469 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154470 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154471 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154472 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154473 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154474 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154475 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154476 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154477 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154478 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154479 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154480 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154481 - above. ref SDS 0 LCPH  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154482 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154483 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154484 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154485 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154486 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154487 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154488 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154489 - hydration, nutrition, meds, medical supplies.  Temperature 84, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154490 - wind 12 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154491 - Starting hike stomach seemed less bloated (may align with reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154492 - "impaired HRV" overnight Polar study, above, ref SDS 0 KOUY) and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154493 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154494 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154495 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154496 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154497 - with no dyspnea, indicating strong respiratory condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154498 - sustained, despite hiking minimal miles this past weeks.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154499 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154500 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154501 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154502 - continued at good 15-minute mile pace.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154503 - Community across Newhall Community park and back today.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154504 - PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and Tramadol effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154505 - Continued on Turtle Creek Road uphill 4% grade.  Speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154506 - energy good at end of Turtle Creek Road - turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154507 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154508 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154509 - parking lots of shopping complex.   About mile 3.5 metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154510 - bottom both feet PL 0, same as yesterday.  Crossed Alberto Way at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154511 - traffic light and continued on concrete sidewalk .5 miles.  Energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154512 - good - did not feel sense of hitting a "wall" near mile 4, having to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154513 - stop at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154514 - CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154515 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154516 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154517 - of hike with metatarsalgia often greater than PL 2; however, today PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154518 - 0 hiking on sidewalk and wearing Hoka Bondi 9 shoes, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154519 - ref SDS 0 YRNH  Crossed Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154520 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154521 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154522 - Stop Light at Michigan Boulevard.  About mile 5, turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154523 - Hollow.  Hiked 2.5 miles East.  Stopped at end of Pine Hollow mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154524 - time 1342 temp 81 and wind 09 mph; EKG looks uniform with initial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154525 - artifact, and mostly clear of artifact; Kardia reported HR 112                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154526 - Tachycardia - see below. ref SDS 0 HJOT  Bloating PL 3 (increase after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154527 - starting hike), energy deficit PL 2, both feet metatarsalgia PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154528 - burning sensation PL 3.  Left foot #1 PL 2 and #5 PL 2.  Right foot #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154529 - PL 2, #1 PL 0, #4 PL 0.  Took 1 Naproxen 250 mg total today 1, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154530 - pain.  Took 1 Magnesium complex 300 mg pill, total today 3, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154531 - energy, absorbing lactic acid, and reducing inflammation, per research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154532 - on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154533 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154534 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154535 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154536 - Since temperature 81, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154537 - took 0 Nuun electrolyte pill, per above. ref SDS 0 YV2A  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154538 - hiked back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154539 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154540 - against wind 06 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154541 - turned around and hiked uphill 4% grade .25 mile.  Legs not fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154542 - with lactic acid - seemed easier hiking uphill today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154543 - increased sinus rhythm on hikes has increased previously low ferritin,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154544 - reported im lab on 250807 0654, ref SDS A1 VP5H, per MAI research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154545 - 250430 2137. ref SDS 89 GW9J  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154546 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154547 - stopping in back at training area - did 20 half pull-ups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154548 - push-ups, then continued back to Visitor parking.  Hiked loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154549 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154550 - buildings.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154551 - building mile 14 time 1550 temp 83 and wind 11 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154552 - uniform with some artifact.  Kardia reported HR 121 Tachycardia - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154553 - below. ref SDS 0 TVBF  Bloating PL 3, energy deficit PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154554 - metatarsalgia PL 4, burning sensation PL 2.  Left foot #1 PL 2 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154555 - PL 1.  Right foot #5 PL 3, #4 PL 2 (need silicone toe cap tomorrow).                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154556 - Took 1 Naproxen 250 mg total today 2, for pain.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154557 - complex 300 mg pill, total 4, for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154558 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154559 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154560 - nutrition - peanut butter, avocado with margarine and Mayonnaise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154561 - Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154562 - and energy to complete hike.  Since temperature 83, which causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154563 - sweating that ejects electrolytes, took 1 Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154564 - above. ref SDS 0 YV2A  Hiked 2 more loops through Faculty and Student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154565 - parking lots.  At mile 16, exited college heading North downhill on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154566 - Campus Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154567 - flat grade .5 miles.  At mile 17, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154568 - uphill 3% grade .5 miles against wind 20 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154569 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154570 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154571 - end of concrete barriar mile 18.  Turned around and hiked back, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154572 - left onto Cowell heading North .25 miles using asphalt shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154573 - downhill 5% grade, then flat grade .25 miles, then .5 miles in narrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154574 - shoulder against oncoming commute traffic.  Turned left onto Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154575 - hiking West .25 miles back to Cuneo, then home.  Ended hike mile 20                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154576 - time 1743 temp 82, wind 09, bloating PL 1, energy deficit PL 4, feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154577 - metatarsalgia PL 4, burning sensation PL 3, left foot #1 PL 4 (another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154578 - bubble blister), #5 edge PL 1, right foot #1 fracture PL 0, #5 PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154579 - #4 PL 2, shin splints PL 0, left knee PL 2 (not swollen), right knee                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154580 - PL 0, left shoulder PL 0, neck and right shoulder PL 0 intermittantly,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154581 - lower back middle PL 0 - usually stress carrying backpack, but not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154582 - today, left elbow PL 0, when lifting.  EKG uniform with some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154583 - Kardia reported HR 120 Tachycardia - see below. ref SDS 0 YL5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154602 -  ..
154603 - Kardia recorded HR 48 at 0852, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154604 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154605 - 00 miles temp __ yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154606 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154607 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154608 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154609 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154612 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154613 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250919-ecg-085333_mile_00_048_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154619 -  ..
154620 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154621 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154622 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154623 - ..
154624 -                                                                                                                                                                                                                                                                                                              x
154625 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154626 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154627 -       Date          250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 250702 250701 25063  
154628 -       Miles            20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0      0      0  
154629 -       HR AVG          119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no     no     no  
154630 -         MAX           141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report report report repo  
154631 -         Min            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                                   
154632 -       El Climb Ft     426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                                   
154633 -       Temp Max         84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                                   
154634 -       Wind Max         12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                                   
154635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154637 -              https://flow.polar.com/training/analysis/8192189190                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154640 -               ..
154642 -   
154643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154648 -  ..
154649 - EKG at mile 08 time 1342 HR 112 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154650 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154651 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154654 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154655 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250919-ecg-134200_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154660 -  ..
154661 - EKG at mile 14 time 1550 HR 121 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154662 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154663 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154666 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154667 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250919-ecg-155011_mile_14_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154671 -  ..
154672 - End hike EKG at mile 20, time 1743 HR 120 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154673 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154674 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154677 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154678 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250919-ecg-174354_mile_20_120_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154683 -  ..
154684 - Post hike 250919 HR profile beginning 2056, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154685 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154686 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154687 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154688 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154691 -        ..
154692 -       Date      250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711  250710    
154693 -       Time       2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009    2046     
154694 -       Hours        11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10       9     
154695 -       HR AVG       67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59      60     
154696 -       HR MAX      122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     109     
154697 -       HR Min       39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40      40     
154698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154700 -              https://flow.polar.com/training/analysis/8192536896                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154703 -  ..
154704 - HRV seems 10% 0 and 50% - good and 40% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154705 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154707 -   
154708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154712 -  ..
154713 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154714 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154715 - Dinner - cheerios peach strawberry milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154717 -  ..
154718 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154732 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154733 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154734 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154735 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154737 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154738 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154739 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154764 -         ..
154765 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154766 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154767 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154768 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154769 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154770 -  263.  250920 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154771 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154772 -               0725....BP HR..................................................... 143  79  49  Kardia ECG reports HR status, see below. ref SDS 0 SX9J                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154773 -               0730....BP HR..................................................... 131  79  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154774 -               0735....weight.................................... 179                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154775 -               0735....40 469980 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
154776 -               1100....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154777 -               1100... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154778 -               1100....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154779 -               1100....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154780 -               1100....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154781 -               1100....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154782 -               1100... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154783 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154784 -               1810... 40 128100 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                                                                                                                                                                                                                                                                                  
154785 -             1 0000............ 10 22040  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154786 -             1 0000............ 10 22390  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154787 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154788 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154789 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154790 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154791 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154792 -               2250... 1000 2574000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154793 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154794 -               2330... 40 470020 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154795 -               2340... 40 102800 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154798 -  ..
154799 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154800 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154802 -  ..
154803 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154804 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154805 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154806 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154807 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154808 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154810 -  ..
154811 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154812 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154814 -  ..
154815 - Reflux slept in chair after EGD dilation on 250718 0830. ref SDS 99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154816 - UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154822 -  ..
154823 - Kardia recorded HR 60 at 0852, Unclassified, looks mostly variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154824 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154825 - 00 miles temp 20 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154826 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154827 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154828 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154829 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154832 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
154833 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250920-ecg-085202_mile_00_060_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154837 -  ..
154838 - Post hike 250920 HR profile beginning 2200, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154839 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
154840 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154841 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154842 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154845 -        ..
154846 -       Date      250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712  250711    
154847 -       Time       2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335    2009     
154848 -       Hours         9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7      10     
154849 -       HR AVG       58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74      59     
154850 -       HR MAX      110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     126     
154851 -       HR Min       42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48      40     
154852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154854 -              https://flow.polar.com/training/analysis/8193100159                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154857 -  ..
154858 - HRV seems 20% 0 and 20% - good and 60% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154861 -   
154862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154866 -  ..
154867 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154868 - Lunch - chicken macaroni cake at reunion lunch - few bites                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
154869 - Dinner - pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154871 -  ..
154872 - Vomiting: 0% - bloating PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154917 -         ..
154918 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154919 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154920 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154921 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154922 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154923 -  264.  250921 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154924 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154925 -               0655....BP HR..................................................... 157  78  50  Kardia ECG reports HR status, see below. ref SDS 0 JTSD                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154926 -               0700....BP HR..................................................... 143  71  50                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154927 -               0705....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154928 -               0705....40 470060 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
154929 -               1120....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154930 -               1120... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154931 -               1120....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154932 -               1120....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154933 -               1120....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154934 -               1120....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154935 -               1120... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
154936 -  ..
154937 -  start gap    1205....miles...........  21.0  80.0  358  1367 minutes  temp  88 wind 13  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154938 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154939 -               1433....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154940 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154941 -               1433....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154942 -               1433... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
154943 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154944 -               1433... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154945 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154946 -               1600....mile 12 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154947 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154948 -               1600....Naproxen 250 mg took 1 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154949 -               1600... Magnesium 300 mg 1 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
154950 -               1600... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154951 -               1600... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154952 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154953 -               1747....mile 17 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
154954 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154955 -               1747....Naproxen 250 mg took 1 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154956 -               1747... Magnesium 300 mg 1 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
154957 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
154958 -               1747... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154959 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154960 -               1908... Hike ends mile 17..... ref SDS 0 EK7C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
154961 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154962 -               1920....weight.................................... 175  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154963 -               1925....BP HR..................................................... 118  84 100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154964 -               1930....BP HR..................................................... 109  84  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154965 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154966 -               1930... 40 128140 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                                                                                                                                                                                                                                                                                  
154967 -               2000............ 10 22050  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
154968 -               2000............ 10 22400  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
154969 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154970 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
154971 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154972 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154973 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
154974 -               2250... 1000 2575000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154975 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
154976 -               2330... 40 470100 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154977 -               2340... 40 102840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
154978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154980 -  ..
154981 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154982 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
154984 -  ..
154985 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154986 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154987 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154988 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
154989 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
154990 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154992 -  ..
154993 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
154994 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154996 -  ..
154997 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
154998 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
154999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155001 -  ..
155002 - Today, hiked 21 miles - continued with Stable Elite orthotic inserts,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155003 - because Powerstep inserts need to be replaced, pending meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155004 - Doctor Hewitson in Podiatry on 250929.  Pain continued contained with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155005 - meds.  After hike today, no buble blister on left foot #1, as occurred                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155006 - on prior hike.  Used bandaging on both feet today.  There was same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155007 - reduced metatarsalgis pain, wearing Hoka Bondi 9 shoes with more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155008 - cushioned soles.  Bloating did not resolve by end of hike - seems like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155009 - lingering dysfunctional ANS affliction, along with swelled lips.  Out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155010 - of Urea 20% for calluses, and Ammonium Lactate 12% for metatarsalgia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155011 - ordered yesterday, pending delivery of order by Doctor Tang.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155014 -         ..
155015 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155016 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155017 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
155018 -        Side ache vasodilation ischemic colitis......   4        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155019 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155020 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155021 -        Heat rash quads..............................   4        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155022 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155023 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
155024 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155025 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155026 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155027 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155028 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
155029 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155030 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
155031 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155032 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
155033 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155034 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155035 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155036 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155037 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
155038 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155039 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155040 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155041 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155042 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
155043 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155044 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155045 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155046 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155047 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155048 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155049 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155050 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
155051 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155052 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155053 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
155054 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
155055 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
155056 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
155057 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155058 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155059 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
155060 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
155061 -        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                                                                                                                                                                                                                                                                                                                           
155062 -        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                                                                                                                                                                                                                                                                                                                                                                                    
155063 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155064 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
155065 -        Callus big toe left foot...PRP 210705........   1         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
155066 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155067 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155068 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
155069 -        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                                                                                                                                                                                                                                                                                                                                           
155070 -        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                                                                                                                                                                                                                                                                                                                                           
155071 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155072 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
155073 -        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                                                                                                                                                                                                                                                                                                                                                                                        
155074 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155075 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
155076 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155077 -        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                                                                                                                                                                                                                                                                                                                                                              
155078 -        Callus little toe #5 left foot...PRP 210705..   1         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
155079 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
155080 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155081 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155082 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
155083 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155084 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
155085 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
155086 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155087 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
155088 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155089 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155090 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155091 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155092 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155093 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155094 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155095 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Tramadol mile 00, and 1 Naproxen mile 12, and 0 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
155096 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 12, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                            
155097 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155100 -  ..
155101 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155102 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155104 -  ..
155105 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155106 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155107 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155108 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155109 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155110 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155111 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155112 - 1 Tramadol.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155113 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155114 - HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155116 -  ..
155117 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155118 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155119 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155120 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155121 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155122 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155123 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155125 -  ..
155126 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155127 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155128 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155129 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155130 - nor recurrent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155132 -  ..
155133 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155135 -  ..
155136 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155137 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155139 -                    1 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155140 -                    1 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155141 -                    1 Naproxen mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155142 -                    0 Naproxen mile 17 had PL 2 last 4 miles of 21 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155144 -  ..
155145 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155146 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155147 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155148 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155149 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155151 -  ..
155152 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155154 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155155 -            1 magnesium at mile 08 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155156 -            1 magnesium at mile 12 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155157 -            1 magnesium at mile 17 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155159 -  ..
155160 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155162 -        Large donut opening on left foot #1 well centered and stayed in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155163 -        place.  Max PL 1 last 4 miles - worked well; no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155164 -        formed within opening of bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155166 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155167 -        ref SDS A6 ESVZ, was not applied to protect blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155168 -        below #1 callus, because this has mostly healed - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155169 -        pain this area.  Did have pain on right foot below #1, will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155170 -        apply tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155172 -  ..
155173 - Silicone Toe Cap worked well on right foot #5; Gel Toe Protector                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155174 - worked well on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155176 -  ..
155177 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155178 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155179 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155180 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155181 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155182 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155185 -  ..
155186 - Concord 21 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155187 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155188 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155189 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155190 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155191 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155192 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, and out of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155193 - Tramadol, took 1 Naproxen for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155194 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155195 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155196 - feet have healed past 3 weeks, while applying Urea 20% to calluses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155197 - that complements Ammonium Lactate 12%, for metatarsalgia, and even                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155198 - though there is no metatarsalgia pain in feet starting the hike today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155199 - and further that left foot #1 and #5 calluses both start at PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155200 - after treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155201 - BL5K, since recent hikes have needed more Tramadol before mile 8, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155202 - pain relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155203 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155204 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155205 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155206 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155207 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155208 - Both magnesium and CoQ10 are large pills and are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155209 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155210 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155211 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155212 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155213 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155214 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155215 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155216 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155217 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155218 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155219 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155220 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155221 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155222 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155223 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155224 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155225 - above. ref SDS 0 7JWU  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155226 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155227 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155228 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155229 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155230 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155231 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155232 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155233 - hydration, nutrition, meds, medical supplies.  Temperature 88, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155234 - wind 13 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155235 - Starting hike stomach seemed more bloated (may align with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155236 - "impaired HRV" overnight Polar study, above, ref SDS 0 ONU9), and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155237 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155238 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155239 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155240 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155241 - with no dyspnea, indicating strong respiratory condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155242 - sustained, despite hiking minimal miles this past weeks.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155243 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155244 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155245 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155246 - continued at good 15-minute mile pace.  Did not hike across Newhall                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155247 - Community across Newhall Community park and back today.  Left foot #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155248 - PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and Tramadol effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155249 - Continued on Turtle Creek Road uphill 4% grade.  Speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155250 - energy good at end of Turtle Creek Road - turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155251 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155252 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155253 - parking lots of shopping complex.   About mile 3.5 metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155254 - bottom both feet PL 0.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155255 - continued on concrete sidewalk .5 miles.  Energy good - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155256 - sense of hitting a "wall" near mile 4, having to stop at Mountain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155257 - Mike's Pizza restaurant to take interim magnesium and CoQ10.  This has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155258 - been major question for hikes past 8 months.  Continued hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155259 - mile 4.  Turned right heading West on Ygnacio Valley Road using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155260 - concrete sidewalk .5 miles.  This is difficult part of hike with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155261 - metatarsalgia often greater than PL 2; however, today PL 0 hiking on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155262 - sidewalk and wearing Hoka Bondi 9 shoes, per above. ref SDS 0 JAUY                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155263 - Crossed Park Highlands Road at Stop Light still heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155264 - now on asphalt shoulder.  Crossed to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155265 - hike on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155266 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155267 - miles East.  Stopped at end of Pine Hollow mile 08 time 1433 temp 84                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155268 - and wind 10 mph; EKG looks uniform with mild artifact; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155269 - HR 118 Tachycardia - see below. ref SDS 0 S4QF  Bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155270 - (increase after starting hike), energy deficit PL 3, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155271 - metatarsalgia PL 4, burning sensation PL 0.  Left foot #1 PL 1 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155272 - PL 1.  Right foot #5 PL 1, #1 PL 0, #4 PL 3.  Took 1 Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155273 - total today 2, for pain.  Took 1 Magnesium complex 300 mg pill, total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155274 - today 3, for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155275 - per research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155276 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155277 - avocado with margarine and Mayonnaise.  Chia Seeds for electrolytes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155278 - Took Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155279 - Since temperature 81, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155280 - took 0 Nuun electrolyte pill, per above. ref SDS 0 PQ98  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155281 - hiked back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155282 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155283 - against wind 03 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155284 - turned around and hiked uphill 4% grade .25 mile.  Legs not fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155285 - with lactic acid - seemed easier hiking uphill today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155286 - increased sinus rhythm on hikes has increased previously low ferritin,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155287 - reported im lab on 250807 0654, ref SDS A1 VP5H, per MAI research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155288 - 250430 2137. ref SDS 89 GW9J  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155289 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155290 - stopping in back at training area - did 20 half pull-ups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155291 - push-ups, then continued back to Visitor parking.  Today, did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155292 - loops through Faculty and Student parking lots, and another loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155293 - around main buildings.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155294 - Administration building mile 12 time 1600 temp 88 and wind 13 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155295 - looks mostly uniform with minimal artifact.  Kardia reported HR 122                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155296 - Tachycardia - see below. ref SDS 0 YLD8  Bloating PL 3, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155297 - PL 3, both feet metatarsalgia PL 3, burning sensation PL 2.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155298 - #1 PL 1 and #5 PL 1.  Right foot #5 PL 1, #4 PL 1 (need silicone toe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155299 - cap tomorrow).  Took 1 Naproxen 250 mg total today 3, for pain.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155300 - 1 Magnesium complex 300 mg pill, total 4, for energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155301 - acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155302 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155303 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155304 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155305 - pill for HDL and energy to complete hike.  Since temperature 88, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155306 - causes sweating that ejects electrolytes, took 1 Nuun electrolyte                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155307 - pill, per above. ref SDS 0 PQ98  Hiked another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155308 - buildings.  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155309 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155310 - miles.  At mile 13, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155311 - .5 miles against wind 10 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155312 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155313 - camber.  Hiked .5 miles uphill 3% grade to summit at end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155314 - barriar mile 14.  With break in afternoon commute traffic crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155315 - to South side Ygnacio Valley Road.  Continued 2 miles downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155316 - grade; crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155317 - Grove at traffic light.  Hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155318 - shopping complex.  Stopped at Mod Pizza mile 17, time 1747, temp 86                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155319 - and wind 12 mph; EKG mostly uniform with no artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155320 - HR 121 Tachycardia - see below. ref SDS 0 A3DC  Bloated PL 3, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155321 - deficit PL 3.  Both feet PL 3, burning sensation PL 0, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155322 - 1, #5 PL 1, right foot #5 PL 0, #4 PL 1.  Took 0 Naproxen; took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155323 - magnesium total today 5.  Sips softdrink bought at Mod Pizza with ice                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155324 - for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155325 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155326 - energy, and avocado for HDL, did not take Nuun electrolyte pill.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155327 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155328 - above. ref SDS 0 PQ98  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155329 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155330 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155331 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155332 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155333 - San Miguel continued .75 miles on Treat uphill 5% grade temp 82.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155334 - Handled this well.  At summit, mile 20, hiked another mile to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155335 - then home.  Ended hike mile 21 time 1908 temp 82, wind 09.  Bloated PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155336 - 3, energy deficit PL 3, feet PL 2, burning sensation PL 2, left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155337 - #1 PL 2, #5 PL 1, right foot #5 PL 1, #4 PL 1, left knee PL 0, wobbly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155338 - PL 0.  EKG looks mostly uniform, with some artifact, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155339 - HR 118 Tachycardia - see below. ref SDS 0 EK7C                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155358 -  ..
155359 - Kardia recorded HR 51 at 0843, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155360 - uniform heart beat lengths with p-waves and some artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155361 - AFL after hiking 00 miles temp 20 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155362 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155363 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155364 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155365 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155368 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155369 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250921-ecg-084340_mile_00_051_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155375 -  ..
155376 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155377 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155378 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155379 - ..
155380 -                                                                                                                                                                                                                                                                                                              x
155381 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155382 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155383 -       Date          250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 250703 25070  
155384 -       Miles            21     22     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0      0  
155385 -       HR AVG          124    119    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no     no  
155386 -         MAX           145    138    141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report report repo  
155387 -         Min            76     84     67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                                     
155388 -       El Climb Ft     546    426    426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                                     
155389 -       Temp Max         88     83     84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                                     
155390 -       Wind Max         13     22     12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                                     
155391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155393 -              https://flow.polar.com/training/analysis/8193370969                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155396 -               ..
155398 -   
155399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155404 -  ..
155405 - EKG at mile 08 time 1433 HR 118 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155406 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155407 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155410 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155411 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250921-ecg-143327_mile_08_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155416 -  ..
155417 - EKG at mile 12 time 1600 HR 122 temp 88, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155418 - Tachycardia... heart rate looks mostly uniform with minimal artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155419 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155422 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155423 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250921-ecg-160008_mile_12_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155427 -  ..
155428 - EKG at mile 17 time 1747 HR 121 temp 86, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155429 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155430 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155433 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155434 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250921-ecg-174757_mile_17_121_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155438 -  ..
155439 - End hike EKG at mile 21, time 1908 HR 118 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155440 - Tachycardia... looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155441 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155444 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155445 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250921-ecg-190843_mile_21_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155450 -  ..
155451 - Post hike 250921 HR profile beginning 2150, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155452 - activity after hiking 21 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155453 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155454 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155455 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155458 -        ..
155459 -       Date      250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713  250712    
155460 -       Time       2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331    2335     
155461 -       Hours         4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7       7     
155462 -       HR AVG       74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58      74     
155463 -       HR MAX      139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     120     
155464 -       HR Min       56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41      48     
155465 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155467 -              https://flow.polar.com/training/analysis/8193482243                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155470 -  ..
155471 - HRV seems 100% 0 and 00% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155474 -   
155475 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155479 -  ..
155480 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155481 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155482 - Dinner - steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155484 -  ..
155485 - Vomiting: 0% - bloating PL 1  took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155486 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155531 -         ..
155532 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155533 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155534 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155535 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155536 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155537 -  265.  250922 0140............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155538 -               0140....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155539 -               0145....BP HR..................................................... 138  83  68  Kardia ECG reports HR status, see below. ref SDS 0 AKBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155540 -               0150....BP HR..................................................... 143  71  60                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155541 -               0155....weight.................................... 178                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155542 -               0155....40 470140 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
155543 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155544 -               0320....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155545 -               0320... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155546 -               0320....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155547 -               0320....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155548 -               0320....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155549 -               0320....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155550 -               0320... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
155551 -  ..
155552 -               0336....miles...........  13.0  13.0  215   215 minutes  temp  60 wind 13  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155553 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155554 -               0517....mile 06 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155555 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155556 -               0517....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155557 -               0517... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
155558 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155559 -               0517... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155560 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155561 -               0706...  Hike ends mile 13..... ref SDS 0 GA1E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155562 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155563 -               0706....weight.................................... 176  lost 2#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155564 -               0708....BP HR..................................................... 113  75 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155565 -               0710....BP HR..................................................... 115  74 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155566 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155567 -               1700... 40 128140 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                                                                                                                                                                                                                                                                                  
155568 -             1 0000............ 10 22050  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
155569 -             1 0000............ 10 22400  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
155570 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155571 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155572 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155573 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155574 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155575 -               2250... 1000 2575000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155576 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155577 -               2330... 40 470180 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155578 -               2340... 40 102840 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155579 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155581 -  ..
155582 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155583 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155585 -  ..
155586 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155587 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155588 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155589 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155590 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155591 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155593 -  ..
155594 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155595 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155597 -  ..
155598 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155599 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155602 -  ..
155603 - Today, hiked 13 miles - difficulty 1st time over a year hiking back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155604 - uphill from Ocean Beach to hospital (VAMCSF) - had to breath through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155605 - mouth about .5 mile, see 240829. ref SDS 36 QTSP  At the Cliff House,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155606 - turned Continued with Stable Elite orthotic inserts, because Powerstep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155607 - inserts need to be replaced, pending meeting with Doctor Hewitson in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155608 - Podiatry on 250929.  Pain continued contained with meds.  After hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155609 - today, no buble blister on left foot #1, as occurred on prior hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155610 - Used bandaging on both feet today.  There was same reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155611 - metatarsalgis pain, wearing Hoka Bondi 9 shoes with more cushioned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155612 - soles.  Bloating did not resolve by end of hike - seems like lingering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155613 - dysfunctional ANS affliction, along with swelled lips.  Out of Urea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155614 - 20% for calluses, and Ammonium Lactate 12% for metatarsalgia - ordered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155615 - yesterday, pending delivery of order by Doctor Tang.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155618 -         ..
155619 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155620 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155621 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
155622 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155623 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155624 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155625 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155626 -        Chest pain...................................   0        100  began about mile 8, taking Tramadol and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155627 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
155628 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155629 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155630 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155631 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Tramadol and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155632 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                   
155633 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155634 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Tramadol and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
155635 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155636 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
155637 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155638 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155639 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155640 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155641 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Tramadol mile 00 and 1 Tramadol mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
155642 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155643 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155644 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155645 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155646 -        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                                                                                                                                                                                                                                                                                                                                                                                                        
155647 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155648 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155649 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155650 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155651 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155652 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155653 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155654 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                           
155655 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155656 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155657 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
155658 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Tramadol at mile 00 and 2 Tramadol at mile 08 again at mile 00                                                                                                                                                                                                                                                                                                                                                  
155659 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Tramadol and 0 Gabapentin at mile 00 and 0 Tramadol at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
155660 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
155661 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155662 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155663 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
155664 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
155665 -        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                                                                                                                                                                                                                                                                                                                           
155666 -        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                                                                                                                                                                                                                                                                                                                                                                                    
155667 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155668 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
155669 -        Callus big toe left foot...PRP 210705........   4         30  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
155670 -        Callus big toe right foot...PRP 210705.......   3         20  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155671 -        Blister below big toe right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155672 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
155673 -        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                                                                                                                                                                                                                                                                                                                                           
155674 -        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                                                                                                                                                                                                                                                                                                                                           
155675 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155676 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
155677 -        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                                                                                                                                                                                                                                                                                                                                                                                        
155678 -        Callus ring toe #4 top right foot............   0         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155679 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
155680 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155681 -        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                                                                                                                                                                                                                                                                                                                                                              
155682 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 250904 - took 1 Tramadol mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
155683 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
155684 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155685 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155686 -        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 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
155687 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155688 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Tramadol and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
155689 -        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                                                                                                                                                                                                                                                                                                                                                                                                    
155690 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155691 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
155692 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155693 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155694 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155695 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155696 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155697 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155698 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155699 -        Wobbly disoriented staggering dizzy..........   0         10  took 1 Naproxen mile 00, and 1 Naproxen mile 06, and 0 Naproxen mile 16, and 0 Tramadol mile 22 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
155700 -        Wasted - severe energy deficit...............   4         20  energy low after taking 2 magnesium mile 00 and 1 magnesium mile 07, 0 magnesium mile 16 and 0 magnesium mile 22                                                                                                                                                                                                                                                                                                                                                                                                                             
155701 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155703 -  ..
155704 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155705 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155707 -  ..
155708 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155709 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155710 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155711 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155712 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155713 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155714 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155715 - 1 Tramadol.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155716 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155717 - HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155719 -  ..
155720 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155721 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155722 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155723 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155724 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155725 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155726 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155728 -  ..
155729 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155730 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155731 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155732 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155733 - nor recurrent blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155735 -  ..
155736 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155738 -  ..
155739 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155740 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155742 -                    1 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155743 -                    1 Naproxen mile 06 had PL 2 last 4 miles of 13 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155745 -  ..
155746 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155747 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155748 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155749 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155750 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155752 -  ..
155753 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155755 -            1 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155756 -            1 magnesium at mile 06 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155758 -  ..
155759 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155761 -        Large donut opening on left foot #1 well centered and stayed in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155762 -        place.  Max PL 1 last 4 miles - worked well; no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155763 -        formed within opening of bandage.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155765 -        Contoured Callus Cushion purchased at CVS on 250904 1233,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155766 -        ref SDS A6 ESVZ, was not applied to protect blister left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155767 -        below #1 callus, because this has mostly healed - did not have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155768 -        pain this area.  Did have pain on right foot below #1, will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155769 -        apply tomorrow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155771 -  ..
155772 - Silicone Toe Cap worked well on right foot #4 - should have been on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155773 - #5; Gel Toe Protector worked well on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155775 -  ..
155776 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155777 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155778 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155779 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155780 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155781 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155784 -  ..
155785 - San Francisco 13 mile route, reported on 170519, ref SDS 8 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155786 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155787 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
155788 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155789 - and also left hip.  At the hospital, before starting the hike, took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155790 - Naproxen (because out of Tramadol) for pain management, mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155791 - metatarsalgia and other feet injuries, per above. ref SDS 0 5KFI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155792 - Before starting hike at hospital, since forgot to fill med container,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155793 - could only take 1 Magnesium Complex 300 mg pills for energy; and to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155794 - absorb lactic acid for pain management, and resolve inflammation to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155795 - enable HDL to increase that together with EPCs regress plaque in blood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155796 - vessels - see research on 200101 0701, ref SDS 18 QP6L - was difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155797 - swallowing pill whole, recommended by manufacturer, after EGD dilated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155798 - LESV on 250718 0830, ref SDS 99 274L, this avoids capsule clogging                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155799 - LESV, as occurred on 240824. ref SDS 36 PPTU  Had small amount peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155800 - butter and margarine, and Mayonnaise, and chia seeds for electrolytes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155801 - and energy, and had some avocado for HDL, ...and took 5 ml liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155802 - Ubiquinol CoQ10 - all per above. ref SDS 0 AYL6  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155803 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155804 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155805 - 136K  No breakfast reduces bloating feeling, but still bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155806 - starting hike today, from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155807 - and other drugs, also symptomatic of diabetes, and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155808 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155809 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155810 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155811 - stuff.  Temperature mild 58 and wind 10 mph.  Slightly misty starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155812 - hike.  Departed VAMCSF campus in dark at 0336.  Hiked slowly downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155813 - on 42nd Street to warm up.  Turned corner heading downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155814 - Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155815 - "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155816 - CoQ10 and magnesium was digested and increased strength.  At mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155817 - turned onto John F Kennedy (JFK) Drive entering Golden Gate Park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155818 - Maintained pace going slightly uphill into the park for .5 mile.  May                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155819 - have encountered early morning jogger going West - normally this pass                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155820 - occurs nearer to the Highway 1 bridge, but today, happened earlier in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155821 - the hike, and he was hiking not jogging, so his situation may have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155822 - changed.  Turned corner and continued East on JFK.  Dark and with few                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155823 - widely spaced street lights, cannot see the road.  Passed Buffalo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155824 - compound, then Spreckles Lake.  Hiked past Lindley Meadow.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155825 - Encountered a few bikers passing Helman Hollow.  Both feet pain level                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155826 - 1.  Hiked under bridge at Crossover Drive (part of highway 1 that goes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155827 - to Golden Gate Bridge). - JFK is blocked to vehicle traffic the rest                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155828 - of the way through the park to Stanyon, limiting attendance to keep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155829 - people separated that minimizes spreading coronavirus.  Now that the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155830 - epidemic has been declared over, the park continues to deny access to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155831 - drivers on JFK.  At mile 5, hiked past De Young Museum.  Encountering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155832 - more hikers and bikers heading in both directions.  Past Conservatory                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155833 - and Nancy Pelosi Way.  Stopped near Stanyon at mile 6.5 time 0517,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155834 - temp 58, wind 08; EKG mostly uniform with some artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155835 - reported HR 098 Normal Sinus Rhythm - see below. ref SDS 0 JLXO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155836 - Bloating PL 4, energy deficit PL 0, feet PL 3, burning sensation PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155837 - left foot #1 PL 1, and #5 PL 1; right foot #5 PL 2, and #4 PL 1, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155838 - below #1 blister like sensation PL 3.  Left knee PL 1, and left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155839 - hamstring PL 0.  Took 1 Naproxen.  Took 1 Magnesium.  Sips softdrink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155840 - carried from home for hydration, swallowing meds and nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155841 - peanut butter, margarine, Mayonnaise, and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155842 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155843 - take Nuun electrolyte pill.  Took CoQ10 pill, and some liquid. all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155844 - above. ref SDS 0 5KFI  Hiked back on JFK heading West toward the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155845 - Ocean.  Stayed on South side against traffic (no actual vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155846 - traffic in park).  Increased pace with endorphins rising.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155847 - past De Young Museum.  Waterfall not running this morning at 0550,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155848 - before hiking under Crossover Road bridge at highway 1.  Hiked past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155849 - Hellman Hollow then Lindley Meadow, where 10 years ago, a truck backed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155850 - up because missed a turn, and struck Kathy's car; this got her a new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155851 - car, reported on 150729 0942. ref SDS 6 0001  Continued hiking past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155852 - Spreckles Lake, then saw 00 Buffalo or so grazing in North-West area                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155853 - of compound.  Crossed to North side of JFK going with traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155854 - corner and headed toward the ocean.  Hiked past the Soccor fields then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155855 - turned North onto Great Highway.  Hiked parallel to Ocean Beach toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155856 - the Cliff House and hospital.  Halfway to Cliff House took more liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155857 - CoQ10 for energy.  Slowed pace hiking up steep hill - 5% - 6% grade -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155858 - did not stop, but could not maintain breathing without dyspnea today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155859 - similar to hike on 240829, ref SDS 36 QTSP  At the Cliff House, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
155860 - onto Point Lobos Avenue going East; hiked uphill for 1 mile.  After                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155861 - rounding curve onto Point Lobos, had to breath through mouth about .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155862 - mile, then last .5 mile breathed through nose to end of hike.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155863 - onto 42nd street and maintained pace going up final hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155864 - campus.  Ended hike mile 13, time 0706 temp 60, wind 13, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155865 - 4, energy deficit PL 4, feet metatarsalgia PL 4, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155866 - 0, left foot #1 PL 1, #5 PL 2.  Right foot #5 PL 3, and #4 PL 2, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155867 - below #1 PL 3 - maybe blister.  Both ankles PL 0.  Left knee meniscus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155868 - PL 2.  EKG mostly variable with artifact, Kardia reported HR 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155869 - Unclassified - see below. ref SDS 0 GA1E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155888 -  ..
155889 - Kardia recorded HR 66 at 0130, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155890 - mostly variable heart beat lengths with p-waves and some artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155891 - likely no AFL after hiking 21 miles temp 88 yesterday, and diagnosed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155892 - ischemic colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155893 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155894 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155895 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155898 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155899 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250922-ecg-013017_mile_00_066_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155905 -  ..
155906 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155907 - hike 13 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
155908 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155909 - ..
155910 -                                                                                                                                                                                                                                                                                                              x
155911 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155912 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155913 -       Date          250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 250706 250705 250704 25070  
155914 -       Miles            13     21     22     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0      0      0      0  
155915 -       HR AVG          108    124    119    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no     no     no     no  
155916 -         MAX           137    145    138    141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   report report report repo  
155917 -         Min            81     76     84     67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66                              
155918 -       El Climb Ft     280    546    426    426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328                              
155919 -       Temp Max         60     88     83     84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55                              
155920 -       Wind Max         13     13     22     12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14                              
155921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155923 -              https://flow.polar.com/training/analysis/8193757991                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155926 -               ..
155928 -   
155929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155934 -  ..
155935 - EKG at mile 06 time 0517 HR 098 temp 58, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155936 - Rhythm... heart rate looks mostly uniform with some artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155937 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
155938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155940 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155941 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250922-ecg-051755_mile_06_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155945 -  ..
155946 - End hike EKG at mile 13, time 0706 HR 110 temp 60 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
155947 - Unclassified... looks mostly variable with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
155948 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155951 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
155952 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250922-ecg-070604_mile_13_110_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
155953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155957 -  ..
155958 - Post hike 250922 HR profile beginning 1943, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155959 - activity after hiking 13 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
155960 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
155961 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155962 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
155963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155965 -        ..
155966 -       Date      250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714  250713    
155967 -       Time       1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103    2331     
155968 -       Hours        10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10       7     
155969 -       HR AVG       64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64      58     
155970 -       HR MAX      113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     116     
155971 -       HR Min       41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40      41     
155972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155974 -              https://flow.polar.com/training/analysis/8194195204                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
155975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155977 -  ..
155978 - HRV seems  10% 0 and 10% - good and 80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155981 -   
155982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155986 -  ..
155987 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
155988 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
155989 - Dinner - steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155991 -  ..
155992 - Vomiting: 0% - bloating PL 1  took Simethicone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
155993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
155999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156011 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156012 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156013 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156014 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156020 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156022 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156023 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156024 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156025 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156026 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156027 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156028 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156030 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156031 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156032 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156033 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156034 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156035 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156036 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156037 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156039 -         ..
156040 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156041 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156042 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156043 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156044 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156045 -  266.  250923 0650............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156046 -               0650....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156047 -               0655....BP HR..................................................... 131  74  51  Kardia ECG reports HR status, see below. ref SDS 0 7DFI                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156048 -               0700....BP HR..................................................... 127  76  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156049 -               0705....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156050 -               0705....40 470220 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
156051 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156052 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156053 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156054 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156055 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156056 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156057 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156058 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156059 -               1700... 40 128180 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                                                                                                                                                                                                                                                                                  
156060 -               1830............ 10 22060  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156061 -               1830............ 10 22410  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156062 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156063 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156064 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156065 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156066 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156067 -               2250... 1000 2576000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156068 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156069 -               2330... 40 470260 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156070 -               2340... 40 102880 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156072 -  ..
156073 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156074 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156076 -  ..
156077 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156078 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156079 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156080 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156081 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156082 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156084 -  ..
156085 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156086 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156088 -  ..
156089 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156090 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156091 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156092 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156093 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156095 -  ..
156096 - Kardia EKG not recorded today.....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156101 -  ..
156102 - Post hike 250923 HR profile beginning 2155, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156103 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156104 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156105 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156106 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156109 -        ..
156110 -       Date      250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715  250714    
156111 -       Time       2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949    2103     
156112 -       Hours        11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10      10     
156113 -       HR AVG       64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64      64     
156114 -       HR MAX      115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     114     
156115 -       HR Min       41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40      40     
156116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156118 -              https://flow.polar.com/training/analysis/8194877346                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156121 -  ..
156122 - HRV seems  00% 0 and  70% - good and 30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156125 -   
156126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156128 -  ..
156129 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156130 - Lunch - sandwich ham cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156131 - Dinner - steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156133 -  ..
156134 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156142 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156144 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156145 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156146 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156149 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156158 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156159 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156160 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156165 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156166 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156168 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156169 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156172 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156179 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156184 -         ..
156185 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156186 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156187 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156188 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156189 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156190 -  267.  250924 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156191 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156192 -               0615....BP HR..................................................... 117  67  62  Kardia ECG reports HR status, see below. ref SDS 0 6LNG                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156193 -               0720....BP HR..................................................... 124  74  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156194 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156195 -               0725....40 470300 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
156196 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156197 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156198 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156199 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156200 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156201 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156202 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156203 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156204 -               1700... 40 128220 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                                                                                                                                                                                                                                                                                  
156205 -             1 0000............ 10 22060  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156206 -             1 0000............ 10 22410  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156207 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156208 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156209 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156210 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156211 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156212 -               2250... 1000 2577000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156213 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156214 -               2330... 40 470340 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156215 -               2340... 40 102920 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156217 -  ..
156218 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156219 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156221 -  ..
156222 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156223 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156224 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156225 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156226 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156227 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156229 -  ..
156230 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156231 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156233 -  ..
156234 - Reflux slept in chair after EGD dilation on 250718 0830. ref SDS 99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156235 - UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156241 -  ..
156242 - Kardia recorded HR 58 at 0947, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156243 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156244 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156245 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156246 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156247 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156248 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156251 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156252 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250924-ecg-094730_mile_00_058_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156257 -  ..
156258 - Post hike 250924 HR profile beginning 2129, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156259 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156260 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156261 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156262 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156265 -        ..
156266 -       Date      250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716  250715    
156267 -       Time       2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007    1949     
156268 -       Hours         7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9      10     
156269 -       HR AVG       65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62      64     
156270 -       HR MAX      104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     131     
156271 -       HR Min       33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41      40     
156272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156274 -              https://flow.polar.com/training/analysis/8195334557                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156277 -  ..
156278 - HRV seems  90% 0 and 10% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156281 -   
156282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156286 -  ..
156287 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156288 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156289 - Dinner - steak macaroni cheese asparagus onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156291 -  ..
156292 - Vomiting: 0% - bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156307 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156309 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156342 -         ..
156343 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156344 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156345 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156346 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156347 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156348 -  268.  250925 0600............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156349 -               0610....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156350 -               0615....BP HR..................................................... 145  89  50  Kardia ECG reports HR status, see below. ref SDS 0 8L51                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156351 -               0620....BP HR..................................................... 139  98  53                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156352 -               0625....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156353 -               0625....40 470380 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
156354 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156355 -               0925....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156356 -               0925... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156357 -               0925....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156358 -               0925....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156359 -               0925....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156360 -               0925....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156361 -               0925... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
156362 -  ..
156363 -               0958....miles...........  22.0  35.0  374   589 minutes  temp  85 wind 23  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156364 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156365 -               1208....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156366 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156367 -               1208....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156368 -               1208... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
156369 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156370 -               1208... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156371 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156372 -               1411....mile 14 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156373 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156374 -               1411....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156375 -               1411... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
156376 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156377 -               1411... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156378 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156379 -               1536....mile 18 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156380 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156381 -               1536....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156382 -               1536... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
156383 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156384 -               1536... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156385 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156386 -               1700...  Hike ends mile 22..... ref SDS 0 LXUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156387 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156388 -               1715....weight.................................... 175  lost 5#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156389 -               1720....BP HR..................................................... 112  78 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156390 -               1725....BP HR..................................................... 108  77 101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156391 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156392 -               1730... 40 128260 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                                                                                                                                                                                                                                                                                  
156393 -               1830............ 10 22070  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
156394 -               1830............ 10 22420  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
156395 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156396 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156397 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156398 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156399 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156400 -               2250... 1000 2578000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156401 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156402 -               2330... 40 470420 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156403 -               2340... 40 102960 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156406 -  ..
156407 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156408 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156410 -  ..
156411 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156412 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156413 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156414 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156415 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156416 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156418 -  ..
156419 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156420 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156422 -  ..
156423 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156424 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156427 -  ..
156428 - Today, hiked 22 miles - without evident cause sudden severe 30 BPM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156429 - drop in HR hiking at mile 17 - corrected within 100 yards; and later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156430 - sudden rise 50 BPM to 170 at mile 19.5 that dropped back - HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156431 - continued to align with changes in elevation and speed.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156432 - with Stable Elite orthotic inserts, because Powerstep inserts need to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156433 - be replaced, pending meeting with Doctor Hewitson in Podiatry on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156434 - 250929.  Pain continued contained with meds.  After hike today, no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156435 - buble blister on left foot #1, nor on right foot #1, as occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156436 - prior hike.  Used bandaging on both feet today.  There was same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156437 - reduced metatarsalgis pain, wearing Hoka Bondi 9 shoes with more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156438 - cushioned soles.  Bloating did not resolve by end of hike - seems like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156439 - lingering dysfunctional ANS affliction, along with swelled lips.  Out                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156440 - of Urea 20% for calluses, refill pending; received refill Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156441 - Lactate 12% for metatarsalgia - thanks to Doctor Tang.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156444 -         ..
156445 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156446 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156447 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
156448 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156449 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156450 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156451 -        Heat rash quads..............................   4        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156452 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156453 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
156454 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156455 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156456 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156457 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156458 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
156459 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156460 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
156461 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156462 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
156463 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156464 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156465 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156466 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156467 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
156468 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156469 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156470 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156471 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156472 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
156473 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156474 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156475 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156476 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156477 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156478 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156479 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156480 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
156481 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156482 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156483 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
156484 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
156485 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
156486 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
156487 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156488 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156489 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
156490 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
156491 -        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                                                                                                                                                                                                                                                                                                                           
156492 -        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                                                                                                                                                                                                                                                                                                                                                                                    
156493 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156494 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
156495 -        Callus big toe left foot...PRP 210705........   3         30  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
156496 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156497 -        Blister below big toe right foot.............   3         30  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156498 -        Blister below big toe left foot..............   2        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
156499 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
156500 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
156501 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156502 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
156503 -        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                                                                                                                                                                                                                                                                                                                                                                                        
156504 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156505 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
156506 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156507 -        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                                                                                                                                                                                                                                                                                                                                                              
156508 -        Callus little toe #5 left foot...PRP 210705..   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
156509 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
156510 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156511 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156512 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
156513 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156514 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
156515 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
156516 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156517 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
156518 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156519 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156520 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156521 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156522 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156523 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156524 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156525 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 00, and 1 Naproxen mile 08, and 1 Naproxen mile 14, and 1 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
156526 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 08, 1 magnesium mile 14 and 1 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
156527 -        Hiker's rash vasculitis.see 210618...........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156530 -  ..
156531 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156532 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156534 -  ..
156535 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156536 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156537 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156538 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156539 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156540 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156541 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156542 - 1 Naproxen.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156543 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156544 - HDL and EPCs essential to treat IHD.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156546 -  ..
156547 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156548 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156549 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156550 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156551 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156552 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156553 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156555 -  ..
156556 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156557 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156558 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156559 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156560 - nor recurrent blisters.  Some areas felt blistered, but there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156561 - bubble when shoes removed at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156563 -  ..
156564 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156566 -  ..
156567 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156568 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156569 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156570 -                    1 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156571 -                    1 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156572 -                    1 Naproxen mile 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156573 -                    1 Naproxen mile 22 had PL 3 last 4 miles of 22 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156575 -  ..
156576 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156577 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156578 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156579 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156580 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156582 -  ..
156583 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156585 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156586 -            1 magnesium at mile 08 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156587 -            1 magnesium at mile 14 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156588 -            1 magnesium at mile 18 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156590 -  ..
156591 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156593 -        Large donut opening on left foot #1 well centered and stayed in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156594 -        place.  Max PL 3 last 4 miles - worked sort of well; no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156595 -        blister formed within opening of bandage.  This callus needs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156596 -        to be shaved down and/or need a thicker bandage to prevent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156597 -        side of show pressing on callus during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156599 -         ..
156600 -        Silicone Toe Cap worked well on right foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156602 -         ..
156603 -        Gel Toe Protector worked well on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156606 -  ..
156607 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156608 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156609 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156610 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156611 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156612 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156615 -  ..
156616 - Concord 22 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156617 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156618 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156619 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156620 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156621 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156622 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156623 - take 1 Naproxen (Tramadol refill ordered on 250917 1939. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156624 - 4N6O) for pain management, despite 2 Tramadol was not enough to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156625 - past mile 4 on Concord route - had to take more to reach mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156626 - during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156627 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156628 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156629 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156630 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156631 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156632 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156633 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156634 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156635 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156636 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156637 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156638 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156639 - Both magnesium and CoQ10 are large pills, which are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156640 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156641 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156642 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156643 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156644 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156645 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156646 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156647 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156648 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156649 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156650 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156651 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156652 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156653 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156654 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156655 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156656 - above. ref SDS 0 LONX  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156657 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156658 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156659 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156660 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156661 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156662 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156663 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156664 - hydration, nutrition, meds, medical supplies.  Temperature 85, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156665 - wind 23 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156666 - Starting hike stomach seemed bloated (conflicts with reduced "impaired                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156667 - HRV" overnight Polar study, above, ref SDS 0 FXGE), and feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156668 - swelled and like pins and needles - actually minimal today, and - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156669 - not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156670 - peripheral neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156671 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156672 - indicating strong respiratory condition has sustained, despite hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156673 - minimal miles this past weeks.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156674 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156675 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156676 - traffic.  Initial .5 mile hiking slow, then continued at good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156677 - 15-minute mile pace.  Did not hike across Newhall Community across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156678 - Newhall Community park and back today.  Left foot #1 PL 0, #5 PL 0;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156679 - right foot #5 PL 0 - endorphins and Naproxen effective.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156680 - Turtle Creek Road uphill 4% grade.  Speed increased, energy good at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156681 - end of Turtle Creek Road - turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156682 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156683 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156684 - shopping complex.   About mile 3.5 metatarsalgia bottom both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156685 - 0.  Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156686 - sidewalk .5 miles.  Energy good - did not feel sense of hitting an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156687 - "energy deficit wall" near mile 4, having to stop at Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156688 - Pizza restaurant to take interim magnesium and CoQ10.  This has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156689 - major question for hikes past 8 months.  Continued hiking past mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156690 - Turned right heading West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156691 - sidewalk .5 miles.  This is difficult part of hike with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156692 - often greater than PL 2; however, today PL 0 hiking on sidewalk and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156693 - wearing Hoka Bondi 9 shoes, per above. ref SDS 0 UHBR  Crossed Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156694 - Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156695 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156696 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156697 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 2.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156698 - miles East.  Stopped at end of Pine Hollow mile 08 time 1208 temp 80                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156699 - and wind 09 mph; EKG looks uniform with no artifact; Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156700 - HR 112 Tachycardia - see below. ref SDS 0 AM2I  Bloating PL 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156701 - (increase after starting hike), energy deficit PL 1, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156702 - metatarsalgia PL 2, burning sensation PL 2.  Left foot #1 PL 2 below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156703 - like blister PL 2, and #5 PL 1.  Right foot #5 PL 2, #1 PL 0, below PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156704 - 2 like blister, #4 PL 0.  Took 1 Naproxen 250 mg total today 2, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156705 - pain.  Took 1 Magnesium complex 300 mg pill, total today 3, for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156706 - energy, absorbing lactic acid, and reducing inflammation, per research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156707 - on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156708 - hydration and swallowing nutrition - peanut butter, avocado with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156709 - margarine and Mayonnaise.  Chia Seeds for electrolytes.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156710 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156711 - Since temperature 80, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156712 - took 0 Nuun electrolyte pill, per above. ref SDS 0 Y5HU  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156713 - hiked back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156714 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156715 - against wind 18 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156716 - turned around and hiked uphill 4% grade .25 mile.  Legs not fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156717 - with lactic acid - seemed easier hiking uphill today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156718 - increased sinus rhythm on hikes has increased previously low ferritin,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156719 - reported im lab on 250807 0654, ref SDS A1 VP5H, per MAI research on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156720 - 250430 2137. ref SDS 89 GW9J  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156721 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156722 - stopping in back at training area - did 20 half pull-ups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156723 - push-ups, then continued back to Visitor parking.  Hiked loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156724 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156725 - buildings.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156726 - building mile 14 time 1411 temp 83 and wind 13 mph; EKG looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156727 - uniform with minimal artifact.  Kardia reported HR 118 Tachycardia -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156728 - see below. ref SDS 0 PKHX  Bloating PL 3, energy deficit PL 2, both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156729 - feet metatarsalgia PL 3, burning sensation PL 3.  Left foot #1 PL 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156730 - and #5 PL 1.  Right foot #5 PL 1, #4 PL 0, #1 below possible blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156731 - PL 3.  Took 1 Naproxen 250 mg total today 3, for pain.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156732 - Magnesium complex 300 mg pill, total 4, for energy, absorbing lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156733 - acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156734 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156735 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156736 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156737 - pill for HDL and energy to complete hike.  Since temperature 88, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156738 - causes sweating that ejects electrolytes, did not take 1 Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156739 - electrolyte pill (forgot to bring pills), per above. ref SDS 0 Y5HU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156740 - Exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156741 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156742 - 15, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156743 - wind 23 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156744 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156745 - Hiked .5 miles uphill 3% grade to summit at end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156746 - mile 16.  With break in afternoon commute traffic crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156747 - South side Ygnacio Valley Road.  Continued 2 miles downhill 3% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156748 - About mile 17, with no change in speed, HR 125 Tachycardia suddenly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156749 - flipped down to HR 95 Normal Sinus Rhythm; within 100 yards, flipped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156750 - back to HR 128 Tachycardia.  Continued downhill and crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156751 - North side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156752 - Did not hike 1-mile loop around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156753 - Stopped at Mod Pizza mile 18, time 1536, temp 85 and wind 23 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156754 - mostly uniform with considerable artifact, Kardia reported HR 121                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156755 - Unclassified - see below. ref SDS 0 7QBP  Bloated PL 3, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156756 - PL 3.  Both feet PL 3, burning sensation PL 0, left foot #1 PL 1, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156757 - PL 1, right foot #5 PL 0, #4 PL 1.  Took 1 Naproxen; took 1 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156758 - total today 5.  Sips softdrink bought at Mod Pizza with ice for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156759 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156760 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156761 - and avocado for HDL, did not take Nuun electrolyte pill.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156762 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156763 - above. ref SDS 0 Y5HU  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156764 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156765 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156766 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  About mile 19.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156767 - on Oak Grove with slight downhill 1% grade, and with no change in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156768 - speed, HR 121 Tachycardia suddenly flipped up to HR 170 then dropped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156769 - back to HR 124 Tachycardia, and continued rising and falling normally                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156770 - to elevation changes.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156771 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156772 - miles on Treat uphill 5% grade temp 82.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156773 - summit, mile 21, hiked another mile to Cuneo, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156774 - mile 22 time 1700 temp 80, wind 13.  Bloated PL 3, energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156775 - 2, feet PL 3, burning sensation PL 3, left foot #1 PL 3, #5 PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156776 - right foot #5 PL 1, #4 PL 0, #1 below feels like blister PL 1, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156777 - knee PL 0, wobbly PL 0.  EKG looks mostly uniform, with artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156778 - Kardia reported HR 117 Tachycardia - see below. ref SDS 0 LXUT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156797 -  ..
156798 - Kardia recorded HR 47 at 0548, Bradycardia, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156799 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156800 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156801 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156802 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156803 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156804 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156807 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156808 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250925-ecg-054851_mile_00_047_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156814 -  ..
156815 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156816 - hike 22 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156817 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156818 - ..
156819 -                                                                                                                                                                                                                                                                                                              x
156820 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156821 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156822 -       Date          250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 250707 25070  
156823 -       Miles            22     21     22     13     21     22     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15      0  
156824 -       HR AVG          121    124    119    108    124    119    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115     no  
156825 -         MAX           170    145    138    137    145    138    141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140   repo  
156826 -         Min            69     76     84     81     76     84     67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66         
156827 -       El Climb Ft     426    546    426    280    546    426    426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328         
156828 -       Temp Max         85     88     83     60     88     83     84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55         
156829 -       Wind Max         23     13     22     13     13     22     12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14         
156830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156832 -              https://flow.polar.com/training/analysis/8195683324                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156835 -               ..
156837 -   
156838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156843 -  ..
156844 - EKG at mile 08 time 1208 HR 112 temp 80, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156845 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156846 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156849 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156850 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250925-ecg-120822_mile_08_112_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156854 -  ..
156855 - EKG at mile 14 time 1411 HR 118 temp 83, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156856 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156857 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156859 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156860 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156861 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250925-ecg-141149_mile_14_118_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156865 -  ..
156866 - EKG at mile 18 time 1536 HR 121 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156867 - Unclassified... heart rate looks mostly uniform with considerable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156868 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156871 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156872 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250925-ecg-153623_mile_18_121_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156876 -  ..
156877 - End hike EKG at mile 22, time 1700 HR 117 temp 80 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156878 - Tachycardia... looks mostly uniform with artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
156879 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156882 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
156883 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250925-ecg-170044_mile_22_117_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
156884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156888 -  ..
156889 - Post hike 250925 HR profile beginning 2359, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156890 - activity after hiking 22 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
156891 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156892 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156893 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156896 -        ..
156897 -       Date      250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717  250716    
156898 -       Time       2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951    2007     
156899 -       Hours         9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9       9     
156900 -       HR AVG       60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56      62     
156901 -       HR MAX      128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103      95     
156902 -       HR Min       42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39      41     
156903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156905 -              https://flow.polar.com/training/analysis/8196042367                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156908 -  ..
156909 - HRV seems  10% 0 and 40% - good and 50% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156912 -   
156913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156917 -  ..
156918 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156919 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
156920 - Dinner - steak potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156922 -  ..
156923 - Vomiting: 0% - bloating PL 1  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156953 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156958 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156960 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156961 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156964 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
156973 -         ..
156974 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156975 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156976 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156977 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156978 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156979 -  269.  250926 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156980 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
156981 -               0715....BP HR..................................................... 156  95  52  Kardia ECG reports HR status, see below. ref SDS 0 7PGM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156982 -               0720....BP HR..................................................... 139  74  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156983 -               0725....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
156984 -               0725....40 470460 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
156985 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
156986 -               1210....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156987 -               1210... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
156988 -               1210....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
156989 -               1210....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156990 -               1210....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
156991 -               1210....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
156992 -               1210... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
156993 -  ..
156994 -               1230....miles...........  14.0  49.0  237   826 minutes  temp  88 wind 13  rain  0% light mist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156995 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156996 -               1222....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
156997 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
156998 -               1522....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
156999 -               1522... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
157000 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157001 -               1522... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157002 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157003 -               1641...  Hike ends mile 14..... ref SDS 0 6Q5V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157004 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157005 -               1700....weight.................................... 175  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157006 -               1705....BP HR..................................................... 109  74 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157007 -               1715....BP HR.....................................................  91  63 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157008 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157009 -               1730... 40 128300 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                                                                                                                                                                                                                                                                                  
157010 -             1 0000............ 10 22070  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157011 -             1 0000............ 10 22420  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157012 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157013 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157014 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157015 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157016 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157017 -               2250... 1000 2579000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157018 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157019 -               2330... 40 470500 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157020 -               2340... 40 103000 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157023 -  ..
157024 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157025 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157027 -  ..
157028 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157029 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157030 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157031 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157032 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157033 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157035 -  ..
157036 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157037 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157039 -  ..
157040 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157041 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157044 -  ..
157045 - Today, hiked 17 miles - started at 1230, when temp was already 80;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157046 - increased feet pain; difficult hike.  No sudden severe HR drops and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157047 - spikes today, as occurred yesterday.  Continued with Stable Elite                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157048 - orthotic inserts, because Powerstep inserts need to be replaced,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157049 - pending meeting with Doctor Hewitson in Podiatry on 250929.  Pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157050 - continued contained with meds.  After hike today, buble blister on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157051 - left foot #1, and on right foot #1, both despite using bandaging to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157052 - prevent pressure - bandaging totally failed.  There was increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157053 - metatarsalgis pain, wearing Hoka Bondi 9 shoes with more cushioned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157054 - soles - disappointing.  Bloating did not resolve by end of hike -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157055 - seems like lingering dysfunctional ANS affliction, along with swelled                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157056 - lips.  Out of Urea 20% for calluses, refill pending; received refill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157057 - Ammonium Lactate 12% for metatarsalgia - thanks to Doctor Tang.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157060 -         ..
157061 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157062 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157063 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
157064 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157065 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157066 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157067 -        Heat rash quads.vasculitis.see 210618........   4        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157068 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157069 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
157070 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157071 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157072 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157073 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157074 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
157075 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157076 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
157077 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157078 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
157079 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157080 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157081 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157082 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157083 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
157084 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157085 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157086 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157087 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157088 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
157089 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157090 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157091 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157092 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157093 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157094 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157095 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157096 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
157097 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157098 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157099 -        Metatarsalgia left foot...PRP 210705.........   6         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
157100 -        Metatarsalgia right foot..PRP 210705.........   6         30  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
157101 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
157102 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
157103 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157104 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157105 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
157106 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
157107 -        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                                                                                                                                                                                                                                                                                                                           
157108 -        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                                                                                                                                                                                                                                                                                                                                                                                    
157109 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157110 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
157111 -        Callus big toe left foot...PRP 210705........   4         30  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
157112 -        Callus big toe right foot...PRP 210705.......   4         30  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157113 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157114 -        Blister below big toe left foot..............   2        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
157115 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
157116 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
157117 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157118 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
157119 -        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                                                                                                                                                                                                                                                                                                                                                                                        
157120 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157121 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
157122 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157123 -        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                                                                                                                                                                                                                                                                                                                                                              
157124 -        Callus little toe #5 left foot...PRP 210705..   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
157125 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
157126 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157127 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157128 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
157129 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157130 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
157131 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
157132 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157133 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
157134 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157135 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157136 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157137 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157138 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157139 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157140 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157141 -        Wobbly disoriented staggering dizzy..........   0        100  took 1 Naproxen mile 00, and 1 Naproxen mile 08, and 1 Naproxen mile 14, and 1 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
157142 -        Wasted - severe energy deficit...............   4         20  energy low after taking 2 magnesium mile 00 and 1 magnesium mile 10, 0 magnesium mile 14 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                              
157143 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157145 -  ..
157146 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157147 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157149 -  ..
157150 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157151 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157152 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157153 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157154 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157155 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157156 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157157 - 1 Naproxen.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157158 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157159 - HDL and EPCs essential to treat IHD.  Today, suffered blisters on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157160 - feet #1.  Considered buying another shoe brand with double extra wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157161 - shoe box, reported today on 250926 1018. ref SDS A9 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157163 -  ..
157164 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157165 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157166 - Doctor Tang advised Powerstep inserts created by Doctor Hewittson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157167 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157168 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157169 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157170 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157172 -  ..
157173 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157174 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157175 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157176 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157177 - nor recurrent blisters.  Some areas felt blistered, but there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157178 - bubble when shoes removed at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157180 -  ..
157181 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157183 -  ..
157184 - Callus Injuries - today on 250916, continued using larger Corn bandage                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157185 - with donut whole that distributes pressure to perimeter of callus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157187 -                    1 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157188 -                    1 Naproxen mile 10 had PL 7 last 4 miles of 14 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157190 -  ..
157191 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157192 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157193 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157194 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157195 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157197 -  ..
157198 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157200 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157201 -            1 magnesium at mile 10 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157203 -  ..
157204 - Bandaging worse results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157206 -        Large donut opening on left foot #1 well centered and stayed in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157207 -        place.  Max PL 7 last 4 miles - failed; bubble blister formed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157208 -        within opening of bandage.  This callus needs to be shaved down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157209 -        and/or need a thicker bandage to prevent side of show pressing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157210 -        on callus during hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157212 -         ..
157213 -        No bandaging right foot #1 - blood blister formed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157215 -         ..
157216 -        Silicone Toe Cap worked well on right foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157218 -         ..
157219 -        Gel Toe Protector worked well on left foot #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157222 -  ..
157223 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157224 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157225 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157226 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157227 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157228 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157231 -  ..
157232 - Concord 17 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157233 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157234 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157235 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157236 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157237 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157238 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157239 - take 1 Naproxen (Tramadol refill ordered on 250917 1939. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157240 - 4N6O) for pain management, despite 2 Tramadol was not enough to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157241 - past mile 4 on Concord route - had to take more to reach mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157242 - during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157243 - healed past 3 weeks, while applying Urea 20% to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157244 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157245 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157246 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157247 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157248 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157249 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157250 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157251 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157252 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157253 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157254 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157255 - Both magnesium and CoQ10 are large pills, which are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157256 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157257 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157258 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157259 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157260 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157261 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157262 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157263 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157264 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157265 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157266 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157267 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157268 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157269 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157270 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157271 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157272 - above. ref SDS 0 PIEV  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157273 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157274 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157275 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157276 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157277 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157278 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157279 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157280 - hydration, nutrition, meds, medical supplies.  Temperature 88, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157281 - wind 13 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157282 - Starting hike stomach seemed less bloated (conflicts with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157283 - "impaired HRV" overnight Polar study, above, ref SDS 0 MWED), and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157284 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157285 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157286 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157287 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157288 - with no dyspnea, indicating strong respiratory condition has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157289 - sustained, despite hiking minimal miles this past weeks.  Hiked East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157290 - on Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157291 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157292 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157293 - continued at good 15-minute mile pace.  With temperature above 80,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157294 - stayed on West side of road for cooler temperature from trees with sun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157295 - on South Westerly trajectory.  Did not hike across Newhall Community                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157296 - across Newhall Community park and back today.  Left foot #1 PL 3, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157297 - PL 0; right foot #1 PL 2 - endorphins and Naproxen already less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157298 - effective.  Continued on Turtle Creek Road uphill 4% grade.  Speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157299 - increased, energy good at end of Turtle Creek Road - turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157300 - Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157301 - feeling neuropathy top of hands - turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157302 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157303 - complex.   About mile 3.5 metatarsalgia bottom both feet PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157304 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157305 - sidewalk .5 miles.  Energy good - did not feel sense of hitting an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157306 - "energy deficit wall" near mile 4, having to stop at Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157307 - Pizza restaurant to take interim magnesium and CoQ10.  This has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157308 - major question for hikes past 8 months.  Continued hiking past mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157309 - Turned right heading West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157310 - sidewalk .5 miles.  This is difficult part of hike with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157311 - often greater than PL 2; however, today PL 0 hiking on sidewalk and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157312 - wearing Hoka Bondi 9 shoes, per above. ref SDS 0 FHK2  Crossed Park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157313 - Highlands Road at Stop Light still heading West .25 miles now on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157314 - asphalt shoulder.  Crossed to South side Ygnacio Valley Road to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157315 - on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157316 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 1.25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157317 - miles East.  At Pennsylvania Boulevard turned around hiked back on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157318 - Pine Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157319 - heading West uphill 3% grade.  Hiked 1 mile against wind 07 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157320 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157321 - uphill 4% grade .25 mile.  Legs not fatigued with lactic acid -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157322 - struggled hiking uphill today, possibly decreased sinus rhythm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157323 - overnight decreased ferritin, reported im lab on 250807 0654,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157324 - ref SDS A1 VP5H, per MAI research on 250430 2137. ref SDS 89 GW9J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157325 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157326 - Campus.  Hiked loop around main buildings stopping in back at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157327 - area - did 20 half pull-ups and 20 half push-ups, then continued back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157328 - to Visitor parking - with low energy did not hike loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157329 - Faculty and Student parking lots.  Back at Visitor Parking, stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157330 - Administration building mile 10 time 1522 temp 87 and wind 11 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157331 - looks mostly uniform with no artifact.  Kardia reported HR 115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157332 - Tachycardia - see below. ref SDS 0 YHD5  Bloating PL 3, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157333 - PL 4, both feet metatarsalgia PL 4, burning sensation PL 2.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157334 - #1 PL 5 and #5 PL 1.  Right foot #5 PL 1, #4 PL 0, #1 PL 3.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157335 - Naproxen 250 mg total today 2, for pain.  Took 1 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157336 - mg pill, total 3, for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157337 - inflammation, per research on 200101 0701. ref SDS 18 QP6L  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157338 - softdrink carried from home for hydration and swallowing nutrition -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157339 - peanut butter, avocado with margarine and Mayonnaise.  Chia Seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157340 - electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157341 - complete hike.  Since temperature 87, which causes sweating that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157342 - ejects electrolytes, did not take 1 Nuun electrolyte pill (forgot to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157343 - bring pills), per above. ref SDS 0 8PXS  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157344 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157345 - Hiked West on flat grade .5 miles.  At mile 11, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157346 - Ranch Road uphill 3% grade .5 miles against wind 23 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157347 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157348 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157349 - grade to summit at end of concrete barriar mile 12.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157350 - hiked back, then left onto Cowell heading North .25 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157351 - asphalt shoulder downhill 5% grade, then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157352 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157353 - left onto Treat hiking West .25 miles back to Cuneo, then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157354 - hike mile 14 time 1641 temp 88, wind 11, bloating PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157355 - PL 3, feet metatarsalgia PL 6, burning sensation PL 7, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157356 - 6 (another bubble blister), #5 edge PL 2, right foot #1 blister (new)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157357 - PL 4, #5 PL 2, #4 PL 0, shin splints PL 0, left knee PL 2 (not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157358 - swollen), right knee PL 0, left shoulder PL 0, neck and right shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157359 - PL 0 intermittantly, lower back middle PL 0 - usually stress carrying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157360 - backpack, but not today, left elbow PL 0, when lifting.  EKG uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157361 - with much artifact, Kardia reported HR 122 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157362 - ref SDS 0 6Q5V                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157382 -  ..
157383 - Kardia recorded HR 50 at 0952, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157384 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157385 - hiking 22 miles temp 85 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157386 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157387 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157388 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157389 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157392 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157393 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250926-ecg-095255_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157399 -  ..
157400 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157401 - hike 14 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157402 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157403 - ..
157404 -                                                                                                                                                                                                                                                                                                              x
157405 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157406 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157407 -       Date          250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 250710 250709 250708 25070  
157408 -       Miles            14     22     21     22     13     21     22     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0      0      0     15  
157409 -       HR AVG          116    121    124    119    108    124    119    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no     no     no    115  
157410 -         MAX           131    170    145    138    137    145    138    141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report report report report  140  
157411 -         Min            64     69     76     84     81     76     84     67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                                         66  
157412 -       El Climb Ft     412    426    546    426    280    546    426    426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                                        328  
157413 -       Temp Max         88     85     88     83     60     88     83     84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                                         55  
157414 -       Wind Max         13     23     13     22     13     13     22     12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                                         14  
157415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157417 -              https://flow.polar.com/training/analysis/8196204801                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157420 -               ..
157422 -   
157423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157428 -  ..
157429 - EKG at mile 10 time 1522 HR 115 temp 87, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157430 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157431 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157434 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157435 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250926-ecg-152233_mile_10_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157439 -  ..
157440 - End hike EKG at mile 14, time 1641 HR 122 temp 88 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157441 - Tachycardia... looks mostly uniform with much artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157442 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157445 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157446 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250926-ecg-164139_mile_14_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157451 -  ..
157452 - Post hike 250926 HR profile beginning 2358, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157453 - activity after hiking 17 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157454 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157455 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157456 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157459 -        ..
157460 -       Date      250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718  250717    
157461 -       Time       2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951    1951     
157462 -       Hours        10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9       9     
157463 -       HR AVG       62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56      56     
157464 -       HR MAX       98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     103     
157465 -       HR Min       36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39      39     
157466 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157468 -              https://flow.polar.com/training/analysis/8196627078                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157471 -  ..
157472 - HRV seems  15% 0 and 20% - good and 60% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157475 -   
157476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157480 -  ..
157481 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157482 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157483 - Dinner - steak potato broccoli onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157485 -  ..
157486 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157487 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157536 -         ..
157537 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157538 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157539 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157540 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157541 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157542 -  270.  250927 0730............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157543 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157544 -               0745....BP HR..................................................... 134  77  50  Kardia ECG reports HR status, see below. ref SDS 0 FGUX                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157545 -               0750....BP HR..................................................... 137  75  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157546 -               0755....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157547 -               0755....40 470540 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
157548 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157549 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157550 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157551 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157552 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157553 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157554 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157555 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157556 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157557 -               1730... 40 128340 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                                                                                                                                                                                                                                                                                  
157558 -               1830............ 10 22080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157559 -               1830............ 10 22430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157560 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157561 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157562 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157563 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157564 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157565 -               2250... 1000 2580000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157566 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157567 -               2330... 40 470580 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157568 -               2340... 40 103040 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157570 -  ..
157571 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157572 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157574 -  ..
157575 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157576 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157577 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157578 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157579 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157580 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157582 -  ..
157583 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157584 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157586 -  ..
157587 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157588 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157593 -  ..
157594 - Kardia recorded HR 47 at 1029, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157595 - mostly uniform heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157596 - no AFL after hiking 14 miles temp 88 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157597 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157598 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157599 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157600 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157603 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157604 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250927-ecg-102906_mile_00_047_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157608 -  ..
157609 - Post hike 250927 HR profile beginning 2324, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157610 - activity after hiking 14 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157611 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157612 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157613 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157616 -        ..
157617 -       Date      250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719  250718    
157618 -       Time       2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011    1951     
157619 -       Hours         9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10       9     
157620 -       HR AVG       68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60      56     
157621 -       HR MAX      104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     103     
157622 -       HR Min       46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40      39     
157623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157625 -              https://flow.polar.com/training/analysis/8197204649                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157626 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157628 -  ..
157629 - HRV seems  60% 0 and 20% - good and 20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157630 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157632 -   
157633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157637 -  ..
157638 - Breakfast - pancake eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157639 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157640 - Dinner - steak avocado asparagus cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157642 -  ..
157643 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157691 -         ..
157692 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157693 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157694 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157695 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157696 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157697 -  271.  250928 0715............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157698 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157699 -               0725....BP HR..................................................... 137  79  61  Kardia ECG reports HR status, see below. ref SDS 0 EAYQ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157700 -               0730....BP HR..................................................... 139  83  61                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157701 -               0735....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157702 -               0735....40 470620 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
157703 -               0000....Tramadol 50 mg took 1 pill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157704 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157705 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157706 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157707 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157708 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157709 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157710 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157711 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157712 -               1730... 40 128380 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                                                                                                                                                                                                                                                                                  
157713 -             1 0000............ 10 22080  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157714 -             1 0000............ 10 22430  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157715 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157716 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157717 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157718 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157719 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157720 -               2250... 1000 2581000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157721 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157722 -               2330... 40 470660 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157723 -               2340... 40 103080 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157725 -  ..
157726 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157727 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157729 -  ..
157730 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157731 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157732 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157733 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157734 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157735 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157737 -  ..
157738 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157739 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157741 -  ..
157742 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157743 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157744 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157750 -  ..
157751 - Kardia recorded HR 50 at 0919, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157752 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157753 - hiking 00 miles temp __ yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157754 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157755 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157756 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157757 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157760 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
157761 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250928-ecg-091908_mile_00_050_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157766 -  ..
157767 - Post hike 250928 HR profile beginning 1857, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157768 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157769 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157770 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157771 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157774 -        ..
157775 -       Date      250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720  250719    
157776 -       Time       1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259    2011     
157777 -       Hours         6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5      10     
157778 -       HR AVG       65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63      60     
157779 -       HR MAX      127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     125     
157780 -       HR Min       42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42      40     
157781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157783 -              https://flow.polar.com/training/analysis/8197505315                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157786 -  ..
157787 - HRV seems  15% 0 and 85% - good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157790 -   
157791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157795 -  ..
157796 - Breakfast - cheerios strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157797 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157798 - Dinner - steak avocado asparagus cottage cheese onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157800 -  ..
157801 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157807 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157808 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157815 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157819 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157823 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157826 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157827 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157828 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157829 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157850 -         ..
157851 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157852 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157853 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157854 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157855 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157856 -  272.  250929 0100............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157857 -               0120....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157858 -               0125....BP HR..................................................... 152  89  62  Kardia ECG reports HR status, see below. ref SDS 0 4M3G                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157859 -               0130....BP HR..................................................... 142  65  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157860 -               0135....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157861 -               0135....40 470700 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
157862 -               0310....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157863 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157864 -               0310... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157865 -               0310....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157866 -               0310....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157867 -               0310....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157868 -               0310....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157869 -               0310... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
157870 -  ..
157871 -               0345....miles...........  15.0  15.0  279   279 minutes  temp  63 wind  2  rain  0% light mist 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157872 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157873 -               0544....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157874 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157875 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157876 -               0544... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
157877 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157878 -               0544... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157879 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157880 -               0805...  Hike ends mile 15..... ref SDS 0 9NQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157881 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157882 -               0810....weight.................................... 175  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157883 -               0810....BP HR..................................................... 112  72 119                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157884 -               0815....BP HR.....................................................  91  67 105                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157885 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157886 -               1700... 40 128420 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                                                                                                                                                                                                                                                                                  
157887 -               1830............ 10 22090  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
157888 -               1830............ 10 22440  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
157889 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157890 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157891 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157892 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157893 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157894 -               2250... 1000 2582000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157895 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157896 -               2330... 40 470740 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157897 -               2340... 40 103120 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
157898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157900 -  ..
157901 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157902 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157904 -  ..
157905 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157906 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157907 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157908 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157909 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157910 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157912 -  ..
157913 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157914 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157916 -  ..
157917 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157918 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157921 -  ..
157922 - Today, hiked 15 miles - very surprised no difficulty hiking back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157923 - uphill 2 miles from Ocean Beach to hospital (VAMCSF) that occurred a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157924 - week ago on 250922, per above. ref SDS 0 6HIN  Switched to Powerstep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157925 - inserts for Doctor Hewitson to evaluate this morning in Podiatry after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157926 - the hike.  Pain was contained with meds, but did not take meds at mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157927 - 7.  On way back breakthrough pain PL 6 for about 4 miles.  Should have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157928 - taken meds at mile 7.  Used silicone toe caps instead of bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157929 - both feet today.  After hike today, no buble blister on left foot #1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157930 - and none on right foot #1, as occurred on prior hike.  There was same                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157931 - reduced metatarsalgis pain, wearing Hoka Bondi 9 shoes with more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157932 - cushioned soles.  Bloating did not resolve by end of hike - seems like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157933 - lingering dysfunctional ANS affliction, along with swelled lips.  Can                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
157934 - begin using Urea 20% for calluses, and Ammonium Lactate 12% for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157935 - metatarsalgia - received on arriving home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
157938 -         ..
157939 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157940 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157941 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
157942 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157943 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
157944 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157945 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157946 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
157947 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
157948 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157949 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157950 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
157951 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157952 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
157953 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157954 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
157955 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157956 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
157957 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157958 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157959 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157960 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157961 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
157962 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157963 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157964 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
157965 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157966 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
157967 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
157968 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157969 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157970 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157971 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
157972 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157973 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
157974 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
157975 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157976 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
157977 -        Metatarsalgia left foot...PRP 210705.........   5         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
157978 -        Metatarsalgia right foot..PRP 210705.........   5         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
157979 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
157980 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
157981 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157982 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157983 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
157984 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
157985 -        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                                                                                                                                                                                                                                                                                                                           
157986 -        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                                                                                                                                                                                                                                                                                                                                                                                    
157987 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157988 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
157989 -        Callus big toe left foot...PRP 210705........   6         30  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
157990 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
157991 -        Blister below big toe right foot.............   0         30  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
157992 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
157993 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
157994 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
157995 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
157996 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
157997 -        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                                                                                                                                                                                                                                                                                                                                                                                        
157998 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
157999 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
158000 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158001 -        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                                                                                                                                                                                                                                                                                                                                                              
158002 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
158003 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
158004 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158005 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158006 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
158007 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158008 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
158009 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
158010 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158011 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
158012 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158013 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158014 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158015 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158016 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158017 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158018 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158019 -        Wobbly disoriented staggering dizzy..........   3          5  took 2 Tramadol mile 00, and 0 Naproxen mile 07, and 0 Naproxen mile 14, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
158020 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 07, 0 magnesium mile 14 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
158021 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158023 -  ..
158024 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158025 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158027 -  ..
158028 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158029 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158030 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158031 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158032 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158033 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158034 - pressure.  Calluses on left foot #1 and #5 were initially PL 0.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158035 - 1 Naproxen.  Hoka Bondi shoes have good rebound energy, that is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158036 - increased with heal inserts.  This enables long hikes that increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158037 - HDL and EPCs essential to treat IHD.  Today, suffered blisters on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158038 - feet #1.  Considered buying another shoe brand with double extra wide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158039 - shoe box, reported today on 250926 1018. ref SDS A9 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158041 -  ..
158042 - Orthotic inserts - wore Stable Elite inserts again, purchased from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158043 - Mark Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, because                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158044 - Doctor Tang advised Powerstep inserts created by Doctor Hewitson on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158045 - 250325 0830. ref SDS 83 5Q5M and explained in case study record on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158046 - 200101 0701, ref SDS 18 Q34F, have begun to fail causing continual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158047 - feet injuries, reported on 250904 1030. ref SDS A5 1Z7N  Seemed like                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158048 - less injuries today, because inserts retain structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158050 -  ..
158051 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued with 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158052 - pair Wrightsocks 2-ply socks.  Now that some healing has occurred on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158053 - calluses, hoping to avoid blisters on #1 and #5 left foot that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158054 - occurred on 250819, wearing Smartwool socks.  Did not seem to get new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158055 - nor recurrent blisters.  Some areas felt blistered, but there was no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158056 - bubble when shoes removed at end of hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158058 -  ..
158059 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158061 -  ..
158062 - Callus Injuries - today on 250929, switched from using larger Corn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158063 - bandage with donut whole that distributes pressure to perimeter of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158064 - callus, and instead tried silicon toe caps on #1 and #5 both feet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158065 - and in order to prevent friction blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158067 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158068 -                    0 Naproxen mile 07 had PL 6 last 4 miles of 15 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158070 -  ..
158071 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158072 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158073 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158074 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158075 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158077 -  ..
158078 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158079 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158080 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158081 -            1 magnesium at mile 07 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158083 -  ..
158084 - Bandaging better results today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158085 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158086 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158087 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158089 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158090 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158092 -         ..
158093 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158094 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158096 -         ..
158097 -        Gel Toe Cap right foot #4, did not have bubble blister again;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158098 -        had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158101 -  ..
158102 - Urea 20% cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158103 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158104 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158105 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158106 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158107 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158110 -  ..
158111 - San Francisco 15 mile route, reported on 170519, ref SDS 8 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158112 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158113 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158114 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158115 - and also left hip.  At the hospital, before starting the hike, took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158116 - Tramadol for pain management, mostly metatarsalgia and other feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158117 - injuries, per above. ref SDS 0 7IOE  Before starting hike at hospital,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158118 - took 2 Magnesium Complex 300 mg pills for energy; and to absorb lactic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158119 - acid for pain management, and resolve inflammation to enable HDL to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158120 - increase that together with EPCs regress plaque in blood vessels - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158121 - research on 200101 0701, ref SDS 18 QP6L - was difficult swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158122 - pill whole, recommended by manufacturer, after EGD dilated LESV on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158123 - 250718 0830, ref SDS 99 274L, this avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158124 - occurred on 240824. ref SDS 36 PPTU  Had small amount peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158125 - and margarine, and Mayonnaise, and chia seeds for electrolytes and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158126 - energy, and had some avocado for HDL, ...and took 5 ml liquid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158127 - Ubiquinol CoQ10 - all per above. ref SDS 0 GUCJ  CoQ10 is an enzyme                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158128 - produced in the body that supports an electron transport chain (ETC)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158129 - giving human cells energy - see case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158130 - 136K  No breakfast reduces bloating feeling, but still bloated                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158131 - starting hike today, from ischemic colitis caused by taking statins                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158132 - and other drugs, also symptomatic of diabetes, and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158133 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158134 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158135 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158136 - stuff.  Temperature mild 63 and wind 02 mph.  Slightly misty starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158137 - hike.  Departed VAMCSF campus in dark at 0345.  Hiked slowly downhill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158138 - on 42nd Street to warm up.  Turned corner heading downhill West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158139 - Point Lobos to Cliff House at mile 1.  Road bends and changes to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158140 - "Great Highway" going South along ocean beach.  Pace picked up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158141 - CoQ10 and magnesium was digested and increased strength.  At mile 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158142 - mist stopped.  Turned onto John F Kennedy (JFK) Drive entering Golden                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158143 - Gate Park.  Maintained pace going slightly uphill into the park for .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158144 - mile.  Did not encounter early morning jogger going West, so his                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158145 - situation may have changed.  Turned corner and continued East on JFK.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158146 - Dark and with few widely spaced street lights, cannot see the road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158147 - Passed Buffalo compound, then Spreckles Lake.  Hiked past Lindley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158148 - Meadow.  Encountered 1 biker passing Helman Hollow.  Both feet pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158149 - level 1.  Hiked under bridge at Crossover Drive (part of highway 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158150 - that goes to Golden Gate Bridge). - JFK is blocked to vehicle traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158151 - the rest of the way through the park to Stanyon, limiting attendance                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158152 - to keep people separated that minimizes spreading coronavirus.  Now                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158153 - that the epidemic has been declared over, the park continues to deny                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158154 - access to drivers on JFK.  At mile 5, hiked past De Young Museum.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158155 - Encountering more hikers and bikers heading in both directions.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158156 - Conservatory and Nancy Pelosi Way.  Turned onto Stanyon and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158157 - uphill North.  Crossed Fulton at street light; no traffic, so was not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158158 - affected by the stop lights.  Continued downhill a few blocks.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158159 - left onto Paramount.  Hiked to the end and stopped mile 7, time 0544,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158160 - temp 63, wind 01; EKG mostly uniform with artifact.  Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158161 - HR 101 Tachycardia - see below. ref SDS 0 7NHE  Bloating PL 2.  Both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158162 - feet PL 2, burning sensation PL 0, left foot #1 PL 2 and #5 PL 1,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158163 - right foot #1 PL 1, #4 PL 0, left knee PL 2, and left hamstring PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158164 - Took 0 Tramadol.  Took Magnesium.  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158165 - for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158166 - margarine, Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158167 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158168 - electrolyte pill.  Took 5 ml Ubiquinol liquid CoQ10, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158169 - ref SDS 0 6HW2  Hiked uphill on Paramount.  Turned right and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158170 - back on Stanyon heading South uphill.  Crossed Fulton at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158171 - Morning commute traffic is heavy now.  Went downhill on Stanyon and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158172 - turned right onto JFK, heading West toward the Ocean.  Stayed on South                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158173 - side against traffic (no actual vehicle traffic in park).  Increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158174 - pace with magnesium kicking in and endorphins rising.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158175 - Conservatory again, and De Young Museum.  About mile 10, Waterfall not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158176 - running this morning at 0640, before passing under Crossover Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158177 - bridge at highway 1.  Hiked past Hellman Hollow then Lindley Meadow,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158178 - where 10 years ago, a truck backed up because missed a turn, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158179 - struck Kathy's car; this got her a new car, reported on 150729 0942.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158180 - ref SDS 6 0001  Continued hiking past Spreckles Lake, then saw 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158181 - Buffalo grazing in the compound.  Crossed to North side of JFK going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158182 - with traffic.  Turned corner and headed toward the ocean.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158183 - North onto Great Highway.  Hiked parallel to Ocean Beach toward the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158184 - Cliff House and hospital.  Halfway to Cliff House had liquid CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158185 - energy.  Pace slowed hiking up steep hill - 5% - 6% grade - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158186 - stop, and maintained breathing without dyspnea today, i.e., did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158187 - breath through mouth last mile uphill to the hospital, similar to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158188 - on 240829, ref SDS 36 QTSP  Significant improvement compared to last                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158189 - week, when breathing became very difficult going up this hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158190 - Indicates condition has improved after increasing hiking to recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158191 - from cardiac ablation on 240611 - see Polar GPS/HR report on daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158192 - hiking in the record on ref SDS 36 UVYY  At the Cliff House, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158193 - onto Point Lobos Avenue going East; hiked uphill for 1 mile.  Seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158194 - strong and plenty of energy.  Turned onto 42nd street and maintained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158195 - pace going up final hill to the VA campus.  Hiked loop around parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158196 - lot.  Ended hike mile 14, time 0805 temp 61, wind 02, bloating PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158197 - energy deficit PL 4, feet metatarsalgia PL 5, burning sensation PL 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158198 - left foot #1 PL 6, #5 PL 2.  Right foot #5 PL 3, and #4 PL 1.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158199 - blistering today, with silicon to caps, per above. ref SDS 0 NT6F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158200 - Both ankles PL 0.  Left knee meniscus PL 2.  EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158201 - significant artifact, Kardia reported HR 106 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158202 - ref SDS 0 9NQP  After returning to Concord went to Costco and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158203 - another mile from the parking lot and shopping in aisles of the store.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158204 - Total mileage today - 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158228 -  ..
158229 - Kardia recorded HR 50 at 0052, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158230 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158231 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158232 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158233 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158234 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158235 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158238 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158239 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250929-ecg-005258_mile_00_050_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158245 -  ..
158246 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158247 - used*** hike 15 miles.  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158248 - ref SDS 18 TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158249 - ..
158250 -                                                                                                                                                                                                                                                                                                              x
158251 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158252 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158253 -       Date          250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 250713 250712 250711 25071  
158254 -       Miles            15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0      0      0      0  
158255 -       HR AVG          109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no     no     no     no  
158256 -         MAX           130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report report report report repo  
158257 -         Min            74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                                        
158258 -       El Climb Ft     340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                                        
158259 -       Temp Max         63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                                        
158260 -       Wind Max          2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                                        
158261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158263 -              https://flow.polar.com/training/analysis/8197930399                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158266 -               ..
158268 -   
158269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158274 -  ..
158275 - EKG at mile 07 time 0544 HR 101 temp 63, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158276 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158277 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158280 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158281 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250929-ecg-054426_mile_07_101_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158285 -  ..
158286 - End hike EKG at mile 15, time 0805 HR 106 temp 61 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158287 - Tachycardia... looks mostly uniform with significant artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158288 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158291 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158292 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_250929-ecg-080512_mile_15_106_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158297 -  ..
158298 - Post hike 250929 HR profile beginning 0011, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158299 - activity after hiking 15 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158300 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158301 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158302 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158305 -        ..
158306 -       Date      250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721  250720    
158307 -       Time       0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916    2259     
158308 -       Hours        10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9       5     
158309 -       HR AVG       60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66      63     
158310 -       HR MAX      113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     100     
158311 -       HR Min       40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36      42     
158312 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158314 -              https://flow.polar.com/training/analysis/8198417768                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158317 -  ..
158318 - HRV seems  15% 0 and 15% - good and 70% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158319 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158321 -   
158322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158324 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158326 -  ..
158327 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158328 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158329 - Dinner - steak potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158331 -  ..
158332 - Vomiting: 0% - bloating PL 4  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158335 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158336 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158339 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158340 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158343 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158346 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158347 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158372 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158375 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158376 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158381 -         ..
158382 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158383 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158384 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158385 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158386 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158387 -  273.  250930 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158388 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158389 -               0725....BP HR..................................................... 130  68  62  Kardia ECG reports HR status, see below. ref SDS 0 RBEZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158390 -               0730....BP HR..................................................... 132  72  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158391 -               0735....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158392 -               0735....40 470780 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
158393 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158394 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158395 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158396 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158397 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158398 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158399 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158400 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158401 -               1830... 40 128460 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                                                                                                                                                                                                                                                                                  
158402 -             1 1830............ 10 22090  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158403 -             1 0000............ 10 22440  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158404 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158405 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158406 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158407 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158408 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158409 -               2250... 1000 2583000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158410 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158411 -               2330... 40 470820 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158412 -               2340... 40 103160 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158415 -  ..
158416 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158417 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158419 -  ..
158420 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158421 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158422 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158423 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158424 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158425 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158427 -  ..
158428 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158429 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158431 -  ..
158432 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158433 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158434 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158435 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158438 -  ..
158439 - Kardia recorded HR 55 at 0805, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158440 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158441 - AFL after hiking 15 miles temp 63 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158442 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158443 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158444 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158445 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158448 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158449 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_250930-ecg-103332_mile_00_055_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158454 -  ..
158455 - Post hike 250930 HR profile beginning 1922, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158456 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158457 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158458 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158459 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158462 -        ..
158463 -       Date      250930  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721    
158464 -       Time       1922    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916     
158465 -       Hours        12      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9     
158466 -       HR AVG       63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66     
158467 -       HR MAX      111     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     
158468 -       HR Min       40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36     
158469 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158471 -              https://flow.polar.com/training/analysis/8198915555                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158474 -  ..
158475 - HRV seems  20% 0 and 20% - good and 60% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158478 -   
158479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158480 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158481 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158483 -  ..
158484 - Breakfast - pancake eggs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158485 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158486 - Dinner - steak potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158488 -  ..
158489 - Vomiting: 0% - bloating PL 4  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158534 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158537 -         ..
158538 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158539 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158540 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158541 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158542 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158543 -  274.  251001 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158544 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158545 -               0705....BP HR..................................................... 133  88  47  Kardia ECG reports HR status, see below. ref SDS 0 WJBN                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158546 -               0710....BP HR..................................................... 126  80  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158547 -               0715....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158548 -               0715....40 470860 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
158549 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158550 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158551 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158552 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158553 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158554 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158555 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158556 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158557 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158558 -               1830... 40 128500 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                                                                                                                                                                                                                                                                                  
158559 -               1830............ 10 22100  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158560 -               1830............ 10 22450  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158561 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158562 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158563 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158564 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158565 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158566 -               2250... 1000 2584000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158567 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158568 -               2330... 40 470900 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158569 -               2340... 40 103200 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158572 -  ..
158573 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158574 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158576 -  ..
158577 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158578 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158579 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158580 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158581 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158582 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158584 -  ..
158585 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158586 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158588 -  ..
158589 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158590 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158599 -  ..
158600 - Kardia recorded HR 48 at 0749, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158601 - heart beat lengths with p-waves and minor artifact, likely no AFL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158602 - after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158603 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158604 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158605 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158606 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158609 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158610 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251001-ecg-074953_mile_00_048_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158617 -  ..
158618 - Post hike 251001 HR profile beginning 1935, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158619 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158620 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158621 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158622 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158625 -        ..
158626 -       Date      251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722  250721    
158627 -       Time       1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919    1916     
158628 -       Hours         9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11       9     
158629 -       HR AVG       63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63      66     
158630 -       HR MAX      123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     113     
158631 -       HR Min       40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40      36     
158632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158634 -              https://flow.polar.com/training/analysis/8199436272                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158637 -  ..
158638 - HRV seems  25% 0 and 75% good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158641 -   
158642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158646 -  ..
158647 - Breakfast - cheerios banana strawberries milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158648 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158649 - Dinner - hot dog potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158651 -  ..
158652 - Vomiting: 0% - bloating PL 3  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158679 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158680 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158681 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158682 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158685 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158686 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158687 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158688 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158691 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158694 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158695 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158696 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158702 -         ..
158703 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158704 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158705 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158706 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158707 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158708 -  275.  251002 0705............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158709 -               0705....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158710 -               0705....BP HR..................................................... 147  87  50  Kardia ECG reports HR status, see below. ref SDS 0 93XZ                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158711 -               0710....BP HR..................................................... 134  82  47                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158712 -               0715....weight.................................... 180                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158713 -               0715....40 470940 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
158714 -               1130....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158715 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158716 -               1130... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158717 -               1130....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158718 -               1130....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158719 -               1130....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158720 -               1130....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158721 -               1130... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
158722 -  ..
158723 -               1209....miles...........  20.0  35.0  359   638 minutes  temp  72 wind 18  rain  0% light mist 10%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158724 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158725 -               1534....mile 12 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158726 -               0000....Tramadol 50 mg took 0 pills - 1 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158727 -               1534....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158728 -               1534... Magnesium 300 mg 1 pills - 3 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
158729 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158730 -               1534... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158731 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158732 -               0805...  Hike ends mile 15..... ref SDS 0 9NQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158733 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158734 -               1830....weight.................................... 177  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158735 -               1835....BP HR..................................................... 116  78  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158736 -               1840....BP HR..................................................... 109  62  91                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158737 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158738 -               1830... 40 128540 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                                                                                                                                                                                                                                                                                  
158739 -             1 0000............ 10 22100  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
158740 -             1 0000............ 10 22450  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
158741 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158742 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158743 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158744 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158745 -               2140... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158746 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158747 -               2250... 1000 2585000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158748 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158749 -               2330... 40 470980 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158750 -               2340... 40 103240 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158753 -  ..
158754 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158755 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158757 -  ..
158758 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158759 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158760 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158761 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158762 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158763 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158765 -  ..
158766 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158767 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158769 -  ..
158770 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158771 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158774 -  ..
158775 - Today, hiked 20 miles - experimented by omitting bandaging on both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158776 - feet.  Took 2 Tramadol at start mile 0, and 1 Naproxen at mile 12.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158777 - Hiked 20 miles with PL 8 for short periods, PL 0 for long periods, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158778 - mostly PL 3, which is as good or better than any hike the past 4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158779 - months.  Major changes - switching back to 2 pair dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158780 - Wrightsocks, stretching Hoka Bondi 9 shoes yesterday on 251001 1234,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158781 - ref SDS B1 9G2J, and changing feet treatment to Urea20, from Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158782 - Lactate 12%, switched back to Powerstep orthotic inserts, all as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158783 - alternative to bandages.  This was generally successful because meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158784 - controlled pain.  Carried silicone toe caps in backpadk, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158785 - need to put them on during hike.  There was same reduced metatarsalgis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158786 - pain, wearing Hoka Bondi 9 shoes with more cushioned soles.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158787 - resolved by end of hike - seems like lingering dysfunctional ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158788 - affliction, along with swelled lips.  Another major change on this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158789 - hike was temperature dropped to 72.  Wither cooler temp only stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158790 - once for hydration, which was at the college.  This reduced nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158791 - and meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158794 -         ..
158795 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158796 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158797 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
158798 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158799 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158800 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158801 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158802 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158803 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
158804 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158805 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158806 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158807 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158808 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
158809 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158810 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
158811 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158812 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
158813 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158814 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158815 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158816 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158817 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
158818 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158819 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158820 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158821 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158822 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
158823 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158824 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158825 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158826 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158827 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158828 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158829 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158830 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
158831 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158832 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158833 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
158834 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
158835 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
158836 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
158837 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158838 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158839 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
158840 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
158841 -        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                                                                                                                                                                                                                                                                                                                           
158842 -        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                                                                                                                                                                                                                                                                                                                                                                                    
158843 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158844 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
158845 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
158846 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158847 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158848 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
158849 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
158850 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
158851 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158852 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
158853 -        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                                                                                                                                                                                                                                                                                                                                                                                        
158854 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158855 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
158856 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158857 -        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                                                                                                                                                                                                                                                                                                                                                              
158858 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
158859 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
158860 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158861 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158862 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
158863 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158864 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
158865 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
158866 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158867 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
158868 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158869 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158870 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158871 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158872 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158873 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158874 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158875 -        Wobbly disoriented staggering dizzy..........   2          5  took 2 Tramadol mile 00, and 0 Naproxen mile 07, and 0 Naproxen mile 14, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
158876 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 07, 0 magnesium mile 14 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
158877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158879 -  ..
158880 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158881 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158883 -  ..
158884 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158885 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158886 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158887 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158888 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158889 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158890 - pressure.  Yesterday, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158891 - shoes laterally for extra width at #1 and #5, reported on 251001 1234.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158892 - ref SDS B1 9G2J  Today, experimented wearing 2 pair dual-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158893 - and omitting bandaging on calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158895 -  ..
158896 - Orthotic inserts - switched back to Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158897 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158898 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158899 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158900 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158901 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158902 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158903 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158904 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158905 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158907 -  ..
158908 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158909 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158910 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158912 -  ..
158913 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158915 -  ..
158916 - Callus Injuries - today on 251002, omitted all bandaging as experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158917 - testing effect stretching shoes, wearing 2-pair dual-ply Wrightsocks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158918 - and switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158919 - Carried silicon toe caps but did apply on #1 and #5 both feet, and in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158920 - order to prevent friction blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158922 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158923 -                    1 Naproxen mile 12 had PL 3 last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158925 -  ..
158926 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158927 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158928 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158929 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158930 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158932 -  ..
158933 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158934 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158935 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158936 -            1 magnesium at mile 12 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158938 -  ..
158939 - Bandaging did not do any of this today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158941 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158942 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158944 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158945 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158947 -         ..
158948 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158949 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158951 -         ..
158952 -        Gel Toe Cap right foot #4, did not have bubble blister again;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158953 -        had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158956 -  ..
158957 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
158958 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158959 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158960 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158961 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158962 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158963 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
158965 -  ..
158966 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158967 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158968 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158969 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
158970 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158971 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158972 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158973 - take 1 Naproxen (Tramadol refill ordered on 250917 1939. ref SDS A8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158974 - 4N6O) for pain management, despite 2 Tramadol was not enough to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158975 - past mile 4 on Concord route - had to take more to reach mile 8,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158976 - during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158977 - healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158978 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158979 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158980 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
158981 - treatment by Doctor Tang at VAMCSF on 250904 1030, ref SDS A5 BL5K,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
158982 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158983 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
158984 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158985 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158986 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
158987 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
158988 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
158989 - Both magnesium and CoQ10 are large pills, which are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
158990 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158991 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158992 - that restores sinus rhythm to resolve dysfunctional ANS that elevate                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158993 - Ferritin and Transferrin Saturation, which both tested below range on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
158994 - 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
158995 - blood test on 250807 0654. ref SDS A1 VP5H - in telephone meeting with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
158996 - Lauren in Primary Care discussed Iron supplement to increase Ferritin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
158997 - Decided to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
158998 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
158999 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159000 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159001 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159002 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159003 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159004 - potassium) and energy, and had 1/4 avocado for HDL.  Just before                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159005 - starting hike took new Ubiquinol CoQ10 100 mg softgel tablet, all per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159006 - above. ref SDS 0 ZKA9  CoQ10 is an enzyme produced in the body that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159007 - supports an electron transport chain (ETC) giving human cells energy -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159008 - see case study on 200101 0701. ref SDS 18 136K  Minimal breakfast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159009 - reduces bloating feeling starting hike from ischemic colitis caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159010 - taking statins and other drugs, also symptomatic of diabetes, colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159011 - and atrial fibrillation (arrhythmia - impaired heart rate variability                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159012 - (HRV) from dysfunctional autonomic nervous system - ANS), see case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159013 - study on 200101 0701. ref SDS 18 O33H  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159014 - hydration, nutrition, meds, medical supplies.  Temperature 70, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159015 - wind 18 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159016 - Starting hike stomach seemed bloated (conflicts with reduced "impaired                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159017 - HRV" overnight Polar study, above, ref SDS 0 FXGE), and feet feeling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159018 - swelled and like pins and needles - actually minimal today, and - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159019 - not feel electrical shocks in balls of feet this morning - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159020 - peripheral neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159021 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159022 - indicating strong respiratory condition has sustained, despite hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159023 - minimal miles this past weeks.  Hiked East on Treat .5 miles.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159024 - right hiking South on asphalt shoulder of Turtle Creek Road for 1.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159025 - miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159026 - traffic.  Initial .5 mile hiking slow, then continued at good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159027 - 15-minute mile pace.  Did not hike across Newhall Community across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159028 - Newhall Community park and back today.  Left foot #1 PL 0, #5 PL 3;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159029 - right foot #5 PL 0 - endorphins and Naproxen effective.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159030 - Turtle Creek Road uphill 4% grade.  Speed increased, energy good at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159031 - end of Turtle Creek Road - turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159032 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159033 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159034 - shopping complex.   About mile 3.5 metatarsalgia bottom both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159035 - 2.  Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159036 - sidewalk .5 miles.  Energy good - did not feel sense of hitting an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159037 - "energy deficit wall" near mile 4, having to stop at Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159038 - Pizza restaurant to take interim magnesium and CoQ10.  This has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159039 - major question for hikes past 8 months.  Continued hiking past mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159040 - Turned right heading West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159041 - sidewalk .5 miles.  This is difficult part of hike with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159042 - often greater than PL 2.  Today PL 3 hiking on sidewalk and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159043 - Hoka Bondi 9 shoes, per above. ref SDS 0 BH97  Crossed Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159044 - Road at Stop Light still heading West .25 miles now on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159045 - shoulder.  Crossed to South side Ygnacio Valley Road to hike on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159046 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159047 - About mile 5, turned left onto Pine Hollow.  Hiked 1.0 mile East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159048 - Turned around at Rolling Woods Way.  Hiked back on Pine Hollow.  Near                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159049 - Ygnacio Valley road turned left onto Campus Drive heading West uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159050 - 3% grade.  Hiked 1 mile against wind 12 mph.  The road bends North.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159051 - At Ygnacio Valley road turned around and hiked uphill 4% grade .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159052 - mile.  Legs not fatigued with lactic acid - seemed easier hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159053 - uphill today, possibly increased sinus rhythm on hikes has increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159054 - previously low ferritin, reported im lab on 250807 0654, ref SDS A1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159055 - VP5H, per MAI research on 250430 2137. ref SDS 89 GW9J  Reached                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159056 - Visitor Parking California State University East Bay Concord Campus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159057 - Hiked loop around main buildings stopping in back at training area -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159058 - did 20 half pull-ups and 20 half push-ups, then continued back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159059 - Visitor parking.  Hiked loops through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159060 - lots, and another loop around main buildings.  Back at Visitor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159061 - Parking, stopped at Administration building mile 12 time 1534 temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159062 - and wind 10 mph; EKG looks mostly uniform with no artifact.  Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159063 - reported HR 122 Tachycardia - see below. ref SDS 0 HLVB  Bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159064 - 2, energy deficit PL 2, both feet metatarsalgia PL 4, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159065 - sensation PL 0.  Left foot #1 PL 4 and #5 PL 3.  Right foot #5 PL 0,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159066 - #4 PL 0, #1 PL 1.  Took 1 Naproxen 250 mg total today 1, for pain.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159067 - Took 1 Magnesium complex 300 mg pill, total 3, for energy, absorbing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159068 - lactic acid, and reducing inflammation, per research on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159069 - ref SDS 18 QP6L  Sips softdrink carried from home for hydration and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159070 - swallowing nutrition - peanut butter, avocado with margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159071 - Mayonnaise.  Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159072 - pill for HDL and energy to complete hike.  Since temperature 71, which                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159073 - causes minimal sweating that ejects electrolytes, did not take 1 Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159074 - electrolyte pill (forgot to bring pills), per above. ref SDS 0 OJUM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159075 - Exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159076 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159077 - 13, continued past Crystal Ranch Road uphill 3% grade .5 miles against                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159078 - wind 18 mph.  Crossed Cowell at stop light.  At break in traffic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159079 - crossed to North side Ygnacio Valley Road to avoid severe camber.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159080 - Hiked .5 miles uphill 3% grade to summit at end of concrete barriar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159081 - mile 14.  With break in afternoon commute traffic crossed back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159082 - South side Ygnacio Valley Road.  Continued 2 miles downhill 3% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159083 - About mile 16, reached Oak Grove.  Crossed with traffic light.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159084 - not stop at Mod Pizza for hydration, nutrition and meds.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159085 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159086 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159087 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159088 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159089 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159090 - miles on Treat uphill 5% grade temp 82.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159091 - summit, mile 19, hiked another mile to Cuneo, then home.  Ended hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159092 - mile 20 time 1813 temp 70, wind 10.  Bloated PL 3, energy deficit PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159093 - 2, feet PL 5, burning sensation PL 4, left foot #1 PL 3, #5 PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159094 - right foot #5 PL 2, #4 PL 0, #1 PL 2, left knee PL 0, wobbly PL 0.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159095 - EKG looks mostly uniform, with no artifact, Kardia reported HR 109                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159096 - Tachycardia - see below. ref SDS 0 SKIM                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159098 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159100 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159101 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159102 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159104 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159105 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159112 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159113 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159114 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159115 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159120 -  ..
159121 - Kardia recorded HR 62 at 0513, Normal Sinus Rhythm, looks mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159122 - uniform heart beat lengths with p-waves and minor artifact, likely no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159123 - AFL after hiking 00 miles temp __ yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159124 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159125 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159126 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159127 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159130 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159131 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251002-ecg-051358_mile_00_062_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159137 -  ..
159138 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159139 - used*** hike 20 miles.  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159140 - ref SDS 18 TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159141 - ..
159142 -                                                                                                                                                                                                                                                                                                              x
159143 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159144 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159145 -       Date          251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 250714 25071  
159146 -       Miles            20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0      0  
159147 -       HR AVG          119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no     no  
159148 -         MAX           133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report report repo  
159149 -         Min            80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                                   
159150 -       El Climb Ft     426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                                   
159151 -       Temp Max         72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                                   
159152 -       Wind Max         18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                                   
159153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159155 -              https://flow.polar.com/training/analysis/8199800876                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159158 -               ..
159160 -   
159161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159162 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159163 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159164 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159166 -  ..
159167 - EKG at mile 12 time 1534 HR 122 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159168 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159169 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159172 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159173 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251002-ecg-153426_mile_12_122_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159174 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159177 -  ..
159178 - End hike EKG at mile 20, time 1813 HR 109 temp 70 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159179 - Tachycardia... looks mostly uniform with no artifact - medical history                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159180 - case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159183 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159184 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251002-ecg-181331_mile_20_109_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159187 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159189 -  ..
159190 - Post hike 251002 HR profile beginning 2011, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159191 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159192 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159193 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159194 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159197 -        ..
159198 -       Date      251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723  250722    
159199 -       Time       2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123    1919     
159200 -       Hours         5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11      11     
159201 -       HR AVG       71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58      63     
159202 -       HR MAX      117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     130     
159203 -       HR Min       48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41      40     
159204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159206 -              https://flow.polar.com/training/analysis/8199910776                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159209 -  ..
159210 - HRV seems   0% 0 and 100% good and 00% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159213 -   
159214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159218 -  ..
159219 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159220 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159221 - Dinner - hot dog potato asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159223 -  ..
159224 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159237 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159240 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159242 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159272 -         ..
159273 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159274 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159275 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159276 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159277 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159278 -  276.  251003 0140............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159279 -               0145....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159280 -               0155....BP HR..................................................... 133  80  60  Kardia ECG reports HR status, see below. ref SDS 0 6IBL                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159281 -               0200....BP HR..................................................... 125  79  62                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159282 -               0205....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159283 -               0215....40 471020 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
159284 -               0340....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159285 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159286 -               0340... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159287 -               0340....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159288 -               0340....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159289 -               0340....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159290 -               0340....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159291 -               0340... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
159292 -  ..
159293 -               0407....miles...........  13.0  48.0  245   883 minutes  temp  62 wind 09  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159294 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159295 -               0612....mile 07 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159296 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159297 -               0612....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159298 -               0612... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
159299 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159300 -               0612... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159301 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159302 -               0805...  Hike ends mile 15..... ref SDS 0 9NQP                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159303 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159304 -               0810....weight.................................... 177  lost 3#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159305 -               0812....BP HR..................................................... 106  62 110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159306 -               0817....BP HR.....................................................  91  63  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159307 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159308 -               1700... 40 128580 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                                                                                                                                                                                                                                                                                  
159309 -               1830............ 10 22110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
159310 -               1830............ 10 22460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
159311 -               2110....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159312 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159313 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159314 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159315 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159316 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159317 -               2250... 1000 2586000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159318 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159319 -               2330... 40 471060 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159320 -               2340... 40 103280 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159321 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159323 -  ..
159324 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159325 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159327 -  ..
159328 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159329 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159330 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159331 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159332 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159333 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159335 -  ..
159336 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159337 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159339 -  ..
159340 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159341 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159342 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159344 -  ..
159345 - Today, hiked 13 miles - Golden Gate Park from VA in San Francisco -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159346 - JFK was partially blocked for a music concert later in evening; had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159347 - detour around Spreckles Lake to Fulton, then return to at Crossover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159348 - Bridge.  On return took Fulton back to Great Highway.  Major issue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159349 - today, was extreme loss of energy hiking 2 miles uphill from Ocean                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159350 - Beach to the hospital, yet not having to stop, and not suffering                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159351 - dyspnea.  This supports diagnosis of energy deficit, due to loss of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159352 - ferritin from dysfunctional ANS, rather than fatigue that occurs from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159353 - lactic acid building up in muscles with exercise.  Further                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159354 - experimented by omitting bandaging on both feet, except applying                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159355 - silicone toe caps.  Took 2 Tramadol at start mile 0, and 1 Naproxen at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159356 - mile 07.  Hiked 13 miles with PL 8 for short periods, PL 0 for long                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159357 - periods, and mostly PL 3, which is as good or better than any hike the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159358 - past 4 months.  Major changes - switching back to 2 pair dual-ply                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159359 - Wrightsocks, stretching Hoka Bondi 9 shoes yesterday on 251001 1234,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159360 - ref SDS B1 9G2J, and changing feet treatment to Urea20, from Ammonium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159361 - Lactate 12%, switched back to Powerstep orthotic inserts, all as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159362 - alternative to bandages.  This was generally successful because meds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159363 - controlled pain.  Carried silicone toe caps in backpadk, but did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159364 - need to put them on during hike.  There was same reduced metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159365 - pain, wearing Hoka Bondi 9 shoes with more cushioned soles.  Bloating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159366 - resolved by end of hike - seems like lingering dysfunctional ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159367 - affliction, along with swelled lips.  Another major change on this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159368 - hike was temperature dropped to 72.  Wither cooler temp only stopped                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159369 - once for hydration, which was at the college.  This reduced nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159370 - and meds.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159371 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159373 -         ..
159374 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159375 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159376 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
159377 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159378 -        Hands cramping hurting - post hike...........   0        100  short hike - hands and thumbs not cramping 2 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159379 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159380 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159381 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159382 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
159383 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159384 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159385 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159386 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159387 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
159388 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159389 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
159390 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159391 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
159392 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159393 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159394 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159395 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159396 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
159397 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159398 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159399 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159400 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159401 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
159402 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159403 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159404 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159405 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159406 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159407 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159408 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159409 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
159410 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159411 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159412 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
159413 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 250708 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
159414 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
159415 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
159416 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159417 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159418 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
159419 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
159420 -        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                                                                                                                                                                                                                                                                                                                           
159421 -        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                                                                                                                                                                                                                                                                                                                                                                                    
159422 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159423 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
159424 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
159425 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159426 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159427 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
159428 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
159429 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
159430 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159431 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
159432 -        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                                                                                                                                                                                                                                                                                                                                                                                        
159433 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159434 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
159435 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159436 -        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                                                                                                                                                                                                                                                                                                                                                              
159437 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 250904 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
159438 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
159439 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159440 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159441 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
159442 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159443 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
159444 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
159445 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159446 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
159447 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159448 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159449 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159450 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159451 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159452 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159453 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159454 -        Wobbly disoriented staggering dizzy..........   2          5  took 2 Tramadol mile 00, and 0 Naproxen mile 07, and 0 Naproxen mile 14, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
159455 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 07, 0 magnesium mile 14 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
159456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159458 -  ..
159459 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159460 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159462 -  ..
159463 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159464 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159465 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159466 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159467 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159468 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159469 - pressure.  Yesterday, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159470 - shoes laterally for extra width at #1 and #5, reported on 251001 1234.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159471 - ref SDS B1 9G2J  Today, experimented wearing 2 pair dual-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159472 - and omitting bandaging on calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159474 -  ..
159475 - Orthotic inserts - switched back to Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159476 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159477 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159478 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159479 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159480 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159481 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159482 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159483 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159484 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159486 -  ..
159487 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159488 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159489 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159491 -  ..
159492 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159494 -  ..
159495 - Callus Injuries - today on 251002, omitted all bandaging as experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159496 - testing effect stretching shoes, wearing 2-pair dual-ply Wrightsocks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159497 - and switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159498 - Carried silicon toe caps but did apply on #1 and #5 both feet, and in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159499 - order to prevent friction blisters.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159501 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159502 -                    1 Naproxen mile 12 had PL 3 last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159504 -  ..
159505 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159506 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159507 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159508 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159509 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159511 -  ..
159512 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159514 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159515 -            1 magnesium at mile 12 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159517 -  ..
159518 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159520 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159521 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159523 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159524 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159526 -         ..
159527 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159528 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159530 -         ..
159531 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159532 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159533 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159535 -  ..
159536 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159537 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159538 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159539 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159540 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159541 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159544 -  ..
159545 - San Francisco 13 mile route, reported on 170519, ref SDS 8 WTRS -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159546 - before leaving house in Concord took Glucosamine Chondroitin for OA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159547 - protection, mainly left knee treated with PRP intra articular                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159548 - injection 13 times, see case study on 200101 0701, ref SDS 18 TTPV,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159549 - and also left hip.  At the hospital, before starting the hike, took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159550 - Tramadol for pain management, mostly metatarsalgia and other feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159551 - injuries, per above. ref SDS 0 5Z3I  Before starting hike at hospital,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159552 - took 2 Tramadol for pain management, and took 2 Magnesium Complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159553 - mg pills for energy; and to absorb lactic acid for pain management,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159554 - and resolve inflammation to enable HDL to increase that together with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159555 - EPCs regress plaque in blood vessels, see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159556 - ref SDS 18 QP6L  Also took 1 COQ10 pill for energy - was difficult                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159557 - swallowing these large pills whole, recommended by manufacturer,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159558 - because EGD has not been dilated LESV since 250718 0830, ref SDS 99                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159559 - 274L, see report clogging LESV on 240824. ref SDS 36 PPTU  Had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159560 - amount peanut butter and margarine, and Mayonnaise, and chia seeds for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159561 - electrolytes and energy, and had some avocado for HDL, ...and took 5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159562 - ml liquid Ubiquinol CoQ10 - all per above. ref SDS 0 5Z3I  CoQ10 is an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159563 - enzyme produced in the body that supports an electron transport chain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159564 - (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159565 - ref SDS 18 136K  No breakfast reduces bloating feeling, but still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159566 - bloated starting hike today, from ischemic colitis caused by taking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159567 - statins and other drugs, also symptomatic of diabetes, and atrial                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159568 - fibrillation, and since 6th cardiac ablation on 240611, variable heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159569 - rate may occur from dysfunctional autonomic nervous system (see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159570 - analysis on 250114 1202, ref SDS 69 PQ5Y).  Took backpack to carry                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159571 - stuff.  Temperature mild 63 and wind 02 mph.  Departed VAMCSF campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159572 - in dark at 0407.  Hiked slowly downhill on 42nd Street to warm up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159573 - Turned corner heading downhill West on Point Lobos to Cliff House at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159574 - mile 1.  Road bends and changes to "Great Highway" going South along                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159575 - ocean beach.  Pace picked up as CoQ10 and magnesium was digested and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159576 - increased strength.  At mile 2, turned onto John F Kennedy (JFK) Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159577 - entering Golden Gate Park.  Maintained pace going slightly uphill into                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159578 - the park for .5 mile.  Did not encounter early morning jogger going                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159579 - West, so his situation may have changed.  Turned corner and continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159580 - East on JFK.  Dark and with few widely spaced street lights, cannot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159581 - see the road.  Passed Buffalo compound.  At Spreckles Lake encountered                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159582 - traffic barriar.  Guard said passage through park pas Lindley Meado                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159583 - was denied for concert this evening, Saturday and Sunday.  Had to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159584 - detour around Spreckles Lake over to Fulton.  Hiked half mile to turn                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159585 - off for Crossover Bridge.  There is access back to the park.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159586 - Continued on JFK.  At mile 6, hiked past De Young Museum.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159587 - Encountering more hikers and bikers heading in both directions.  Past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159588 - Conservatory near Nancy Pelosi Way stopped before reaching Stanyon at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159589 - mile 7, time 0612, temp 62, wind 03; EKG mostly uniform with artifact.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159590 - Kardia reported HR 092 Normal Sinus Rhythm - see below. ref SDS 0 EVWJ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159591 - Bloating PL 4, energy deficit PL 5, wobbly PL 3, feet PL 2, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159592 - sensation PL 3, left foot #1 PL 2 and #5 PL 1, right foot #1 PL 4, #4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159593 - PL 0, #5 PL 4, left knee PL 2, and left hamstring PL 0.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159594 - Naproxen.  Took 2 Magnesium.  Took 1 CoQ10.  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159595 - from home for hydration, swallowing meds and nutrition - peanut                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159596 - butter, margarine, Mayonnaise, and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159597 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159598 - electrolyte pill.  Took 5 ml Ubiquinol liquid CoQ10, all per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159599 - ref SDS 0 IMG1  Turned around hiked back on JFK, heading West toward                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159600 - the Ocean.  Stayed on South side against traffic (no actual vehicle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159601 - traffic in park).  Increased pace with magnesium kicking in and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159602 - endorphins rising.  Past Conservatory again, and De Young Museum.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159603 - About mile 8, Waterfall this morning at 0710, before passing under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159604 - Crossover Road bridge at highway 1.  Took detour around Hellman Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159605 - and Lindley Meadow.  Hiked on Fulton West.  At ocean, turned North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159606 - onto Great Highway.  Hiked parallel to Ocean Beach toward the Cliff                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159607 - House and hospital.  Halfway to Cliff House had liquid CoQ10 for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159608 - energy.  Pace slowed hiking up steep hill - 5% - 6% grade - did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159609 - stop, and maintained breathing without dyspnea today, i.e., did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159610 - breath through mouth last mile uphill to the hospital, similar to hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159611 - on 240829, ref SDS 36 QTSP  Significant improvement compared to last 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159612 - weeks, ago when breathing became very difficult going up this hill.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159613 - Indicates condition has improved after increasing hiking to recover                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159614 - from cardiac ablation on 240611 - see Polar GPS/HR report on daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159615 - hiking in the record on ref SDS 36 UVYY  At the Cliff House, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159616 - onto Point Lobos Avenue going East; hiked uphill for 1 mile.  Became                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159617 - progressively weaker despite legs not feeling tired.  While hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159618 - removed backpack and good a magnesium pill to prevent buildup of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159619 - lactic acid.  Pace slowed to mere shuffle indicating very low                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159620 - ferritin.  Turned onto 42nd street and hiked up final hill to the VA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159621 - campus.  Ended hike mile 13, time 0819 temp 62, wind 07, bloating PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159622 - 4, energy deficit PL 8, feet metatarsalgia PL 2, burning sensation PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159623 - 0, left foot #1 PL 1, #5 PL 2.  Right foot #5 PL 2, and #1 PL 3.  No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159624 - blistering today, with silicon toe caps, per above. ref SDS 0 XPNR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159625 - Both ankles PL 0.  Left knee meniscus PL 2.  EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159626 - significant artifact, Kardia reported HR 100 Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159627 - below. ref SDS 0 PL2U                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159629 -  ..
159630 - After returning to Concord went to Costco and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159631 - hiked another mile from the parking lot and shopping in aisles of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159632 - store.  Total mileage today - 15.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159633 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159656 -  ..
159657 - Kardia recorded HR 67 at 0135, Unclassified, looks mostly uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159658 - heart beat lengths with p-waves and no artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159659 - hiking 20 miles temp 72 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159660 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159661 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159662 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159663 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159666 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159667 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251003-ecg-013535_mile_00_067_ucl_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159673 -  ..
159674 - Polar HR GPS study in San Francisco, California ***low accuracy GPS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159675 - used*** hike 20 miles.  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159676 - ref SDS 18 TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159677 - ..
159678 -                                                                                                                                                                                                                                                                                                              x
159679 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159680 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159681 -       Date          251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 250904 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 250715 25071  
159682 -       Miles            13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0      0  
159683 -       HR AVG          107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no     no  
159684 -         MAX           129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report report repo  
159685 -         Min            81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                            
159686 -       El Climb Ft     340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                            
159687 -       Temp Max         62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                            
159688 -       Wind Max          9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                            
159689 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159691 -              https://flow.polar.com/training/analysis/8200249699                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159692 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159694 -               ..
159696 -   
159697 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159698 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159699 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159700 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159702 -  ..
159703 - EKG at mile 07 time 0612 HR 092 temp 62, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159704 - Rhythm... heart rate looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159705 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159707 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159708 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159709 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251003-ecg-061213_mile_07_092_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159713 -  ..
159714 - End hike EKG at mile 13, time 0819 HR 100 temp 62 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159715 - Normal Sinus Rhythm... looks mostly uniform with considerable artifact                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159716 - - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159719 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159720 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251003-ecg-081909_mile_13_100_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159725 -  ..
159726 - Post hike 251003 HR profile beginning 2202, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159727 - activity after hiking 13 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159728 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159729 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159730 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159733 -        ..
159734 -       Date      251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  250904  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724  250723    
159735 -       Time       2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027    2123     
159736 -       Hours        11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11      11     
159737 -       HR AVG       64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72      58     
159738 -       HR MAX      134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     116     
159739 -       HR Min       38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41      41     
159740 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159742 -              https://flow.polar.com/training/analysis/8200731934                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159743 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159745 -  ..
159746 - HRV seems  20% 0 and  40% good and 40% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159749 -   
159750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159754 -  ..
159755 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159756 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159757 - Dinner - eggs bacon toast donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159759 -  ..
159760 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159770 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159771 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159772 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159773 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159780 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159781 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159786 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159789 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159790 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159791 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159792 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159793 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159796 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159797 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159800 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159801 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159806 -         ..
159807 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159808 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159809 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159810 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159811 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159812 -  277.  251004 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159813 -               0715....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159814 -               0725....BP HR..................................................... 143  71  48  Kardia ECG reports HR status, see below. ref SDS 0 BKQ8                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159815 -               0730....BP HR..................................................... 139  68  46                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159816 -               0735....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159817 -               0735....40 471100 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
159818 -               0340....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159819 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159820 -               0340... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159821 -               0340....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159822 -               0340....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159823 -               0340....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159824 -               0340....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159825 -               0340... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
159826 -  ..
159827 -               1237....miles...........  24.0  72.0  424  1307 minutes  temp  79 wind 12  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159828 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159829 -               1447....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159830 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159831 -               1447....Naproxen 250 mg took 2 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159832 -               1447... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
159833 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159834 -               1447... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159835 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159836 -               1900....mile 20 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159837 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159838 -               1900....Naproxen 250 mg took 2 pills - 4 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159839 -               1900... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
159840 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159841 -               1900... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159842 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159843 -               2027...  Hike ends mile 24..... ref SDS 0 7KAE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159844 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159845 -               2027....weight.................................... 176  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159846 -               2100....BP HR..................................................... 101  72  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159847 -               2110....BP HR.....................................................  97  66  92                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159848 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159849 -               2100... 40 128620 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                                                                                                                                                                                                                                                                                  
159850 -             1 0000............ 10 22110  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
159851 -             1 0000............ 10 22460  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
159852 -               2120....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159853 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159854 -               2140... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159855 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159856 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159857 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159858 -               2250... 1000 2587000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159859 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159860 -               2330... 40 471140 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159861 -               2340... 40 103320 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
159862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159864 -  ..
159865 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159866 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159868 -  ..
159869 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159870 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159871 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159872 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159873 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159874 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159876 -  ..
159877 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159878 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159880 -  ..
159881 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159882 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159885 -  ..
159886 - Today, hiked 24 miles - Concord - Polar continuous HR report shows                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159887 - flipped into AF with sudden 113 rise to 167 BPM at mile 21 with speed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159888 - and elevation constant, then dropped back to end hike mile 24.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159889 - Otherwise HR aligned with changes in elevation and speed.  Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159890 - likely still low and/or below range based on severe energy deficits on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159891 - multiple occasions today - thus hiking resolving dysfunctional ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159892 - where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159894 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159895 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159896 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159897 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159898 -    Heart Rate elevated ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159899 -    Blood Pressure elevated ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159900 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159901 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159902 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159903 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
159904 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159905 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159906 -    Falling ----------------------------- imprved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159907 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159908 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159909 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159910 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159911 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159912 -    Food cannot taste gagging ----------- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159913 -    Ferritin low - energy deficits ------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159914 -    Potassium elevated - heart damage --- persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159915 -    SGOT elevated - liver damage -------- persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159916 -    Mouth Dry - Xerostomia -------------- improved none for several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159917 -    Lips swelled - Cheilitis ------------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159919 -  ..
159920 - Pain contained with meds, and no seizures.  After hike today, no buble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159921 - blisters on left foot #1, nor on right foot #1, as occurred on prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159922 - hikes.  Continued not bandaging toes, using silicone toe caps instead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159923 - There was reduced metatarsalgia pain, wearing Hoka Bondi 9 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159924 - more cushioned soles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
159925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
159927 -         ..
159928 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159929 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159930 -        Stomach pain ischemic colitis bloating.......   4         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
159931 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159932 -        Hands cramping hurting - post hike...........   3         30  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159933 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159934 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159935 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
159936 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
159937 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159938 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159939 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
159940 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159941 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
159942 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159943 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
159944 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159945 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
159946 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159947 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159948 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159949 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159950 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
159951 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159952 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159953 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
159954 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159955 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
159956 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
159957 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159958 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159959 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159960 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
159961 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159962 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
159963 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
159964 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159965 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159966 -        Metatarsalgia left foot...PRP 210705.........   3         20  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
159967 -        Metatarsalgia right foot..PRP 210705.........   3         20  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
159968 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
159969 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
159970 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159971 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159972 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
159973 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
159974 -        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                                                                                                                                                                                                                                                                                                                           
159975 -        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                                                                                                                                                                                                                                                                                                                                                                                    
159976 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159977 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
159978 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
159979 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
159980 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
159981 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
159982 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
159983 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
159984 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159985 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
159986 -        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                                                                                                                                                                                                                                                                                                                                                                                        
159987 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
159988 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
159989 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
159990 -        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                                                                                                                                                                                                                                                                                                                                                              
159991 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
159992 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
159993 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159994 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
159995 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
159996 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
159997 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
159998 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
159999 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160000 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
160001 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160002 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160003 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160004 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160005 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160006 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160007 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160008 -        Wobbly disoriented staggering dizzy..........   2          5  took 2 Tramadol mile 00, and 0 Naproxen mile 07, and 0 Naproxen mile 14, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
160009 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 07, 0 magnesium mile 14 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
160010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160012 -  ..
160013 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160014 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160016 -  ..
160017 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160018 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160019 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160020 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160021 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160022 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160023 - pressure.  Yesterday, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160024 - shoes laterally for extra width at #1 and #5, reported on 251001 1234.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160025 - ref SDS B1 9G2J  Today, experimented wearing 2 pair dual-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160026 - and omitting bandaging on calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160028 -  ..
160029 - Orthotic inserts - switched back to Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160030 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160031 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160032 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160033 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160034 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160035 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160036 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160037 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160038 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160040 -  ..
160041 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160042 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160043 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160045 -  ..
160046 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160048 -  ..
160049 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160050 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160051 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160053 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160054 -                    2 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160055 -                    0 Naproxen mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160056 -                    1 Naproxen mile 20 had PL 3 last 4 miles of 24 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160058 -  ..
160059 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160060 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160061 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160062 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160063 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160065 -  ..
160066 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160068 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160069 -            2 magnesium at mile 08 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160070 -            2 magnesium at mile 20 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160072 -  ..
160073 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160074 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160075 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160076 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160077 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160078 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160079 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160081 -         ..
160082 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160083 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160085 -         ..
160086 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160087 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160090 -  ..
160091 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160092 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160093 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160094 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160095 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160096 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160097 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160099 -  ..
160100 - Concord 24 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160101 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160102 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160103 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160104 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160105 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160106 - pain.  Today, left knee PL 0 entire hike.  With feet PL 0, decided to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160107 - take 2 Tramadol for pain management, despite 2 Tramadol was not enough                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160108 - to get past mile 4 on Concord route - had to take more to reach mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160109 - 8, during hikes on 250522, per above, ref SDS 0 STXU, and feet have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160110 - healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160111 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160112 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160113 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160114 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160115 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160116 - relief, despite starting at PL 0 - it is complicated.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160117 - Magnesium Complex 300 mg pill for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160118 - reducing inflammation allowing HDL to increase that together with EPCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160119 - regress plaque in blood vessels - see research on 200101 0701,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160120 - ref SDS 18 QP6L - swallowed pills whole after EGD Dilation on 250718,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160121 - avoids capsule clogging LESV, as occurred on 240824. ref SDS 36 PPTU                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160122 - Both magnesium and CoQ10 are large pills, which are getting more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160123 - difficult to swallow, now over 2 months since LESV was last dilated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160124 - Had small amount peanut butter that contains iron to complement hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160125 - that restores sinus rhythm to resolve dysfunctional ANS that then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160126 - elevates Ferritin and Transferrin Saturation, which both tested below                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160127 - range on 250428 0940, ref SDS 88 VP5H, and Ferritin slightly up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160128 - 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in telephone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160129 - meeting with Lauren in Primary Care discussed Iron supplement to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160130 - increase Ferritin.  Decided to rely on improving Ferritin along with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160131 - recovering from all afflictions from dysfunctional ANS, listed in case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160132 - study on 200101 0701, ref SDS 18 ZM8J, by increasing hiking to restore                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160133 - sinus rhythm, reported on 250813 0730, ref SDS A3 MJ5I, and previously                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160134 - letter from Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160135 - small amount margarine and Mayonaise which aid absorbtion (digestion)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160136 - of Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160137 - potassium) and energy, and had 1/4 avocado to complement peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160138 - for increasing HDL.  Just before starting hike took new Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160139 - CoQ10 100 mg softgel tablet, all per above. ref SDS 0 8ELW  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160140 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160141 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160142 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160143 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160144 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160145 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160146 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160147 - ref SDS 18 O33H  Took backpack to carry hydration, nutrition, meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160148 - medical supplies.  Temperature 79, and wind 12 mph.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160149 - mile and turned left, onto Treat.  Starting hike stomach seemed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160150 - bloated (conflicts with reduced "impaired HRV" overnight Polar study,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160151 - above, ref SDS 0 FXGE), and feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160152 - needles - actually minimal today, and - did not feel electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160153 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160154 - taking statins, diabetes symptoms, and dysfunctional ANS.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160155 - through nose entire hike with no dyspnea, indicating strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160156 - respiratory condition has sustained, despite hiking minimal miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160157 - during past weeks.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160158 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160159 - flat grade, some places 3% uphill, and very light traffic.  Initial .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160160 - mile hiking slow, then continued at 15-minute mile pace.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160161 - across Newhall Community across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160162 - Left foot #1 PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160163 - Tramadol effective.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160164 - Speed increased, energy good at end of Turtle Creek Road - turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160165 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160166 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160167 - pavement in parking lots of shopping complex.   About mile 3.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160168 - metatarsalgia bottom both feet PL 2.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160169 - light and continued on concrete sidewalk .5 miles.  Energy good - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160170 - not feel sense of hitting an "energy deficit wall" near mile 4, having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160171 - to stop at Mountain Mike's Pizza restaurant to take interim magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160172 - and CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160173 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160174 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160175 - of hike with metatarsalgia often greater than PL 2; however, today PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160176 - 2 hiking on sidewalk and wearing Hoka Bondi 9 shoes, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160177 - ref SDS 0 3FQ2  Crossed Park Highlands Road at Stop Light still                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160178 - heading West .25 miles now on asphalt shoulder.  Crossed to South side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160179 - Ygnacio Valley Road to hike on wider shoulder.  Continued West past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160180 - Stop Light at Michigan Boulevard.  About mile 5, turned left onto Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160181 - Hollow.  Hiked 2.5 miles East.  Many cars parked along Pine Hollow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160182 - from Dana Farms to Diablo Elementary School.  Asked someone what is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160183 - going on, and was reminded today is Octoberfest in Clayton.  This is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160184 - occurring a few blocks from the hiking route.  Stopped at end of Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160185 - Hollow mile 08 time 1447 temp 78 and wind 09 mph; EKG looks uniform                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160186 - with no artifact; Kardia reported HR 115 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160187 - ref SDS 0 QL6P  Bloating PL 4, energy deficit PL 2, both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160188 - metatarsalgia PL 4, burning sensation PL 2.  Left foot #1 PL 3 and #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160189 - PL 4.  Right foot #5 PL 2, #1 PL 2, #4 PL 0.  Took 2 Naproxen 250 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160190 - total today 2, for pain.  Took 2 Magnesium complex 300 mg pill, total                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160191 - today 4, for energy, absorbing lactic acid, and reducing inflammation,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160192 - per research on 200101 0701. ref SDS 18 QP6L  Sips softdrink carried                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160193 - from home for hydration and swallowing nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160194 - avocado with margarine and Mayonnaise.  Chia Seeds for electrolytes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160195 - Took Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160196 - Since temperature 78, which causes sweating that ejects electrolytes,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160197 - took 0 Nuun electrolyte pill, per above. ref SDS 0 RYGU  Turned around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160198 - hiked back 2.5 miles on Pine Hollow.  Near Ygnacio Valley road turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160199 - left onto Campus Drive heading West uphill 3% grade.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160200 - against wind 07 mph.  The road bends North.  At Ygnacio Valley road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160201 - turned around and hiked uphill 4% grade .25 mile.  Legs not fatigued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160202 - with lactic acid - seemed more difficult hiking uphill today, possibly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160203 - dysfunctional ANS has decreased ferritin, previously reported im lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160204 - on 250807 0654, ref SDS A1 VP5H, per MAI research on 250430 2137.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160205 - ref SDS 89 GW9J  Reached Visitor Parking California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160206 - East Bay Concord Campus.  Hiked loop around main buildings stopping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160207 - back at training area - did 20 half pull-ups and 20 half push-ups,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160208 - then continued back to Visitor parking.  Hiked loops through Faculty                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160209 - and Student parking lots, and another loop around main buildings.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160210 - Back at Visitor Parking, did not stop at Administration building mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160211 - 16.  Was not fatigued nor in pain.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160212 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160213 - Hiked West on flat grade .5 miles.  At mile 17, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160214 - Ranch Road uphill 3% grade .5 miles against wind 04 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160215 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160216 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160217 - grade to summit at end of concrete barriar mile 18.  With break in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160218 - afternoon commute traffic crossed back to South side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160219 - Road.  Continued 2 miles downhill 3% grade.  Crossed back to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160220 - side Ygnacio Valley Road.  Crossed Oak Grove at traffic light.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160221 - not hike 1-mile loop around block at Safeway shopping complex.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160222 - Stopped at Mod Pizza mile 20, time 1900, temp 71 and wind 05 mph; EKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160223 - mostly variable with minor artifact, Kardia reported HR 111 Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160224 - Atrial Fibrillation - see below. ref SDS 0 6VS2  Bloated PL 2, energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160225 - deficit PL 1.  Both feet PL 4, burning sensation PL 2, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160226 - 2, #5 PL 3, right foot #5 PL 2, #1 PL 2.  Took 1 Naproxen total today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160227 - 3, took 2 magnesium total today 6.  Sips softdrink bought at Mod Pizza                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160228 - with ice for hydration, swallowing meds and nutrition - peanut butter,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160229 - margarine and chia seeds (soaked in water/Coca Cola/orange juice) for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160230 - energy, and avocado for HDL, did not take Nuun electrolyte pill.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160231 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160232 - above. ref SDS 0 RYGU  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160233 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160234 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160235 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Post hike Polar                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160236 - indicates about mile 21 on Oak Grove with slight downhill 1% grade,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160237 - and with no change in speed, HR 124 Tachycardia suddenly flipped up to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160238 - HR 167 then dropped back to HR 124 and continued rising and falling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160239 - unevenly typical of Atril Fibrillation, reported by Kardia during stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160240 - at time 1900.  Crossed Treat at street light.  Hiked 1 mile East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160241 - flat grade concrete sidewalk.  At San Miguel continued .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160242 - Treat uphill 5% grade temp 71.  Handled this well.  At summit, mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160243 - 23, hiked another mile to Cuneo, then home.  Ended hike mile 24 time                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160244 - 2037 temp 68, wind 07.  Bloated PL 4, energy deficit PL 2, feet PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160245 - burning sensation PL 2, left foot #1 PL 2, #5 PL 4, right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160246 - 1, #1 PL 2, left knee PL 0, wobbly PL 0.  EKG looks mostly uniform,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160247 - with artifact, Kardia reported HR 110 Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160248 - ref SDS 0 7KAE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160251 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160252 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160253 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160254 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160255 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160256 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160257 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160272 -  ..
160273 - Kardia recorded HR 50 at 1005, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160274 - mostly uniform heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160275 - no AFL after hiking 13 miles temp 62 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160276 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160277 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160278 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160279 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160282 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160283 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251004-ecg-100548_mile_00_050_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160289 -  ..
160290 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160291 - hike 24 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160292 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160293 - ..
160294 -                                                                                                                                                                                                                                                                                                              x
160295 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160296 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160297 -       Date          251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 250716 25071  
160298 -       Miles            24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0      0  
160299 -       HR AVG          119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no     no  
160300 -         MAX           167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report report repo  
160301 -         Min            54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                                     
160302 -       El Climb Ft     500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                                     
160303 -       Temp Max         79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                                     
160304 -       Wind Max         12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                                     
160305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160307 -              https://flow.polar.com/training/analysis/8200862068                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160308 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160310 -               ..
160312 -   
160313 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160314 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160315 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160316 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160318 -  ..
160319 - EKG at mile 08 time 1447 HR 115 temp 78, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160320 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160321 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160322 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160323 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160324 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160325 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251004-ecg-144759_mile_08_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160329 -  ..
160330 - EKG at mile 20 time 1900 HR 111 temp 71, Kardia reported Possible                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160331 - Atrial Fibrillation... heart rate looks mostly variable with minor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160332 - artifact - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160333 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160334 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160335 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160336 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251004-ecg-190023_mile_20_111_paf_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160337 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160338 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160340 -  ..
160341 - End hike EKG at mile 24, time 2027 HR 110 temp 68 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160342 - Tachycardia... looks mostly uniform with considerable artifact last 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160343 - seconds - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160344 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160345 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160346 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160347 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251004-ecg-202702_mile_24_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160352 -  ..
160353 - Post hike 251004 HR profile beginning 0130, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160354 - activity after hiking 24 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160355 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160356 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160357 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160360 -        ..
160361 -       Date      251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725  250724    
160362 -       Time       0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003    2027     
160363 -       Hours         5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8      11     
160364 -       HR AVG       68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59      72     
160365 -       HR MAX      115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     172     
160366 -       HR Min       46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43      41     
160367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160369 -              https://flow.polar.com/training/analysis/8201158352                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160370 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160372 -  ..
160373 - HRV seems  70% 0 and  20% good and 10% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160374 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160376 -   
160377 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160378 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160381 -  ..
160382 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160383 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160384 - Dinner - steak eggs broccoli asparagus onion cheese donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160386 -  ..
160387 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160388 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160389 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160390 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160391 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160392 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160393 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160395 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160396 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160397 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160398 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160399 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160400 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160401 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160402 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160403 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160408 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160416 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160417 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160418 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160419 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160420 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160423 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160424 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160427 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160428 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160429 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160430 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160431 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160434 -         ..
160435 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160436 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160437 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160438 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160439 -        Sunday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160440 -  278.  251005 0725............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160441 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160442 -               0735....BP HR..................................................... 139  84  52  Kardia ECG reports HR status, see below. ref SDS 0 OKXU                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160443 -               0740....BP HR..................................................... 131  67  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160444 -               0745....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160445 -               0745....40 471180 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
160446 -               1115....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160447 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160448 -               1115... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160449 -               1115....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160450 -               1115....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160451 -               1115....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160452 -               1115....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160453 -               1115... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
160454 -  ..
160455 -               1149....miles...........  18.0  90.0  312  1619 minutes  temp  82 wind 09  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160456 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160457 -               1531....mile 12 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160458 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160459 -               1521....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160460 -               1531... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
160461 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160462 -               1531... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160463 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160464 -               1734...  Hike ends mile 18..... ref SDS 0 OATO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160465 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160466 -               1750....weight.................................... 178  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160467 -               1800....BP HR..................................................... 112  78  95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160468 -               1805....BP HR..................................................... 104  71  88                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160469 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160470 -               1800... 40 128660 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                                                                                                                                                                                                                                                                                  
160471 -               1830............ 10 22120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
160472 -               1830............ 10 22470  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
160473 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160474 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160475 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160476 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160477 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160478 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160479 -               2250... 1000 2588000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160480 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160481 -               2330... 40 471220 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160482 -               2340... 40 103360 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160483 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160485 -  ..
160486 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160487 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160489 -  ..
160490 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160491 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160492 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160493 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160494 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160495 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160497 -  ..
160498 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160499 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160501 -  ..
160502 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160503 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160506 -  ..
160507 - Today, hiked 18 miles - Concord - Polar continuous HR report shows no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160508 - flip into AF, as occurred yesterday, per above. ref SDS 0 ETS2  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160509 - aligned with changes in elevation and speed.  No severe energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160510 - deficits on multiple occasions today - thus hiking resolving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160511 - dysfunctional ANS where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160513 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160514 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160515 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160516 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160517 -    Heart Rate elevated ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160518 -    Blood Pressure elevated ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160519 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160520 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160521 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160522 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160523 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160524 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160525 -    Falling ----------------------------- imprved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160526 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160527 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160528 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160529 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160530 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160531 -    Food cannot taste gagging ----------- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160532 -    Ferritin low - energy deficits ------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160533 -    Potassium elevated - heart damage --- persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160534 -    SGOT elevated - liver damage -------- persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160535 -    Mouth Dry - Xerostomia -------------- improved none for several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160536 -    Lips swelled - Cheilitis ------------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160538 -  ..
160539 - Pain contained with meds, and no seizures.  After hike today, no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160540 - blisters on left foot #1, nor on right foot #1, as occurred on prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160541 - hikes.  Continued not bandaging toes, using silicone toe caps instead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160542 - There was reduced metatarsalgia pain, wearing Hoka Bondi 9 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160543 - more cushioned soles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160546 -         ..
160547 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160548 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160549 -        Stomach pain ischemic colitis bloating.......   2         40  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
160550 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160551 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160552 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160553 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160554 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160555 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
160556 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160557 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160558 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160559 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160560 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
160561 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160562 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
160563 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160564 -        Hip left.....................................   3         10  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
160565 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160566 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160567 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160568 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160569 -        Knee left meniscus...PRP 231121..............   3         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
160570 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160571 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160572 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160573 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160574 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
160575 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160576 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160577 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160578 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160579 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160580 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160581 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160582 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
160583 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160584 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160585 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
160586 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
160587 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
160588 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
160589 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160590 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160591 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
160592 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
160593 -        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                                                                                                                                                                                                                                                                                                                           
160594 -        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                                                                                                                                                                                                                                                                                                                                                                                    
160595 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160596 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
160597 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
160598 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160599 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160600 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
160601 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
160602 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
160603 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160604 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
160605 -        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                                                                                                                                                                                                                                                                                                                                                                                        
160606 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160607 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
160608 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160609 -        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                                                                                                                                                                                                                                                                                                                                                              
160610 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
160611 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
160612 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160613 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160614 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
160615 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160616 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
160617 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
160618 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160619 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
160620 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160621 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160622 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160623 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160624 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160625 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160626 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160627 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 0 Naproxen mile 07, and 0 Naproxen mile 14, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
160628 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 1 magnesium mile 07, 0 magnesium mile 14 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
160629 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160631 -  ..
160632 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160633 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160635 -  ..
160636 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160637 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160638 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160639 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160640 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160641 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160642 - pressure.  Yesterday, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160643 - shoes laterally for extra width at #1 and #5, reported on 251001 1234.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160644 - ref SDS B1 9G2J  Today, experimented wearing 2 pair dual-ply socks,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160645 - and omitting bandaging on calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160647 -  ..
160648 - Orthotic inserts - switched back to Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160649 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160650 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160651 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160652 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160653 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160654 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160655 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160656 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160657 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160659 -  ..
160660 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160661 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160662 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160664 -  ..
160665 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160667 -  ..
160668 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160669 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160670 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160672 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160673 -                    1 Naproxen mile 12 had PL 3 last 4 miles of 18 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160675 -  ..
160676 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160677 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160678 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160679 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160680 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160682 -  ..
160683 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160684 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160685 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160686 -            2 magnesium at mile 12 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160688 -  ..
160689 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160690 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160691 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160692 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160693 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160694 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160695 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160697 -         ..
160698 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160699 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160701 -         ..
160702 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160703 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160706 -  ..
160707 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160708 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160709 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160710 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160711 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160712 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160715 -  ..
160716 - Concord 18 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160717 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160718 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160719 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160720 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160721 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160722 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160723 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160724 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160725 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160726 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160727 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160728 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160729 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160730 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160731 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160732 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160733 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160734 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160735 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160736 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160737 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160738 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160739 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160740 - peanut butter that contains iron to complement hiking that restores                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160741 - sinus rhythm to resolve dysfunctional ANS that then elevates Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160742 - and Transferrin Saturation, which both tested below range on 250428                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160743 - 0940, ref SDS 88 VP5H, and Ferritin slightly up to 29.6 in blood test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160744 - on 250807 0654. ref SDS A1 VP5H - in telephone meeting with Lauren in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160745 - Primary Care discussed Iron supplement to increase Ferritin.  Decided                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160746 - to rely on improving Ferritin along with recovering from all                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
160747 - afflictions from dysfunctional ANS, listed in case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160748 - 0701, ref SDS 18 ZM8J, by increasing hiking to restore sinus rhythm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160749 - reported on 250813 0730, ref SDS A3 MJ5I, and previously letter from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160750 - Doctor Pellegrini on 250115 1023, ref SDS 70 H480, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160751 - amount margarine and Mayonaise which aid absorbtion (digestion) of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160752 - Magnesium, and had small amount Chia Seeds for electrolytes (e.g.,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160753 - potassium) and energy, and had 1/4 avocado to complement peanut butter                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160754 - for increasing HDL.  Just before starting hike took new Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160755 - CoQ10 100 mg softgel tablet, all per above. ref SDS 0 7M28  CoQ10 is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160756 - an enzyme produced in the body that supports an electron transport                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160757 - chain (ETC) giving human cells energy - see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160758 - ref SDS 18 136K  Minimal breakfast reduces bloating feeling starting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160759 - hike from ischemic colitis caused by taking statins and other drugs,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160760 - also symptomatic of diabetes, colitis and atrial fibrillation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
160761 - (arrhythmia - impaired heart rate variability (HRV) from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160762 - autonomic nervous system - ANS), see case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160763 - ref SDS 18 O33H  Took backpack to carry hydration, nutrition, meds,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160764 - medical supplies.  Temperature 82, and wind 09 mph.  Hiked Cuneo .25                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160765 - mile and turned left, onto Treat.  Starting hike stomach seemed less                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160766 - bloated (aligns with reduced "impaired HRV" overnight Polar study,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160767 - above, ref SDS 0 WJIK). and feet feeling swelled and like pins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160768 - needles - actually minimal today, and - did not feel electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160769 - in balls of feet this morning - due to peripheral neuropathy caused by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160770 - taking statins, diabetes symptoms, and dysfunctional ANS.  Breathed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160771 - through nose entire hike with no dyspnea, indicating strong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160772 - respiratory condition has sustained, despite hiking minimal miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160773 - during past weeks.  Hiked East on Treat .5 miles.  Turned right hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160774 - South on asphalt shoulder of Turtle Creek Road for 1.5 miles mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160775 - flat grade, some places 3% uphill, and very light traffic.  Initial .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160776 - mile hiking slow, then continued at 15-minute mile pace.  Did not hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160777 - across Newhall Community across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160778 - Left foot #1 PL 0, #5 PL 0; right foot #5 PL 0 - endorphins and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160779 - Tramadol effective.  Continued on Turtle Creek Road uphill 4% grade.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160780 - Speed increased, energy good at end of Turtle Creek Road - turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160781 - onto Ayers hiking East .75 miles on asphalt road shoulder.  At mile 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160782 - turned right onto Clayton Road hiking South .5 miles on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160783 - pavement in parking lots of shopping complex.   About mile 3.5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160784 - metatarsalgia bottom both feet PL 3.  Crossed Alberto Way at traffic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160785 - light and continued on concrete sidewalk .5 miles.  Energy good - did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160786 - not feel sense of hitting an "energy deficit wall" near mile 4, having                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160787 - to stop at Mountain Mike's Pizza restaurant to take interim magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160788 - and CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160789 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160790 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160791 - of hike with metatarsalgia often greater than PL 2; today PL 3 hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160792 - on sidewalk and wearing Hoka Bondi 9 shoes, per above. ref SDS 0 FJ3W                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160793 - Crossed Park Highlands Road at Stop Light still heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160794 - now on asphalt shoulder.  Crossed to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160795 - hike on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160796 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 1.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160797 - miles East.  Turned around at Camino Salano hiked back 1.0 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160798 - Pine Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160799 - heading West uphill 3% grade.  Hiked 1 mile against wind 07 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160800 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160801 - uphill 4% grade .25 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160802 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160803 - stopping in back at training area - did 20 half pull-ups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160804 - push-ups, then continued back to Visitor parking.  Hiked loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160805 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160806 - buildings.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160807 - building mile 12 time 1531, temp 81 and wind 07 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160808 - uniform with minor artifact - 3 or 4 beats show severe elevated R                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160809 - element - Kardia reported HR 102 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160810 - 9LV9  Bloated PL 3, energy deficit PL 2.  Both feet PL 4, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160811 - sensation PL 3, left foot #1 PL 3, #5 PL 3, right foot #5 PL 2, #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160812 - 3.  Took 2 Naproxen total today 2, took 2 magnesium total today 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160813 - Sips softdrink carried from home for hydration, swallow meds and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160814 - nutrition - peanut butter, margarine and chia seeds (soaked in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160815 - water/Coca Cola/orange juice) for energy, and avocado for HDL, did not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160816 - take Nuun electrolyte pill.  Took Ubiquinol CoQ10 100 mg pill for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160817 - and energy to complete hike, per above. ref SDS 0 Q4FL  Hiked another                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160818 - loop around through parking lots.  Exited college heading North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160819 - downhill on Campus Drive.  Turned left onto Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160820 - Hiked West on flat grade .5 miles.  At mile 15, continued past Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160821 - Ranch Road uphill 3% grade .5 miles against wind 04 mph.  Crossed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160822 - Cowell at stop light.  At break in traffic, crossed to North side                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160823 - Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160824 - grade to summit at end of concrete barriar mile 16.  Turned around and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160825 - hiked back, then left onto Cowell heading North .25 miles using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160826 - asphalt shoulder downhill 5% grade, then flat grade .25 miles, then .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160827 - miles in narrow shoulder against oncoming commute traffic.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160828 - left onto Treat hiking West .25 miles back to Cuneo, then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160829 - hike mile 18 time 1734 temp 82, wind 07, bloating PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160830 - PL 2, feet metatarsalgia PL 6, burning sensation PL 4, left foot #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160831 - 3, #5 edge PL 3, right foot #5 PL 3, #1 PL 6, shin splints PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160832 - knee PL 2 (not swollen), right knee PL 0, left shoulder PL 0, neck and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160833 - right shoulder PL 0 intermittantly, lower back middle PL 0 - usually                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160834 - stress carrying backpack, but not today, left elbow PL 0, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160835 - lifting.  EKG uniform with minor artifact, Kardia reported HR 103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160836 - Tachycardia - see below. ref SDS 0 OATO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160838 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160841 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160845 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160852 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160853 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160854 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160855 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160856 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160858 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160860 -  ..
160861 - Kardia recorded HR 49 at 1001, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160862 - beat lengths with p-waves and minor artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160863 - hiking 24 miles temp 79 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160864 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160865 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160866 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160867 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160870 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160871 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251005-ecg-100100_mile_00_049_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160877 -  ..
160878 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
160879 - hike 18 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
160880 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160881 - ..
160882 -                                                                                                                                                                                                                                                                                                              x
160883 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160884 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160885 -       Date          251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 250717 25071  
160886 -       Miles            18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0      0  
160887 -       HR AVG          107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no     no  
160888 -         MAX           123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report report repo  
160889 -         Min            65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                              
160890 -       El Climb Ft     505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                              
160891 -       Temp Max         82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                              
160892 -       Wind Max          9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                              
160893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160895 -              https://flow.polar.com/training/analysis/8201447217                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160898 -               ..
160900 -   
160901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160906 -  ..
160907 - EKG at mile 12 time 1531 HR 102 temp 81, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160908 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160909 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160912 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160913 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251005-ecg-153129_mile_12_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160917 -  ..
160918 - End hike EKG at mile 18, time 1734 HR 103 temp 82 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
160919 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160920 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160923 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
160924 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251005-ecg-173402_mile_18_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
160925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160929 -  ..
160930 - Post hike 251005 HR profile beginning 2304, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160931 - activity after hiking 18 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
160932 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
160933 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160934 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
160935 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160937 -        ..
160938 -       Date      251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726  250725    
160939 -       Time       2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031    0003     
160940 -       Hours        10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10       8     
160941 -       HR AVG       60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77      59     
160942 -       HR MAX      116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     113     
160943 -       HR Min       42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43      43     
160944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160946 -              https://flow.polar.com/training/analysis/8201815942                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
160947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160949 -  ..
160950 - HRV seems   0% 0 and   0% good and 100% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160953 -   
160954 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160955 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160956 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160958 -  ..
160959 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
160960 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
160961 - Dinner - steak eggs broccoli asparagus onion cheese donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
160963 -  ..
160964 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
160965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160966 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160967 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160968 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160969 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160970 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160971 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160972 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160975 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160980 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160981 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160983 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160984 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160986 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160987 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160988 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160989 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160990 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160991 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160992 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160993 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160994 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160996 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160997 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160998 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
160999 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161000 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161001 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161003 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161004 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161005 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161007 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161008 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161009 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161010 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161012 -         ..
161013 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161014 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161015 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161016 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161017 -        Monday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161018 -  279.  251006 0725............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161019 -               0730....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161020 -               0735....BP HR..................................................... 139  84  52  Kardia ECG reports HR status, see below. ref SDS 0 7FEM                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161021 -               0740....BP HR..................................................... 150  85  56                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161022 -               0745....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161023 -               0745....40 471260 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
161024 -               1135....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161025 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161026 -               1135... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161027 -               1135....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161028 -               1135....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161029 -               1135....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161030 -               1135....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161031 -               1135... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
161032 -  ..
161033 -               1208....miles...........  20.0  20.0  357   357 minutes  temp  86 wind 10  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161034 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161035 -               1422....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161036 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161037 -               1422....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161038 -               1422... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
161039 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161040 -               1422... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161041 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161042 -               1704....mile 16 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161043 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161044 -               1704....Naproxen 250 mg took 2 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161045 -               1704... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
161046 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161047 -               1704... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161048 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161049 -               1836...  Hike ends mile 20..... ref SDS 0 OATO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161050 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161051 -               1850....weight.................................... 175  lost 7#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161052 -               1900....BP HR..................................................... 117  79 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161053 -               1905....BP HR..................................................... 108  73  94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161054 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161055 -               1800... 40 128700 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                                                                                                                                                                                                                                                                                  
161056 -             1 0000............ 10 22120  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
161057 -             1 0000............ 10 22470  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
161058 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161059 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161060 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161061 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161062 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161063 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161064 -               2250... 1000 2589000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161065 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161066 -               2330... 40 471300 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161067 -               2340... 40 103460 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161070 -  ..
161071 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161072 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161074 -  ..
161075 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161076 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161077 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161078 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161079 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161080 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161082 -  ..
161083 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161084 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161086 -  ..
161087 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161088 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161091 -  ..
161092 - Today, hiked 20 miles - Concord - Polar continuous HR report shows no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161093 - flip into AF, as occurred yesterday, per above. ref SDS 0 ETS2  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161094 - aligned with changes in elevation and speed, except EKG R elevated 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161095 - beats mile 16. ref SDS 0 Z5VI  No severe energy deficits on multiple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161096 - occasions today - thus hiking regimen planned by Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161097 - (letter on 250115 1023. ref SDS 70 H480, and her call on 250207 0941.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161098 - ref SDS 72 LW7L) is improving dysfunctional ANS where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161099 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161100 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161101 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161102 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161103 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161104 -    Heart Rate elevated ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161105 -    Blood Pressure elevated ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161106 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161107 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161108 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161109 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161110 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161111 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161112 -    Falling ----------------------------- imprved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161113 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161114 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161115 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161116 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161117 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161118 -    Food cannot taste gagging ----------- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161119 -    Ferritin low - energy deficits ------ persists daily ? need lab  energy seems improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161120 -    Potassium elevated - heart damage --- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161121 -    SGOT elevated - liver damage -------- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161122 -    Mouth Dry - Xerostomia -------------- improved none for several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161123 -    Lips swelled - Cheilitis ------------ persists daily might be better 251006                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161125 -  ..
161126 - Pain contained with meds; no seizures.  After hike today, no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161127 - blisters on left foot #1, nor on right foot #1, as occurred on prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161128 - hikes.  Continued not bandaging toes, using silicone toe caps instead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161129 - There was reduced metatarsalgia pain, wearing Hoka Bondi 9 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161130 - more cushioned soles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161133 -         ..
161134 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161135 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161136 -        Stomach pain ischemic colitis bloating.......   4         30  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
161137 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161138 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161139 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161140 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161141 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161142 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
161143 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161144 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161145 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161146 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161147 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
161148 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161149 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
161150 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161151 -        Hip left.....................................   3         10  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
161152 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161153 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161154 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161155 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161156 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
161157 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161158 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161159 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161160 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161161 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
161162 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161163 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161164 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161165 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161166 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161167 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161168 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161169 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
161170 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161171 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161172 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
161173 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
161174 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
161175 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
161176 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161177 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161178 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
161179 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
161180 -        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                                                                                                                                                                                                                                                                                                                           
161181 -        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                                                                                                                                                                                                                                                                                                                                                                                    
161182 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161183 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
161184 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
161185 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161186 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161187 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
161188 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
161189 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
161190 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161191 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
161192 -        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                                                                                                                                                                                                                                                                                                                                                                                        
161193 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161194 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
161195 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161196 -        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                                                                                                                                                                                                                                                                                                                                                              
161197 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
161198 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
161199 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161200 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161201 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
161202 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161203 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
161204 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
161205 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161206 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
161207 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161208 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161209 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161210 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161211 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161212 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161213 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161214 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
161215 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
161216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161218 -  ..
161219 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161220 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161222 -  ..
161223 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161224 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161225 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161226 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161227 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161228 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161229 - pressure.  on 251001, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161230 - shoes laterally for extra width at #1 and #5. ref SDS B1 9G2J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161231 - Continue wearing 2 pair dual-ply socks, and omitting bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161232 - calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161234 -  ..
161235 - Orthotic inserts - switched back to Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161236 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161237 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161238 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161239 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161240 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161241 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161242 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161243 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161244 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161246 -  ..
161247 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161248 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161249 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161251 -  ..
161252 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161254 -  ..
161255 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161256 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161257 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161258 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161259 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161260 -                    2 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161261 -                    1 Naproxen mile 16 had PL 3 last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161263 -  ..
161264 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161265 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161266 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161267 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161268 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161270 -  ..
161271 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161273 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161274 -            2 magnesium at mile 08 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161275 -            2 magnesium at mile 16 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161277 -  ..
161278 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161280 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161281 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161283 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161284 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161286 -         ..
161287 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161288 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161290 -         ..
161291 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161292 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161295 -  ..
161296 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161297 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161298 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161299 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161300 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161301 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161304 -  ..
161305 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161306 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161307 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161308 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161309 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161310 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161311 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161312 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161313 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161314 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161315 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161316 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161317 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161318 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161319 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161320 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161321 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161322 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161323 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161324 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161325 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161326 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161327 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161328 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161329 - peanut butter few bites steak that both contain iron to complement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161330 - hiking to raise HDL, see review with MAI in the record on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161331 - ref SDS 4 YIQU, that restores sinus rhythm to resolve dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161332 - ANS that then elevates Ferritin and Transferrin Saturation, which both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161333 - tested below range on 250428 0940, ref SDS 88 VP5H, and Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161334 - slightly up to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161335 - telephone meeting with Lauren in Primary Care discussed Iron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161336 - supplement to increase Ferritin.  Decided to rely on improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161337 - Ferritin along with recovering from all afflictions from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161338 - ANS, listed in case study on 200101 0701, ref SDS 18 ZM8J, by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161339 - increasing hiking to restore sinus rhythm, reported on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161340 - ref SDS A3 MJ5I, and previously letter from Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161341 - 250115 1023, ref SDS 70 H480, and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161342 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161343 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161344 - had 1/4 avocado to complement peanut butter for increasing HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161345 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161346 - all per above. ref SDS 0 M7FJ  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161347 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161348 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161349 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161350 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161351 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161352 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161353 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161354 - carry hydration, nutrition, meds, medical supplies.  Temperature 82,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161355 - and wind 09 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161356 - Starting hike stomach seemed less bloated (aligns with reduced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161357 - "impaired HRV" overnight Polar study, above, ref SDS 0 J4CY, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161358 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161359 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161360 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161361 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161362 - with no dyspnea, indicating strong respiratory condition continues,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161363 - despite hiking minimal miles during past weeks.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161364 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161365 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161366 - very light traffic.  Initial .5 mile hiking slow, then continued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161367 - 15-minute mile pace.  Did not hike across Newhall Community across                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161368 - Newhall Community park and back today.  Left foot #1 PL 2, #5 PL 2;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161369 - right foot #5 PL 0 - endorphins and Tramadol effective.  Continued on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161370 - Turtle Creek Road uphill 4% grade.  Speed increased, energy good at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161371 - end of Turtle Creek Road - turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161372 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161373 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161374 - shopping complex.   About mile 3.5 metatarsalgia bottom both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161375 - 1.  Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161376 - sidewalk .5 miles.  Energy good - did not feel sense of hitting an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161377 - "energy deficit wall" near mile 4, having to stop at Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161378 - Pizza restaurant to take interim magnesium and CoQ10.  This has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161379 - major question for hikes past 8 months.  Continued hiking past mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161380 - Turned right heading West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161381 - sidewalk .5 miles.  This is difficult part of hike with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161382 - often greater than PL 2; today PL 2 hiking on sidewalk and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161383 - Hoka Bondi 9 shoes, per above. ref SDS 0 MXVB  Crossed Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161384 - Road at Stop Light still heading West .25 miles now on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161385 - shoulder.  Crossed to South side Ygnacio Valley Road to hike on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161386 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161387 - About mile 5, turned left onto Pine Hollow.  Hiked 2.5 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161388 - Stopped at end of Pine Hollow mile 08 time 1422 temp 84 and wind 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161389 - mph; EKG looks uniform with no artifact; Kardia reported HR 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161390 - Tachycardia - see below. ref SDS 0 FGB5  Bloating PL 3, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161391 - PL 3, both feet metatarsalgia PL 4, burning sensation PL 0.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161392 - #1 PL 2 and #5 PL 5.  Right foot #5 PL 1, #1 PL 2, #4 PL 0.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161393 - Naproxen 250 mg total today 2, for pain.  Took 2 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161394 - mg pill, total today 4, for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161395 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161396 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161397 - nutrition - peanut butter, avocado with margarine and Mayonnaise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161398 - Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161399 - and energy to complete hike.  Since temperature 78, which causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161400 - sweating that ejects electrolytes, took 0 Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161401 - above. ref SDS 0 6KBZ  Turned around hiked back 2.5 miles on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161402 - Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161403 - heading West uphill 3% grade.  Hiked 1 mile with wind 03 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161404 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161405 - uphill 4% grade .25 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161406 - University East Bay Concord Campus.  Hiked loop around main buildings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161407 - stopping in back at training area - did 20 half pull-ups and 20 half                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161408 - push-ups, then continued back to Visitor parking.  Hiked loops through                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161409 - Faculty and Student parking lots, and another loop around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161410 - buildings.  Back at Visitor Parking, stopped at Administration                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161411 - building mile 16 time 1704, temp 85 and wind 02 mph; EKG mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161412 - uniform with minor artifact - 2 beats show severe elevated R element -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161413 - Kardia reported HR 115 Tachycardia - see below. ref SDS 0 Z5VI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161414 - Bloated PL 2, energy deficit PL 4.  Both feet PL 5, burning sensation                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161415 - PL 3, left foot #1 PL 3, #5 PL 4, right foot #5 PL 2, #1 PL 2.  Took 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161416 - Naproxen total today 3, took 2 magnesium total today 6.  Sips                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161417 - softdrink carried from home for hydration, swallow meds and nutrition                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161418 - - peanut butter, margarine and chia seeds (soaked in water/Coca                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161419 - Cola/orange juice) for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161420 - electrolyte pill.  Took Ubiquinol CoQ10 100 mg pill for HDL and energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161421 - to complete hike, per above. ref SDS 0 6KBZ  Hiked another loop around                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161422 - main buildings.  Exited college heading North downhill on Campus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161423 - Drive.  Turned left onto Ygnacio Valley Road.  Hiked West on flat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161424 - grade .5 miles.  At mile 17, continued past Crystal Ranch Road uphill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161425 - 3% grade .5 miles against wind 02 mph.  Crossed Cowell at stop light.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161426 - At break in traffic, crossed to North side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161427 - avoid severe camber.  Hiked .5 miles uphill 3% grade to summit at end                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161428 - of concrete barriar mile 18.  Turned around and hiked back, then left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161429 - onto Cowell heading North .25 miles using asphalt shoulder downhill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161430 - grade, then flat grade .25 miles, then .5 miles in narrow shoulder                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161431 - against oncoming commute traffic.  Turned left onto Treat hiking West                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161432 - .25 miles back to Cuneo, then home.  Ended hike mile 20 time 1836 temp                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161433 - 83, wind 05, bloating PL 3, energy deficit PL 2 (energy increased with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161434 - magnesium and CoQ10), feet metatarsalgia PL 4, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161435 - left foot #1 PL 4, #5 edge PL 3, right foot #5 PL 2, #1 PL 3, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161436 - splints PL 0, left knee PL 0 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161437 - shoulder PL 0, neck and right shoulder PL 8 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161438 - middle PL 0 - usually stress carrying backpack, but not today, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161439 - elbow PL 0, when lifting.  EKG uniform with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161440 - reported HR 110 Tachycardia - see below. ref SDS 0 QF5Z                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161441 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161442 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161443 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161446 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161447 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161451 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161452 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161453 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161459 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161460 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161461 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161462 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161464 -  ..
161465 - Kardia recorded HR 45 at 1006, Possible Atrial Fibrillation, looks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161466 - mostly uniform heart beat lengths with p-waves and no artifact, likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161467 - no AFL after hiking 18 miles temp 82 yesterday, and diagnosed ischemic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161468 - colitis on 200612 0700, ref SDS 22 LY3G, likely arising from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161469 - dysfuncational ANS following 6th ablation on 240611, reviewed with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161470 - Microsoft AI on 250114 1202. ref SDS 69 NA4H  Medical history case                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161471 - study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161472 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161473 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161474 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161475 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251006-ecg-100659_mile_00_045_paf_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161476 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161481 -  ..
161482 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161483 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161484 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161485 - ..
161486 -                                                                                                                                                                                                                                                                                                              x
161487 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161488 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161489 -       Date          251006 251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 250718 25071  
161490 -       Miles            20     18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0      0  
161491 -       HR AVG          113    107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no     no  
161492 -         MAX           134    123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report report repo  
161493 -         Min            73     65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                       
161494 -       El Climb Ft     493    505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                       
161495 -       Temp Max         86     82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                       
161496 -       Wind Max         10      9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                       
161497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161499 -              https://flow.polar.com/training/analysis/8202038984                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161502 -               ..
161504 -   
161505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161510 -  ..
161511 - EKG at mile 08 time 1422 HR 107 temp 84, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161512 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161513 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161516 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161517 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251006-ecg-142210_mile_08_107_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161521 -  ..
161522 - EKG at mile 16 time 1704 HR 115 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161523 - Tachycardia... heart rate looks mostly uniform with no artifact - 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161524 - beats show severe elevated R element - medical history case study on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161525 - 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161528 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161529 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251006-ecg-170408_mile_16_115_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161533 -  ..
161534 - End hike EKG at mile 20, time 1836 HR 110 temp 83 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161535 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161536 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161537 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161538 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161539 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161540 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251006-ecg-183630_mile_20_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161541 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161542 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161543 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161545 -  ..
161546 - Post hike 251006 HR profile beginning 0019, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161547 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161548 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161549 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161550 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161551 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161553 -        ..
161554 -       Date      251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727  250726    
161555 -       Time       0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946    2031     
161556 -       Hours         7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11      10     
161557 -       HR AVG       64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65      77     
161558 -       HR MAX      152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     142     
161559 -       HR Min       41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42      43     
161560 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161561 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161562 -              https://flow.polar.com/training/analysis/8202306639                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161563 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161565 -  ..
161566 - HRV seems  25% 0 and   0% good and  75% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161567 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161569 -   
161570 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161571 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161572 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161574 -  ..
161575 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161576 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161577 - Dinner - steak eggs broccoli asparagus onion cheese donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161579 -  ..
161580 - Vomiting: 0% - bloating PL 3  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161581 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161582 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161583 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161584 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161585 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161586 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161591 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161592 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161597 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161598 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161605 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161606 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161607 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161608 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161609 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161611 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161612 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161615 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161617 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161618 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161619 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161621 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161622 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161627 -         ..
161628 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161629 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161630 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161631 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161632 -        Tuesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161633 -  280.  251007 0700............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161634 -               0700....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161635 -               0705....BP HR..................................................... 148  96  45  Kardia ECG reports HR status, see below. ref SDS 0 BN7T                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161636 -               0710....BP HR..................................................... 155  77  44                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161637 -               0725....weight.................................... 182                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161638 -               0725....40 471340 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
161639 -               1035....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161640 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161641 -               1035... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161642 -               1035....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161643 -               1035....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161644 -               1035....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161645 -               1035....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161646 -               1035... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
161647 -  ..
161648 -               1112....miles...........  20.0  40.0  345   702 minutes  temp  92 wind 10  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161649 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161650 -               1337....mile 08 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161651 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161652 -               1337....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161653 -               1337... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
161654 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161655 -               1337... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161656 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161657 -               1559....mile 15 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161658 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161659 -               1559....Naproxen 250 mg took 2 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161660 -               1559... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
161661 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161662 -               1559... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161663 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161664 -               1836...  Hike ends mile 20..... ref SDS 0 OATO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161665 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161666 -               1800....weight.................................... 176  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161667 -               1808....BP HR..................................................... 124  73  98                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161668 -               1905....BP HR..................................................... 116  74  89                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161669 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161670 -               1800... 40 128740 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                                                                                                                                                                                                                                                                                  
161671 -               1830............ 10 22130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
161672 -               1830............ 10 22480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
161673 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161674 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161675 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161676 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161677 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161678 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161679 -               2250... 1000 2590000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161680 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161681 -               2330... 40 471380 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161682 -               2340... 40 103540 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161683 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161685 -  ..
161686 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161687 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161689 -  ..
161690 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161691 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161692 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161693 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161694 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161695 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161697 -  ..
161698 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161699 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161701 -  ..
161702 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161703 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161706 -  ..
161707 - Today, hiked 20 miles - Concord - Polar continuous HR report shows no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161708 - flip into AF, as occurred yesterday, per above. ref SDS 0 ETS2  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161709 - aligned with changes in elevation and speed, except EKG R elevated 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161710 - beats mile 16. ref SDS 0 Z5VI  No severe energy deficits on multiple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161711 - occasions today - thus hiking regimen planned by Doctor Pellegrini                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161712 - (letter on 250115 1023. ref SDS 70 H480, and her call on 250207 0941.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161713 - ref SDS 72 LW7L) is improving dysfunctional ANS where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161715 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161716 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161717 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161718 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161719 -    Heart Rate elevated ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161720 -    Blood Pressure elevated ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161721 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161722 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161723 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161724 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161725 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161726 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161727 -    Falling ----------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161728 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161729 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161730 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161731 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161732 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161733 -    Food cannot taste gagging ----------- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161734 -    Ferritin low - energy deficits ------ persists daily ? need lab  energy up and down                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161735 -    Potassium elevated - heart damage --- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161736 -    SGOT elevated - liver damage -------- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161737 -    Mouth Dry - Xerostomia -------------- improved none for several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161738 -    Lips swelled - Cheilitis ------------ persists daily might be better 251006                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161740 -  ..
161741 - Pain contained with meds; no seizures.  After hike today, no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161742 - blisters on left foot #1, nor on right foot #1, as occurred on prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161743 - hikes.  Continued not bandaging toes, using silicone toe caps instead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161744 - There was reduced metatarsalgia pain, wearing Hoka Bondi 9 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161745 - more cushioned soles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161748 -         ..
161749 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161750 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161751 -        Stomach pain ischemic colitis bloating.......   4         30  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
161752 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161753 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161754 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161755 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161756 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161757 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
161758 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161759 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161760 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161761 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161762 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
161763 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161764 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
161765 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161766 -        Hip left.....................................   3         10  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
161767 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161768 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161769 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161770 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161771 -        Knee left meniscus...PRP 231121..............   2         20  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
161772 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161773 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161774 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161775 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161776 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
161777 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161778 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161779 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161780 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161781 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161782 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161783 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161784 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
161785 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161786 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161787 -        Metatarsalgia left foot...PRP 210705.........   4         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
161788 -        Metatarsalgia right foot..PRP 210705.........   4         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
161789 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
161790 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
161791 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161792 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161793 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
161794 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
161795 -        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                                                                                                                                                                                                                                                                                                                           
161796 -        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                                                                                                                                                                                                                                                                                                                                                                                    
161797 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161798 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
161799 -        Callus big toe left foot...PRP 210705........   3         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
161800 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161801 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161802 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
161803 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
161804 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
161805 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161806 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
161807 -        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                                                                                                                                                                                                                                                                                                                                                                                        
161808 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161809 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
161810 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161811 -        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                                                                                                                                                                                                                                                                                                                                                              
161812 -        Callus little toe #5 left foot...PRP 210705..   3         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
161813 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
161814 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161815 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161816 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
161817 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161818 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
161819 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
161820 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161821 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
161822 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161823 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161824 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161825 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161826 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161827 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161828 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161829 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
161830 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
161831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161833 -  ..
161834 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161835 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161837 -  ..
161838 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161839 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161840 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161841 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161842 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161843 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161844 - pressure.  on 251001, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161845 - shoes laterally for extra width at #1 and #5. ref SDS B1 9G2J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161846 - Continue wearing 2 pair dual-ply socks, and omitting bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161847 - calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161849 -  ..
161850 - Orthotic inserts - switched back to Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161851 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161852 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161853 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161854 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161855 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161856 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161857 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161858 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161859 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
161861 -  ..
161862 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161863 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161864 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161866 -  ..
161867 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161869 -  ..
161870 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161871 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161872 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161874 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161875 -                    2 Naproxen mile 08                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161876 -                    1 Naproxen mile 16 had PL 3 last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161878 -  ..
161879 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161880 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161881 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161882 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161883 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
161885 -  ..
161886 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161888 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161889 -            2 magnesium at mile 08 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161890 -            2 magnesium at mile 16 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161892 -  ..
161893 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161895 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
161896 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161898 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161899 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161901 -         ..
161902 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161903 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161905 -         ..
161906 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161907 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161910 -  ..
161911 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161912 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161913 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161914 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161915 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161916 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161919 -  ..
161920 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161921 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161922 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161923 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
161924 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161925 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161926 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161927 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161928 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161929 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161930 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161931 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161932 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161933 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161934 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161935 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161936 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161937 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161938 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161939 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161940 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161941 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
161942 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161943 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161944 - peanut butter few bites steak that both contain iron to complement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161945 - hiking to raise HDL, see review with MAI in the record on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161946 - ref SDS 4 YIQU, that restores sinus rhythm to resolve dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
161947 - ANS that then elevates Ferritin and Transferrin Saturation, which both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161948 - tested below range on 250428 0940, ref SDS 88 VP5H, and Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161949 - slightly up to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161950 - telephone meeting with Lauren in Primary Care discussed Iron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161951 - supplement to increase Ferritin.  Decided to rely on improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
161952 - Ferritin along with recovering from all afflictions from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161953 - ANS, listed in case study on 200101 0701, ref SDS 18 ZM8J, by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161954 - increasing hiking to restore sinus rhythm, reported on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161955 - ref SDS A3 MJ5I, and previously letter from Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161956 - 250115 1023, ref SDS 70 H480, and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161957 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161958 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161959 - had 1/4 avocado to complement peanut butter for increasing HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161960 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161961 - all per above. ref SDS 0 8R7E  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161962 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161963 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161964 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161965 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
161966 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161967 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161968 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
161969 - carry hydration, nutrition, meds, medical supplies.  Temperature 91,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161970 - and wind 12 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161971 - Starting hike stomach seemed less bloated (conflicts with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161972 - "impaired HRV" overnight Polar study, above, ref SDS 0 LEUJ, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161973 - feeling swelled and like pins and needles - actually minimal today,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161974 - and - did not feel electrical shocks in balls of feet this morning -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161975 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161976 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161977 - with no dyspnea, indicating strong respiratory condition continues,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161978 - despite hiking minimal miles during past weeks.  Hiked East on Treat                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161979 - .5 miles.  Turned right hiking South on asphalt shoulder of Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161980 - Creek Road for 1.5 miles mostly flat grade, some places 3% uphill, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161981 - very light traffic.  Initial .5 mile hiking slow, then continued at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
161982 - 15-minute mile pace.  Hiked across Newhall Community park and back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161983 - today.  Feet metatarsalgia PL 3, left foot #1 PL 2, #5 PL 2; right                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161984 - foot #5 PL 0 - endorphins and Tramadol partially effective.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161985 - on Turtle Creek Road uphill 4% grade.  Speed increased, energy good at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161986 - end of Turtle Creek Road - turned left onto Ayers hiking East .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161987 - miles on asphalt road shoulder.  At mile 3, turned right onto Clayton                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161988 - Road hiking South .5 miles on asphalt pavement in parking lots of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
161989 - shopping complex.   About mile 3.5 metatarsalgia bottom both feet PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161990 - 3.  Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161991 - sidewalk .5 miles.  Energy good - did not feel sense of hitting an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161992 - "energy deficit wall" near mile 4, having to stop at Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161993 - Pizza restaurant to take interim magnesium and CoQ10.  This has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
161994 - major question for hikes past 8 months.  Continued hiking past mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
161995 - Turned right heading West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
161996 - sidewalk .5 miles.  This is difficult part of hike with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161997 - often greater than PL 2; today PL 2 hiking on sidewalk and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
161998 - Hoka Bondi 9 shoes, per above. ref SDS 0 GOP4  Crossed Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
161999 - Road at Stop Light still heading West .25 miles now on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162000 - shoulder.  Crossed to South side Ygnacio Valley Road to hike on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162001 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162002 - About mile 5, turned left onto Pine Hollow.  Hiked 2.5 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162003 - Stopped at end of Pine Hollow mile 08 time 1337 temp 88 and wind 07                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162004 - mph; EKG looks uniform with no artifact; Kardia reported HR 108                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162005 - Tachycardia - see below. ref SDS 0 QCM8  Bloating PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162006 - PL 3, both feet metatarsalgia PL 4, burning sensation PL 3.  Left foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162007 - #1 PL 4 and #5 PL 6.  Right foot #5 PL 2, #1 PL 1, #4 PL 0.  Took 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162008 - Naproxen 250 mg total today 2, for pain.  Took 2 Magnesium complex 300                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162009 - mg pill, total today 4, for energy, absorbing lactic acid, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162010 - reducing inflammation, per research on 200101 0701. ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162011 - Sips softdrink carried from home for hydration and swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162012 - nutrition - peanut butter, avocado with margarine and Mayonnaise.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162013 - Chia Seeds for electrolytes.  Took Ubiquinol CoQ10 100 mg pill for HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162014 - and energy to complete hike.  Since temperature 88, which causes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162015 - sweating that ejects electrolytes, took 0 Nuun electrolyte pill, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162016 - above. ref SDS 0 REKY  Turned around hiked back 2.5 miles on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162017 - Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162018 - heading West uphill 3% grade.  Hiked 1 mile against wind 03 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162019 - road bends North.  At Ygnacio Valley road turned left.  Hiked West on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162020 - flat grade .5 miles.  At mile 12, continued past Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162021 - uphill 3% grade .5 miles against wind 02 mph.  Crossed Cowell at stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162022 - light.  At break in traffic, crossed to North side Ygnacio Valley Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162023 - to avoid severe camber.  Hiked .5 miles uphill 3% grade to summit at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162024 - end of concrete barriar mile 13.  With break in afternoon commute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162025 - traffic crossed back to South side Ygnacio Valley Road.  Continued 2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162026 - miles downhill 3% grade.  Crossed back to North side Ygnacio Valley                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162027 - Road.  Crossed Oak Grove at traffic light.  Did not hike 1-mile loop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162028 - around block at Safeway shopping complex.  Stopped at Mod Pizza mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162029 - 15, time 1559, temp 91 and wind 07 mph; EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162030 - artifact, Kardia reported HR 116 Tachycardia - see below. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162031 - 7NXC  Bloated PL 1, energy deficit PL 8.  Both feet PL 7, burning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162032 - sensation PL 6, left foot #1 PL 4, #5 PL 4, right foot #5 PL 3, #1 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162033 - 3.  Took 1 Naproxen total today 3, took 2 magnesium total today 6.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162034 - Sips softdrink bought at Mod Pizza with ice for hydration, swallowing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162035 - meds and nutrition - peanut butter, margarine and chia seeds (soaked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162036 - in water/Coca Cola/orange juice) for energy, and avocado for HDL, did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162037 - not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 100 mg pill for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162038 - HDL and energy to complete hike, per above. ref SDS 0 REKY  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162039 - hiking 1-mile loop around the block - turned right onto path parallel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162040 - to Via Monte hiking North .25 miles, turned right onto Shadelands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162041 - hiking .25 miles, and turned left onto Oak Grove.  Hiked 1 mile North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162042 - on asphalt shoulder.  Crossed Treat at street light.  Hiked 1 mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162043 - East on flat grade concrete sidewalk.  At San Miguel continued .75                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162044 - miles on Treat uphill 5% grade temp 71.  Handled this well.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162045 - summit, mile 23, hiked another mile to Cuneo, continued to Cowell and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162046 - back, then home.  Ended hike mile 20 time 1745 temp 83, wind 09.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162047 - Bloated PL 2, energy deficit PL 3, feet PL 6, burning sensation PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162048 - left foot #1 PL 5, #5 PL 4, right foot #5 PL 4, #1 PL 4, left knee PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162049 - 0, wobbly PL 0.  EKG looks mostly uniform, with minor artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162050 - reported HR 110 Tachycardia - see below. ref SDS 0 CZ3O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162051 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162052 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162053 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162054 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162055 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162056 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162057 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162058 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162059 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162060 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162061 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162062 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162063 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162064 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162065 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162066 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162067 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162068 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162069 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162070 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162071 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162072 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162073 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162075 -  ..
162076 - Kardia recorded HR 45 at 0737, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162077 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162078 - 20 miles temp 88 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162079 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162080 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162081 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162082 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162083 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162084 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162085 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162086 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251007-ecg-073704_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162087 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162088 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162089 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162090 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162092 -  ..
162093 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162094 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162095 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162096 - ..
162097 -                                                                                                                                                                                                                                                                                                              x
162098 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162099 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162100 -       Date          251007 251006 251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 250719 25071  
162101 -       Miles            20     20     18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0      0  
162102 -       HR AVG          113    113    107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no     no  
162103 -         MAX           128    134    123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   report repo  
162104 -         Min            82     73     65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82                
162105 -       El Climb Ft     472    493    505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533                
162106 -       Temp Max         91     86     82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80                
162107 -       Wind Max         12     10      9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21                
162108 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162109 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162110 -              https://flow.polar.com/training/analysis/8202624103                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162111 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162113 -               ..
162115 -   
162116 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162117 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162118 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162121 -  ..
162122 - EKG at mile 08 time 1337 HR 108 temp 88, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162123 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162124 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162127 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162128 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251007-ecg-133721_mile_08_108_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162132 -  ..
162133 - EKG at mile 15 time 1559 HR 116 temp 85, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162134 - Tachycardia... heart rate looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162135 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162138 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162139 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251007-ecg-155936_mile_15_116_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162141 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162143 -  ..
162144 - End hike EKG at mile 20, time 1745 HR 110 temp 83 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162145 - Tachycardia... looks mostly uniform with minor artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162146 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162147 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162148 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162149 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162150 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251007-ecg-174505_mile_20_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162152 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162153 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162155 -  ..
162156 - Post hike 251007 HR profile beginning 2011, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162157 - activity after hiking 20 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162158 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162159 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162160 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162161 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162163 -        ..
162164 -       Date      251007  251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728  250727    
162165 -       Time       2011    0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946    1946     
162166 -       Hours        13       7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11      11     
162167 -       HR AVG       64      64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64      65     
162168 -       HR MAX      111     152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     121     
162169 -       HR Min       38      41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42      42     
162170 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162171 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162172 -              https://flow.polar.com/training/analysis/8202983022                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162173 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162175 -  ..
162176 - HRV seems  10% 0 and  60% good and  30% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162177 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162179 -   
162180 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162182 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162184 -  ..
162185 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162186 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162187 - Dinner - steak eggs broccoli asparagus onion cheese donut milk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162189 -  ..
162190 - Vomiting: 0% - bloating PL 3  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162194 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162195 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162198 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162199 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162200 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162201 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162212 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162217 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162218 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162222 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162223 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162224 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162225 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162226 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162227 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162228 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162230 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162231 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162232 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162233 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162234 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162235 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162236 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162238 -         ..
162239 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162240 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162241 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162242 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162243 -        Wednesday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162244 -  281.  251008 0640............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162245 -               0640....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162246 -               0645....BP HR..................................................... 140  77  50  Kardia ECG reports HR status, see below. ref SDS 0 PI8K                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162247 -               0650....BP HR..................................................... 152  74  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162248 -               0655....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162249 -               0655....40 471420 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
162250 -               1205....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162251 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162252 -               1205... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162253 -               1205....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162254 -               1205....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162255 -               1205....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162256 -               1205....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162257 -               1205... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
162258 -  ..
162259 -         * cr  1234....miles...........  21.0  61.0  373  1075 minutes  temp  71 wind 23  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162260 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162261 -               1534....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162262 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162263 -               1534....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162264 -               1534... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
162265 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162266 -               1534... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162267 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162268 -               1657....mile 13 stopped EKG - NPO nothing eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162269 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162270 -               0000....Naproxen 250 mg took 2 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162271 -               0000... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
162272 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162273 -               0000... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162274 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162275 -               1813....mile 17 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162276 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162277 -               0000....Naproxen 250 mg took 0 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162278 -               1813... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
162279 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162280 -               1813... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162281 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162282 -               1932...  Hike ends mile 21..... ref SDS 0 OATO                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162283 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162284 -               2005....weight.................................... 176  lost 6#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162285 -               2010....BP HR..................................................... 109  69 107                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162286 -               2015....BP HR..................................................... 105  68 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162287 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162288 -               2020... 40 128780 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                                                                                                                                                                                                                                                                                  
162289 -             1 0000............ 10 22130  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
162290 -             1 0000............ 10 22480  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
162291 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162292 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162293 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162294 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162295 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162296 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162297 -               2250... 1000 2591000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162298 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162299 -               2330... 40 471460 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162300 -               2340... 40 103580 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162302 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162303 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162304 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162305 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162306 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162307 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162308 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162309 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162310 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162312 -  ..
162313 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162314 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162316 -  ..
162317 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162318 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162319 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162320 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162321 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162322 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162324 -  ..
162325 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162326 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162328 -  ..
162329 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162330 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162331 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162333 -  ..
162334 - Today, hiked 21 miles - Concord finally had energy to hike 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162335 - Crystal Ranch loop 1st time in 6 months, per above. ref SDS 0 E45P  HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162336 - aligned with changes in elevation and speed.  No severe energy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162337 - deficits on multiple occasions today - thus hiking regimen planned by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162338 - Doctor Pellegrini (letter on 250115 1023. ref SDS 70 H480, and her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162339 - call on 250207 0941. ref SDS 72 LW7L) is improving dysfunctional ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162340 - where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162341 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162342 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162343 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162344 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162345 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162346 -    Heart Rate elevated ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162347 -    Blood Pressure elevated ------------- improved seems trending up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162348 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162349 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162350 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162351 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162352 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162353 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162354 -    Falling ----------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162355 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162356 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162357 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162358 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162359 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162360 -    Food cannot taste gagging ----------- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162361 -    Ferritin low - energy deficits ------ persists daily ? need lab  energy better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162362 -    Potassium elevated - heart damage --- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162363 -    SGOT elevated - liver damage -------- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162364 -    Mouth Dry - Xerostomia -------------- woke this morning with dry mouth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162365 -    Lips swelled - Cheilitis ------------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162367 -  ..
162368 - Pain contained with meds; no seizures.  After hike today, no bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162369 - blisters on left foot #1, nor on right foot #1, as occurred on prior                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162370 - hikes.  Continued not bandaging toes, using silicone toe caps instead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162371 - There was reduced metatarsalgia pain, wearing Hoka Bondi 9 shoes with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162372 - more cushioned soles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162375 -         ..
162376 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162377 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162378 -        Stomach pain ischemic colitis bloating.......   3         30  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
162379 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162380 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162381 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162382 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162383 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162384 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
162385 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162386 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162387 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162388 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162389 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
162390 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162391 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
162392 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162393 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
162394 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162395 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162396 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162397 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162398 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
162399 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162400 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162401 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162402 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162403 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
162404 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162405 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162406 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162407 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162408 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162409 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162410 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162411 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
162412 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162413 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162414 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
162415 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
162416 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
162417 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
162418 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162419 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162420 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
162421 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
162422 -        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                                                                                                                                                                                                                                                                                                                           
162423 -        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                                                                                                                                                                                                                                                                                                                                                                                    
162424 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162425 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
162426 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
162427 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162428 -        Blister below big toe right foot.............   0        100  after hike found no bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162429 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
162430 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
162431 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
162432 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162433 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
162434 -        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                                                                                                                                                                                                                                                                                                                                                                                        
162435 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162436 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
162437 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162438 -        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                                                                                                                                                                                                                                                                                                                                                              
162439 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
162440 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
162441 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162442 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162443 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
162444 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162445 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
162446 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
162447 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162448 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
162449 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162450 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162451 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162452 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162453 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162454 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162455 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162456 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
162457 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
162458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162460 -  ..
162461 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162462 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162464 -  ..
162465 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162466 - new Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162467 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162468 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162469 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162470 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162471 - pressure.  on 251001, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162472 - shoes laterally for extra width at #1 and #5. ref SDS B1 9G2J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162473 - Continue wearing 2 pair dual-ply socks, and omitting bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162474 - calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162476 -  ..
162477 - Orthotic inserts - continued using Powerstep inserts after review by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162478 - Doctor Hewit on Monday, established they are still effective, reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162479 - on 250929 0830. ref SDS B0 LN45  This replaced Stable Elite inserts                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162480 - purchased from Mark Wachter at On-The-Run on 221118 1221, ref SDS 26                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162481 - 4G4N, and evaluating Doctor Tang concerned Powerstep inserts created                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162482 - by Doctor Hewitson on 250325 0830. ref SDS 83 5Q5M and explained in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162483 - case study record on 200101 0701, ref SDS 18 Q34F, have begun to fail                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162484 - causing continual feet injuries, reported on 250904 1030. ref SDS A5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162485 - 1Z7N Seemed like less injuries today, because inserts retain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162486 - structure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162488 -  ..
162489 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Switched back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162490 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162491 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162493 -  ..
162494 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162496 -  ..
162497 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162498 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162499 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162501 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162502 -                    2 Naproxen mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162503 -                    0 Naproxen mile 15 had PL 3 last 4 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162505 -  ..
162506 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162507 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162508 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162509 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162510 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162512 -  ..
162513 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162515 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162516 -            2 magnesium at mile 10 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162517 -            2 magnesium at mile 15 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162519 -  ..
162520 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162522 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162523 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162525 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162526 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162528 -         ..
162529 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162530 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162532 -         ..
162533 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162534 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162535 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162537 -  ..
162538 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162539 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162540 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162541 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162542 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162543 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162544 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162546 -  ..
162547 - Concord 21 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162548 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162549 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162550 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162551 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162552 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162553 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162554 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162555 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162556 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162557 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162558 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162559 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162560 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162561 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162562 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162563 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162564 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162565 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162566 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162567 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162568 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162569 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162570 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162571 - peanut butter few bites steak that both contain iron to complement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162572 - hiking to raise HDL, see review with MAI in the record on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162573 - ref SDS 4 YIQU, that restores sinus rhythm to resolve dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162574 - ANS that then elevates Ferritin and Transferrin Saturation, which both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162575 - tested below range on 250428 0940, ref SDS 88 VP5H, and Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162576 - slightly up to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162577 - telephone meeting with Lauren in Primary Care discussed Iron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162578 - supplement to increase Ferritin.  Decided to rely on improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162579 - Ferritin along with recovering from all afflictions from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162580 - ANS, listed in case study on 200101 0701, ref SDS 18 ZM8J, by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162581 - increasing hiking to restore sinus rhythm, reported on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162582 - ref SDS A3 MJ5I, and previously letter from Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162583 - 250115 1023, ref SDS 70 H480, and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162584 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162585 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162586 - had 1/4 avocado to complement peanut butter for increasing HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162587 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162588 - all per above. ref SDS 0 PHTZ  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162589 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162590 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162591 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162592 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162593 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162594 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162595 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162596 - carry hydration, nutrition, meds, medical supplies.  Temperature 91,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162597 - and wind 12 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162598 - Starting hike stomach seemed less bloated (conflicts with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162599 - "impaired HRV" overnight Polar study, above, ref SDS 0 LEUJ, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162600 - feeling swelled and like pins and needles - feeling electrical shocks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162601 - in balls of feet and toes #2 and #3 both feet about 2 miles - due to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162602 - peripheral neuropathy caused by taking statins, diabetes symptoms, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162603 - dysfunctional ANS.  Breathed through nose entire hike with no dyspnea,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162604 - indicating strong respiratory condition continues - correlates hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162605 - therapeutic miles during past week.  Hiked East on Treat .5 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162606 - Turned right hiking South on asphalt shoulder of Turtle Creek Road for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162607 - 1.5 miles mostly flat grade, some places 3% uphill, and very light                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162608 - traffic.  Initial .5 mile hiking slow, then continued at 15-minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162609 - mile pace.  Did not hike across Newhall Community park and back today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162610 - Feet metatarsalgia PL 2, left foot #1 PL 1, #5 PL 1; right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162611 - 0 - endorphins and Tramadol partially effective.  Continued on Turtle                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162612 - Creek Road uphill 4% grade.  Speed increased, energy good at end of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162613 - Turtle Creek Road - turned left onto Ayers hiking East .75 miles on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162614 - asphalt road shoulder.  At mile 3, turned right onto Clayton Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162615 - hiking South .5 miles on asphalt pavement in parking lots of shopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162616 - complex.   About mile 3.5 metatarsalgia bottom both feet PL 1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162617 - Crossed Alberto Way at traffic light and continued on concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162618 - sidewalk .5 miles.  Energy good - did not feel sense of hitting an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162619 - "energy deficit wall" near mile 4, having to stop at Mountain Mike's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162620 - Pizza restaurant to take interim magnesium and CoQ10.  This has been                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162621 - major question for hikes past 8 months.  Continued hiking past mile 4.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162622 - Turned right heading West on Ygnacio Valley Road using concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162623 - sidewalk .5 miles.  This is difficult part of hike with metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162624 - often greater than PL 2; today PL 1 hiking on sidewalk and wearing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162625 - Hoka Bondi 9 shoes, per above. ref SDS 0 GOP4  Crossed Park Highlands                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162626 - Road at Stop Light still heading West .25 miles now on asphalt                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162627 - shoulder.  Crossed to South side Ygnacio Valley Road to hike on wider                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162628 - shoulder.  Continued West past Stop Light at Michigan Boulevard.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162629 - About mile 5, turned left onto Pine Hollow.  Hiked .25 miles East.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162630 - Turned around hiked back .25 miles on Pine Hollow.  Near Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162631 - Valley road turned left onto Campus Drive heading West uphill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162632 - grade.  Hiked 1 mile against wind 03 mph.  The road bends North.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162633 - Ygnacio Valley road turned around and hiked uphill 4% grade .25 mile.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162634 - Reached Visitor Parking California State University East Bay Concord                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162635 - Campus.  Hiked loop around main buildings stopping in back at training                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162636 - area - did 20 half pull-ups and 20 half push-ups, then continued back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162637 - to Visitor parking.  Hiked loop through Faculty and Student parking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162638 - lots.  Back at Visitor Parking, stopped at Administration building                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162639 - mile 10 time 1534, temp 71 and wind 18 mph; EKG mostly uniform with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162640 - minor artifact - Kardia reported HR 098 Normal Sinus Rhythm - see                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162641 - below. ref SDS 0 YV5I  Bloated PL 3, energy deficit PL 2.  Both feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162642 - PL 4, burning sensation PL 3, left foot #1 PL 3, #5 PL 2, right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162643 - #5 PL 2, #1 PL 2.  Took 2 Naproxen total today 2, took 2 magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162644 - total today 4.  Sips softdrink carried from home for hydration,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162645 - swallow meds and nutrition - peanut butter, margarine and chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162646 - (soaked in water/Coca Cola/orange juice) for energy, and avocado for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162647 - HDL, did not take Nuun electrolyte pill.  Took Ubiquinol CoQ10 100 mg                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162648 - pill for HDL and energy to complete hike, per above. ref SDS 0 9P7X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162649 - Exited college heading North downhill on Campus Drive.  Turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162650 - onto Ygnacio Valley Road.  Hiked West on flat grade .5 miles.  At mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162651 - 11, turned left onto Crystal Ranch Road.  Hiked South 1 mile uphill 5%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162652 - grade with 18 mph wind.  Pace slowed - otherwise handled this well -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162653 - nice surprise breathing through nose without dyspnea nor stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162654 - after having not hiked this route since 250402, per above. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162655 - VRQP  At summit continued flat grade .5 miles.  Encountered local                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162656 - resident hiking in my direction, who was kind saying she was pleased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162657 - seeing me hiking in Crystal Ranch again.  Continued downhill .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162658 - 5% grade.  At Rolling Woods Way continued uphill on Crystal Ranch Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162659 - .5 miles 6% grade with wind 18 mph.  Road ends at top of hill.  Did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162660 - not hike back down hill about .25 mile and then back to top for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162661 - additional distance.  Stopped mile 13 time 1657, temp 70, wind 14 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162662 - EKG uniform with artifact, Kardia reported HR 110 (...  HR - 5 minute                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162663 - wait to get cellphone connection...) Tachycardia - see below.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162664 - ref SDS 0 ELXT  Bloated PL 2, energy deficit PL 2, feet PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162665 - foot #1 PL 2, #5 PL 3, burning sensation PL 0; right foot #5 PL 2, #1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162666 - PL 2.  NPO - nothing to eat nor drink, per above. ref SDS 0 9P7X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162667 - Continued downhill on Crystal Ranch Road 6% grade .5 miles.  At bottom                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162668 - of hill, Turned right onto Rolling Woods Way hiking East .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162669 - uphill 6% grade with 18 mph wind.  At summit continued downhill .66                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162670 - miles.  Turned left onto Pine Hollow.  Hiked 1 mile and turned left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162671 - onto Campus Drive.  Hiked West 1 mile uphill 3% - 4% grade with wind                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162672 - 18 mph.  Reached Visitor Parking again at California State University                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162673 - East Bay Concord Campus.  Stopped at Administration Building mile 17,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162674 - time 1813 temp 68 and wind 14 mph; EKG uniform with minor artifact,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162675 - Kardia reported HR 103 Tachycardia - see below. ref SDS 0 IH97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162676 - Bloated PL 3, energy deficit PL 2, sore throat PL 3, both feet PL 4,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162677 - burning sensation PL 2, left foot #1 PL 2, #5 PL 2, right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162678 - 2, #1 PL 2.  Took 0 Naproxen for pain management.  Took 1 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162679 - total today 5, Complex 300 mg pill for energy, absorb lactic acid for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162680 - pain management, and resolve inflammation to enable HDL to increase                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162681 - that together with EPCs regress plaque in blood vessels - see research                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162682 - on 200101 0701, ref SDS 18 QP6L - swallowed pill whole after EGD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162683 - Dilation on 250211, ref SDS 73 433O, avoids capsule clogging LESV, as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162684 - occurred on 240824. ref SDS 36 PPTU  Sips softdrink carried from home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162685 - for hydration and swallowing nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162686 - chia seeds for energy, and avocado for HDL, did not take Nuun                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162687 - electrolyte pill, took more CoQ10, per above. ref SDS 0 9P7X  Exited                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162688 - college on Campus Drive North, downhill.  Turned left onto Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162689 - Valley Road.  Hiked West on flat grade .5 miles.  Continued past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162690 - Crystal Ranch Road uphill 3% grade .5 miles.  At mile 18, continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162691 - past Crystal Ranch Road uphill 3% grade .5 miles against wind 02 mph.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162692 - Crossed Cowell at stop light.  At break in traffic, crossed to North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162693 - side Ygnacio Valley Road to avoid severe camber.  Hiked .5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162694 - uphill 3% grade to summit at end of concrete barriar mile 19.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162695 - around and hiked back, then left onto Cowell heading North .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162696 - using asphalt shoulder downhill 5% grade, then flat grade .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162697 - then .5 miles in narrow shoulder against oncoming commute traffic.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162698 - This is more challenging now that darkness occurs earlier.  Turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162699 - left onto Treat hiking West .25 miles back to Cuneo, then home.  Ended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162700 - hike mile 21 time 1932 temp 65, wind 10, bloating PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162701 - PL 1 (energy decreased with magnesium and CoQ10), feet metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162702 - PL 4, burning sensation PL 2, tingling (PN) left foot #2 and #3 PL 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162703 - left foot #1 PL 2, #5 edge PL 2, right foot #5 PL 2, #1 PL 2, shin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162704 - splints PL 0, left knee PL 0 (not swollen), right knee PL 0, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162705 - shoulder PL 0, neck and right shoulder PL 8 intermittantly, lower back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162706 - middle PL 0 - usually stress carrying backpack, but not today, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162707 - elbow PL 0, when lifting.  EKG uniform with no artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162708 - reported HR 095 Normal Sinus Rhythm - see below. ref SDS 0 PK3I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162710 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162711 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162712 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162713 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162714 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162715 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162716 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162717 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162718 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162719 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162720 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162721 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162722 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162723 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162724 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162725 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162726 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162727 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162728 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162729 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162730 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162731 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162733 -  ..
162734 - Kardia recorded HR 46 at 0901, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162735 - beat lengths with p-waves and no artifact, likely no AFL after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162736 - 20 miles temp 91 yesterday, and diagnosed ischemic colitis on 200612                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162737 - 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162738 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162739 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162740 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162741 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162742 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162743 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162744 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251008-ecg-090119_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162746 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162750 -  ..
162751 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162752 - hike 21 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162753 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162754 - ..
162755 -                                                                                                                                                                                                                                                                                                              x
162756 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162757 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162758 -       Date          251007 251007 251006 251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 250720 25071  
162759 -       Miles            21     20     20     18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16      0  
162760 -       HR AVG          108    113    113    107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128     no  
162761 -         MAX           134    128    134    123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145   repo  
162762 -         Min            72     82     73     65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82         
162763 -       El Climb Ft     665    472    493    505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533         
162764 -       Temp Max         71     91     86     82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80         
162765 -       Wind Max         23     12     10      9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21         
162766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162768 -              https://flow.polar.com/training/analysis2/8203260354                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162769 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162771 -               ..
162773 -   
162774 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162775 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162776 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162779 -  ..
162780 - EKG at mile 10 time 1534 HR 098 temp 71, Kardia reported Normal Sinus                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162781 - Rhythm... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162782 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162785 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162786 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251008-ecg-153452_mile_10_098_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162787 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162788 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162790 -  ..
162791 - EKG at mile 13 time 1657 HR 110 temp 70, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162792 - Tachycardia... heart rate looks mostly uniform with artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162793 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162794 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162795 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162796 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162797 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251008-ecg-165721_mile_13_110_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162798 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162799 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162801 -  ..
162802 - EKG at mile 17 time 1813 HR 103 temp 68, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162803 - Tachycardia... heart rate looks mostly uniform with minor artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162804 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162807 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162808 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251008-ecg-181343_mile_17_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162809 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162812 -  ..
162813 - End hike EKG at mile 21, time 1932 HR 095 temp 65 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162814 - Normal Sinus Rhythm... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162815 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162816 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162818 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162819 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251008-ecg-193216_mile_21_095_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
162820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162822 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162824 -  ..
162825 - Post hike 251008 HR profile beginning 0130, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162826 - activity after hiking 21 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162827 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162828 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162829 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162830 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162832 -        ..
162833 -       Date      251008  251007  251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729  250728    
162834 -       Time       0130    2011    0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818    1946     
162835 -       Hours         8      13       7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12      11     
162836 -       HR AVG       59      64      64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84      64     
162837 -       HR MAX      109     111     152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     118     
162838 -       HR Min       39      38      41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45      42     
162839 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162840 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162841 -              https://flow.polar.com/training/analysis/8203724011                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162842 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162844 -  ..
162845 - HRV seems  00% 0 and  20% good and  80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162846 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162848 -   
162849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162850 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162851 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162853 -  ..
162854 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162855 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162856 - Dinner - steak eggs broccoli asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162858 -  ..
162859 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162860 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162861 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162862 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162863 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162864 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162865 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162868 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162870 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162871 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162872 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162874 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162875 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162879 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162880 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162881 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162909 -         ..
162910 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162911 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162912 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162913 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162914 -        Thursday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162915 -  282.  251009 0725............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162916 -               0740....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162917 -               0745....BP HR..................................................... 140  77  50  Kardia ECG reports HR status, see below. ref SDS 0 AZT2                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162918 -               0750....BP HR..................................................... 152  74  57                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162919 -               0755....weight.................................... 183                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162920 -               0755....40 471500 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
162921 -               1215....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162922 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162923 -               1215... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162924 -               1215....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162925 -               1215....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162926 -               1215....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162927 -               1215....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162928 -               1215... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
162929 -  ..
162930 -         * cr  1240....miles...........  20.0  81.0  337  1412 minutes  temp  72 wind 14  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162931 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162932 -               1552....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
162933 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162934 -               1552....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162935 -               1552... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
162936 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162937 -               1552... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162938 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162939 -               1738....mile 15 stopped EKG - NPO nothing eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162940 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162941 -               0000....Naproxen 250 mg took 2 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162942 -               1738... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
162943 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162944 -               1738... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
162945 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162946 -               1856...  Hike ends mile 20..... ref SDS 0 FRBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162947 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162948 -               1915....weight.................................... 179  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162949 -               1920....BP HR..................................................... 126  81  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162950 -               1940....BP HR..................................................... 131  80  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162951 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162952 -               1900... 40 128820 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                                                                                                                                                                                                                                                                                  
162953 -               2000............ 10 22140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
162954 -               2000............ 10 22490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
162955 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162956 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162957 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162958 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162959 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162960 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
162961 -               2250... 1000 2592000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162962 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
162963 -               2330... 40 471540 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162964 -               2340... 40 103620 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162965 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162966 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
162967 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162968 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162969 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162970 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
162971 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162972 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
162973 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
162974 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162976 -  ..
162977 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162978 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
162980 -  ..
162981 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162982 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162983 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162984 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
162985 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162986 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162988 -  ..
162989 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
162990 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162992 -  ..
162993 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
162994 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
162995 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
162997 -  ..
162998 - Today, hiked 20 miles - planned to hike Crystal Ranch Road 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
162999 - loop.  Late start would result in returning when dark on Cowell, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163000 - increased risk during high density commute traffic.  Aim for this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163001 - tomorrow with earlier start.  Today, HR aligned with changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163002 - elevation and speed.  No severe energy deficits on multiple occasions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163003 - - thus hiking regimen planned by Doctor Pellegrini (letter on 250115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163004 - 1023. ref SDS 70 H480, and her call on 250207 0941. ref SDS 72 LW7L)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163005 - is improving dysfunctional ANS where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163006 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163007 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163008 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163009 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163010 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163011 -    Heart Rate elevated ----------------- improved significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163012 -    Blood Pressure elevated ------------- improved seems trending up actually mixed results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163013 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163014 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163015 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163016 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163017 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163018 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163019 -    Falling ----------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163020 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163021 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163022 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163023 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163024 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163025 -    Food cannot taste gagging ----------- resolved after 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163026 -    Ferritin low - energy deficits ------ persists daily ? need lab  energy better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163027 -    Potassium elevated - heart damage --- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163028 -    SGOT elevated - liver damage -------- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163029 -    Mouth Dry - Xerostomia -------------- woke this morning with dry mouth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163030 -    Lips swelled - Cheilitis ------------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163031 -    Sore throat ------------------------- persists seems better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163033 -  ..
163034 - Pain contained with meds; no seizures.  After hike today, new bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163035 - blister right foot below #1, recurrent from prior hikes.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163036 - not bandaging toes, using silicone toe caps instead.  Need new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163037 - Bondi 9 shoes with more cushioned soles to prevent metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163038 - injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163039 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163041 -         ..
163042 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163043 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163044 -        Stomach pain ischemic colitis bloating.......   3         30  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
163045 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163046 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163047 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163048 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163049 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163050 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
163051 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163052 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163053 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163054 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163055 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
163056 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163057 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
163058 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163059 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
163060 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163061 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163062 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163063 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163064 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
163065 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163066 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163067 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163068 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163069 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
163070 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163071 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163072 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163073 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163074 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163075 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163076 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163077 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
163078 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163079 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163080 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
163081 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
163082 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
163083 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
163084 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163085 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163086 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
163087 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
163088 -        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                                                                                                                                                                                                                                                                                                                           
163089 -        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                                                                                                                                                                                                                                                                                                                                                                                    
163090 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163091 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
163092 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
163093 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163094 -        Blister below big toe right foot.............   5         30  after hike found no bubble blister on 251009 recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163095 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
163096 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
163097 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
163098 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163099 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
163100 -        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                                                                                                                                                                                                                                                                                                                                                                                        
163101 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163102 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
163103 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163104 -        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                                                                                                                                                                                                                                                                                                                                                              
163105 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
163106 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
163107 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163108 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163109 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
163110 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163111 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
163112 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
163113 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163114 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
163115 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163116 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163117 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163118 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163119 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163120 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163121 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163122 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
163123 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
163124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163126 -  ..
163127 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163128 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163130 -  ..
163131 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163132 - Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163133 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163134 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163135 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163136 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163137 - pressure.  on 251001, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163138 - shoes laterally for extra width at #1 and #5. ref SDS B1 9G2J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163139 - Continue wearing 2 pair dual-ply socks, and omitting bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163140 - calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163142 -  ..
163143 - Orthotic inserts - switched to Stable Elite purchased from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163144 - Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, replacing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163145 - Powerstep inserts after review by Doctor Hewit on Monday, established                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163146 - they are still effective, reported on 250929 0830. ref SDS B0 LN45,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163147 - and previously created by Doctor Hewitson on 250325 0830. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163148 - 5Q5M and explained in case study record on 200101 0701, ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163149 - Q34F, have begun to fail causing continual feet injuries, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163150 - 250904 1030. ref SDS A5 1Z7N  Made change today, because feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163151 - like slipping off inserts due to padding, especially when stepping on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163152 - uneven surface, like native soil.  Was getting blister right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163153 - below #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163155 -  ..
163156 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163157 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163158 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163160 -  ..
163161 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163163 -  ..
163164 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163165 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163166 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163167 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163168 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163169 -                    2 Naproxen mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163170 -                    0 Naproxen mile 15 had PL 3 last 5 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163172 -  ..
163173 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163174 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163175 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163176 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163177 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163179 -  ..
163180 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163181 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163182 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163183 -            2 magnesium at mile 10 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163184 -            1 magnesium at mile 15 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163186 -  ..
163187 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163188 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163189 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163190 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163191 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163192 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163193 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163195 -         ..
163196 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163197 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163199 -         ..
163200 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163201 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163202 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163204 -  ..
163205 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163206 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163207 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163208 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163209 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163210 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163213 -  ..
163214 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163215 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163216 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163217 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163218 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163219 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163220 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163221 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163222 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163223 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163224 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163225 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163226 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163227 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163228 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163229 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163230 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163231 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163232 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163233 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163234 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163235 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163236 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163237 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163238 - peanut butter few bites steak that both contain iron to complement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163239 - hiking to raise HDL, see review with MAI in the record on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163240 - ref SDS 4 YIQU, that restores sinus rhythm to resolve dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163241 - ANS that then elevates Ferritin and Transferrin Saturation, which both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163242 - tested below range on 250428 0940, ref SDS 88 VP5H, and Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163243 - slightly up to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163244 - telephone meeting with Lauren in Primary Care discussed Iron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163245 - supplement to increase Ferritin.  Decided to rely on improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163246 - Ferritin along with recovering from all afflictions from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163247 - ANS, listed in case study on 200101 0701, ref SDS 18 ZM8J, by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163248 - increasing hiking to restore sinus rhythm, reported on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163249 - ref SDS A3 MJ5I, and previously letter from Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163250 - 250115 1023, ref SDS 70 H480, and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163251 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163252 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163253 - had 1/4 avocado to complement peanut butter for increasing HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163254 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163255 - all per above. ref SDS 0 UKE5  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163256 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163257 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163258 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163259 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163260 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163261 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163262 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163263 - carry hydration, nutrition, meds, medical supplies.  Temperature 72,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163264 - and wind 14 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163265 - Starting hike stomach seemed more bloated (alignes with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163266 - "impaired HRV" overnight Polar study, above, ref SDS 0 KJS9, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163267 - feeling swelled and like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163268 - shocks in balls of feet and toes #2 and #3 both feet about 2 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163269 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163270 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163271 - with no dyspnea, indicating strong respiratory condition continues -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163272 - correlates hiking therapeutic miles during past week.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163273 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163274 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163275 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163276 - continued at 15-minute mile pace.  Hiked across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163277 - and back today.  Feet metatarsalgia PL 2, left foot #1 PL 1, #5 PL 1;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163278 - right foot #5 PL 0 - endorphins and Tramadol partially effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163279 - Continued on Turtle Creek Road uphill 4% grade.  Speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163280 - energy good at end of Turtle Creek Road - turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163281 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163282 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163283 - parking lots of shopping complex.   About mile 3.5 metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163284 - bottom both feet PL 1.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163285 - continued on concrete sidewalk .5 miles.  Energy good - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163286 - sense of hitting an "energy deficit wall" near mile 4, having to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163287 - at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163288 - CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163289 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163290 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163291 - of hike with metatarsalgia often greater than PL 2; today PL 1 hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163292 - on sidewalk and wearing Hoka Bondi 9 shoes, per above. ref SDS 0 JXRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163293 - Crossed Park Highlands Road at Stop Light still heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163294 - now on asphalt shoulder.  Crossed to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163295 - hike on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163296 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 1.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163297 - mile East.  At Camino Solano turned around hiked back 1.0 mile on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163298 - Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163299 - heading West uphill 3% grade.  Hiked 1 mile against wind 08 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163300 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163301 - uphill 4% grade .25 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163302 - University East Bay Concord Campus.  Hiked 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163303 - buildings stopping in back at training area - did 20 half pull-ups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163304 - 20 half push-ups, then continued back to Visitor parking.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163305 - Administration building mile 10 time 1552, temp 71 and wind 09 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163306 - EKG mostly uniform with no artifact - Kardia reported HR 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163307 - Tachycardia - see below. ref SDS 0 JF9J  Bloated PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163308 - PL 2.  Both feet PL 4, burning sensation PL 2, left foot #1 PL 5, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163309 - PL 4, right foot #5 PL 2, #1 PL 1.  Took 2 Naproxen total today 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163310 - took 2 magnesium total today 4.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163311 - hydration, swallow meds and nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163312 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163313 - avocado for HDL, did not take Nuun electrolyte pill.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163314 - CoQ10 100 mg pill for HDL and energy to complete hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163315 - ref SDS 0 NGFI  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163316 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163317 - miles.  At mile 11, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163318 - .5 miles against wind 12 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163319 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163320 - camber.  Hiked .5 miles uphill 3% grade to summit at end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163321 - barriar mile 12.  With break in afternoon commute traffic crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163322 - to South side Ygnacio Valley Road.  Continued 2 miles downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163323 - grade.  Crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163324 - Grove at traffic light.  Hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163325 - shopping complex.  Stopped near Mod Pizza mile 15, time 1738, temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163326 - and wind 12 mph; EKG mostly uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163327 - reported HR 103 Tachycardia - see below. ref SDS 0 UQDU  Bloated PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163328 - energy deficit PL 3.  Both feet PL 4, burning sensation PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163329 - foot #1 PL 2, #5 PL 2, right foot #5 PL 2, #1 PL 2.  Took 0 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163330 - total today 2, took 1 magnesium total today 5.  Sips softdrink for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163331 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163332 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163333 - and avocado for HDL, did not take Nuun electrolyte pill.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163334 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163335 - above. ref SDS 0 NGFI  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163336 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163337 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163338 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163339 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163340 - San Miguel continued .75 miles on Treat uphill 5% grade temp 71.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163341 - Handled this well.  At summit, mile 18, hiked another mile to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163342 - continued to Cowell and back, then home.  Ended hike mile 20 time 1856                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163343 - temp 66, wind 09.  Bloated PL 3, energy deficit PL 3, feet PL 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163344 - burning sensation PL 2, left foot #1 PL 5, #5 PL 3, right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163345 - 3, #1 PL 2, recurrant blister below #1 PL 7, left knee PL 0, wobbly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163346 - 0.  EKG looks mostly uniform, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163347 - 094 Normal Sinus Rhythm - see below. ref SDS 0 FRBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163348 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163349 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163350 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163351 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163352 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163353 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163354 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163355 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163356 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163357 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163358 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163359 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163360 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163361 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163362 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163363 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163365 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163366 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163367 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163368 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163369 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163371 -  ..
163372 - Kardia recorded HR 62 at 1145, Unclassified, looks mostly variable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163373 - heart beat lengths with p-waves and artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163374 - hiking 21 miles temp 71 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163375 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163376 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163377 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163378 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163379 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163380 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163381 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163382 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251009-ecg-114527_mile_00_062_ucl_vrbl.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163383 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163384 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163385 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163386 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163388 -  ..
163389 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163390 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163391 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163392 - ..
163393 -                                                                                                                                                                                                                                                                                                              x
163394 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163395 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163396 -       Date          251009 251008 251007 251006 251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 25072  
163397 -       Miles            20     21     20     20     18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16  
163398 -       HR AVG          106    108    113    113    107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128  
163399 -         MAX           122    134    128    134    123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145  
163400 -         Min            54     72     82     73     65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82  
163401 -       El Climb Ft     509    665    472    493    505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533  
163402 -       Temp Max         72     71     91     86     82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80  
163403 -       Wind Max         14     23     12     10      9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21  
163404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163406 -              https://flow.polar.com/training/analysis/8203860751                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163409 -               ..
163411 -   
163412 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163414 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163415 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163417 -  ..
163418 - EKG at mile 10 time 1552 HR 102 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163419 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163420 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163421 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163422 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163423 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163424 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-155257_mile_10_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163425 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163426 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163428 -  ..
163429 - EKG at mile 15 time 1738 HR 103 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163430 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163431 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163432 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163433 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163434 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163435 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-173843_mile_15_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163436 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163437 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163440 -  ..
163441 - End hike EKG at mile 20, time 1856 HR 094 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163442 - Normal Sinus Rhythm... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163443 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163444 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163445 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163446 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163447 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-185654_mile_20_094_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163448 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163449 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163450 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163452 -  ..
163453 - Post hike 251009 HR profile beginning 2133, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163454 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163455 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163456 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163457 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163458 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163460 -        ..
163461 -       Date      251009  251008  251007  251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729    
163462 -       Time       0130    0130    2011    0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818     
163463 -       Hours         8       8      13       7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12     
163464 -       HR AVG       59      59      64      64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84     
163465 -       HR MAX      109     109     111     152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     
163466 -       HR Min       39      39      38      41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45     
163467 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163468 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163469 -              https://flow.polar.com/training/analysis/8204274468                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163470 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163472 -  ..
163473 - HRV seems  10% 0 and  70% good and  20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163474 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163476 -   
163477 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163478 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163479 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163481 -  ..
163482 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163483 - Lunch -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163484 - Dinner - steak eggs broccoli asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163486 -  ..
163487 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163488 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163489 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163490 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163491 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163492 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163493 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163494 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163495 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163496 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163497 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163498 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163499 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163500 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163501 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163503 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163507 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163511 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163514 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163515 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163516 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163518 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163519 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163520 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163521 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163522 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163524 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163525 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163526 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163527 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163528 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163529 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163530 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163531 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163532 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163534 -         ..
163535 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163536 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163537 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163538 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163539 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163540 -  283.  251010 0720............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163541 -               0720....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163542 -               0725....BP HR..................................................... 141  81  54  Kardia ECG reports HR status, see below. ref SDS 0 6UA4                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163543 -               0730....BP HR..................................................... 145  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163544 -               0735....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163545 -               0735....40 471580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
163546 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163547 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163548 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163549 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163550 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163551 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163552 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163553 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163554 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163555 -               1700... 40 128860 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                                                                                                                                                                                                                                                                                  
163556 -             1 0000............ 10 22140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
163557 -             1 0000............ 10 22490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
163558 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163559 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163560 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163561 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163562 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163563 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163564 -               2250... 1000 2593000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163565 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163566 -               2330... 40 471620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163567 -               2340... 40 103660 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163569 -  ..
163570 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163571 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163573 -  ..
163574 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163575 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163576 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163577 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163578 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163579 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163581 -  ..
163582 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163583 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163585 -  ..
163586 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163587 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163588 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163589 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163591 -  ..
163592 - Kardia EKG not recorded....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163593 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163594 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163595 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163596 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163598 -  ..
163599 - Post hike 251010 HR profile beginning 2020, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163600 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163601 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163602 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163603 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163604 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163606 -        ..
163607 -       Date      251010  251009  251008  251007  251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730    
163608 -       Time       2020    0130    0130    2011    0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117     
163609 -       Hours        13       8       8      13       7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10     
163610 -       HR AVG       60      59      59      64      64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75     
163611 -       HR MAX      120     109     109     111     152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     
163612 -       HR Min       38      39      39      38      41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44     
163613 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163614 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163615 -              https://flow.polar.com/training/analysis/8204864508                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163616 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163618 -  ..
163619 - HRV seems   0% 0 and  20% good and  80% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163620 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163622 -   
163623 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163624 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163625 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163627 -  ..
163628 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163629 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163630 - Dinner - steak eggs broccoli asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163632 -  ..
163633 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163634 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163635 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163649 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163650 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163651 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163652 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163653 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163654 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163655 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163656 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163657 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163658 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163659 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163660 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163661 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163662 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163663 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163664 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163665 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163666 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163667 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163668 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163669 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163670 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163671 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163672 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163673 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163674 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163675 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163676 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163677 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163678 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163680 -         ..
163681 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163682 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163683 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163684 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163685 -        Saturday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163686 -  284.  251011 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163687 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163688 -               0715....BP HR..................................................... 141  81  54  Kardia ECG reports HR status, see below. ref SDS 0 1YTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163689 -               0720....BP HR..................................................... 145  79  51                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163690 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163691 -               0725....40 471660 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
163692 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163693 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163694 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163695 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163696 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163697 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163698 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163699 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
163700 -  ..
163701 -         * cr  1240....miles...........  00.0  81.0  337  1412 minutes  temp  72 wind 14  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163702 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163703 -               1552....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163704 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163705 -               1552....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163706 -               1552... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
163707 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163708 -               1552... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163709 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163710 -               1738....mile 15 stopped EKG - NPO nothing eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163711 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163712 -               0000....Naproxen 250 mg took 2 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163713 -               1738... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
163714 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163715 -               1738... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163716 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163717 -               1856...  Hike ends mile 20..... ref SDS 0 FRBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163718 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163719 -               1915....weight.................................... 179  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163720 -               1920....BP HR..................................................... 126  81  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163721 -               1940....BP HR..................................................... 131  80  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163722 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163723 -               1700... 40 128900 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                                                                                                                                                                                                                                                                                  
163724 -               1830............ 10 22150  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
163725 -               1830............ 10 22500  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
163726 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163727 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163728 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163729 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163730 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163731 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163732 -               2250... 1000 2594000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163733 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163734 -               2330... 40 471700 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163735 -               2340... 40 103700 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163736 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163737 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163738 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163739 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163740 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163741 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163742 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163743 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163744 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163745 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163747 -  ..
163748 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163749 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163751 -  ..
163752 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163753 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163754 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163755 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163756 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163757 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163759 -  ..
163760 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163761 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163763 -  ..
163764 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163765 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163768 -  ..
163769 - Today, hiked 20 miles - planned to hike Crystal Ranch Road 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163770 - loop.  Late start would result in returning when dark on Cowell, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163771 - increased risk during high density commute traffic.  Aim for this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163772 - tomorrow with earlier start.  Today, HR aligned with changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163773 - elevation and speed.  No severe energy deficits on multiple occasions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163774 - - thus hiking regimen planned by Doctor Pellegrini (letter on 250115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163775 - 1023. ref SDS 70 H480, and her call on 250207 0941. ref SDS 72 LW7L)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163776 - is improving dysfunctional ANS where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163777 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163778 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163779 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163780 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163781 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163782 -    Heart Rate elevated ----------------- improved significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163783 -    Blood Pressure elevated ------------- improved seems trending up actually mixed results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163784 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163785 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163786 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163787 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163788 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163789 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163790 -    Falling ----------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163791 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163792 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163793 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163794 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163795 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163796 -    Food cannot taste gagging ----------- resolved after 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163797 -    Ferritin low - energy deficits ------ persists daily ? need lab  energy better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163798 -    Potassium elevated - heart damage --- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163799 -    SGOT elevated - liver damage -------- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163800 -    Mouth Dry - Xerostomia -------------- woke this morning with dry mouth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163801 -    Lips swelled - Cheilitis ------------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163802 -    Sore throat ------------------------- persists seems better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163804 -  ..
163805 - Pain contained with meds; no seizures.  After hike today, new bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163806 - blister right foot below #1, recurrent from prior hikes.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163807 - not bandaging toes, using silicone toe caps instead.  Need new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163808 - Bondi 9 shoes with more cushioned soles to prevent metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163809 - injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163812 -         ..
163813 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163814 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163815 -        Stomach pain ischemic colitis bloating.......   3         30  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
163816 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163817 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163818 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163819 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163820 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163821 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
163822 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163823 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163824 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163825 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163826 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
163827 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163828 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
163829 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163830 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
163831 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163832 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163833 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163834 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163835 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
163836 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163837 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163838 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163839 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163840 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
163841 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163842 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163843 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163844 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163845 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163846 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163847 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163848 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
163849 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163850 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163851 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
163852 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
163853 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
163854 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
163855 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163856 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163857 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
163858 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
163859 -        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                                                                                                                                                                                                                                                                                                                           
163860 -        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                                                                                                                                                                                                                                                                                                                                                                                    
163861 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163862 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
163863 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
163864 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163865 -        Blister below big toe right foot.............   5         30  after hike found no bubble blister on 251009 recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163866 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
163867 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
163868 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
163869 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163870 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
163871 -        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                                                                                                                                                                                                                                                                                                                                                                                        
163872 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163873 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
163874 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163875 -        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                                                                                                                                                                                                                                                                                                                                                              
163876 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
163877 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
163878 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163879 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163880 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
163881 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163882 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
163883 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
163884 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163885 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
163886 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163887 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163888 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163889 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163890 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163891 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163892 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163893 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
163894 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
163895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163897 -  ..
163898 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163899 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
163901 -  ..
163902 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163903 - Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163904 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163905 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163906 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163907 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163908 - pressure.  on 251001, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163909 - shoes laterally for extra width at #1 and #5. ref SDS B1 9G2J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163910 - Continue wearing 2 pair dual-ply socks, and omitting bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163911 - calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163913 -  ..
163914 - Orthotic inserts - switched to Stable Elite purchased from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163915 - Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, replacing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163916 - Powerstep inserts after review by Doctor Hewit on Monday, established                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163917 - they are still effective, reported on 250929 0830. ref SDS B0 LN45,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163918 - and previously created by Doctor Hewitson on 250325 0830. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
163919 - 5Q5M and explained in case study record on 200101 0701, ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163920 - Q34F, have begun to fail causing continual feet injuries, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163921 - 250904 1030. ref SDS A5 1Z7N  Made change today, because feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163922 - like slipping off inserts due to padding, especially when stepping on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163923 - uneven surface, like native soil.  Was getting blister right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163924 - below #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163926 -  ..
163927 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163928 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163929 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163931 -  ..
163932 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163934 -  ..
163935 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163936 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163937 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163938 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163939 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163940 -                    2 Naproxen mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163941 -                    0 Naproxen mile 15 had PL 3 last 5 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163943 -  ..
163944 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163945 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163946 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163947 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
163948 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
163950 -  ..
163951 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163952 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163953 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163954 -            2 magnesium at mile 10 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163955 -            1 magnesium at mile 15 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
163957 -  ..
163958 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
163959 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163960 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
163961 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163962 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163963 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
163964 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163966 -         ..
163967 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163968 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163970 -         ..
163971 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163972 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163973 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163975 -  ..
163976 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
163977 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163978 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163979 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163980 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163981 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163982 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
163984 -  ..
163985 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
163986 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163987 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163988 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
163989 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163990 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163991 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163992 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
163993 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163994 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163995 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
163996 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
163997 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163998 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
163999 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164000 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164001 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164002 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164003 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164004 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164005 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164006 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164007 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164008 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164009 - peanut butter few bites steak that both contain iron to complement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164010 - hiking to raise HDL, see review with MAI in the record on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164011 - ref SDS 4 YIQU, that restores sinus rhythm to resolve dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164012 - ANS that then elevates Ferritin and Transferrin Saturation, which both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164013 - tested below range on 250428 0940, ref SDS 88 VP5H, and Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164014 - slightly up to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164015 - telephone meeting with Lauren in Primary Care discussed Iron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164016 - supplement to increase Ferritin.  Decided to rely on improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164017 - Ferritin along with recovering from all afflictions from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164018 - ANS, listed in case study on 200101 0701, ref SDS 18 ZM8J, by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164019 - increasing hiking to restore sinus rhythm, reported on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164020 - ref SDS A3 MJ5I, and previously letter from Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164021 - 250115 1023, ref SDS 70 H480, and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164022 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164023 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164024 - had 1/4 avocado to complement peanut butter for increasing HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164025 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164026 - all per above. ref SDS 0 YT2K  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164027 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164028 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164029 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164030 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164031 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164032 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164033 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164034 - carry hydration, nutrition, meds, medical supplies.  Temperature 72,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164035 - and wind 14 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164036 - Starting hike stomach seemed more bloated (alignes with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164037 - "impaired HRV" overnight Polar study, above, ref SDS 0 KJS9, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164038 - feeling swelled and like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164039 - shocks in balls of feet and toes #2 and #3 both feet about 2 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164040 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164041 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164042 - with no dyspnea, indicating strong respiratory condition continues -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164043 - correlates hiking therapeutic miles during past week.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164044 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164045 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164046 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164047 - continued at 15-minute mile pace.  Hiked across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164048 - and back today.  Feet metatarsalgia PL 2, left foot #1 PL 1, #5 PL 1;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164049 - right foot #5 PL 0 - endorphins and Tramadol partially effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164050 - Continued on Turtle Creek Road uphill 4% grade.  Speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164051 - energy good at end of Turtle Creek Road - turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164052 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164053 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164054 - parking lots of shopping complex.   About mile 3.5 metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164055 - bottom both feet PL 1.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164056 - continued on concrete sidewalk .5 miles.  Energy good - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164057 - sense of hitting an "energy deficit wall" near mile 4, having to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164058 - at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164059 - CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164060 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164061 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164062 - of hike with metatarsalgia often greater than PL 2; today PL 1 hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164063 - on sidewalk and wearing Hoka Bondi 9 shoes, per above. ref SDS 0 JXRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164064 - Crossed Park Highlands Road at Stop Light still heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164065 - now on asphalt shoulder.  Crossed to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164066 - hike on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164067 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 1.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164068 - mile East.  At Camino Solano turned around hiked back 1.0 mile on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164069 - Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164070 - heading West uphill 3% grade.  Hiked 1 mile against wind 08 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164071 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164072 - uphill 4% grade .25 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164073 - University East Bay Concord Campus.  Hiked 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164074 - buildings stopping in back at training area - did 20 half pull-ups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164075 - 20 half push-ups, then continued back to Visitor parking.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164076 - Administration building mile 10 time 1552, temp 71 and wind 09 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164077 - EKG mostly uniform with no artifact - Kardia reported HR 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164078 - Tachycardia - see below. ref SDS 0 JF9J  Bloated PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164079 - PL 2.  Both feet PL 4, burning sensation PL 2, left foot #1 PL 5, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164080 - PL 4, right foot #5 PL 2, #1 PL 1.  Took 2 Naproxen total today 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164081 - took 2 magnesium total today 4.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164082 - hydration, swallow meds and nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164083 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164084 - avocado for HDL, did not take Nuun electrolyte pill.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164085 - CoQ10 100 mg pill for HDL and energy to complete hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164086 - ref SDS 0 NGFI  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164087 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164088 - miles.  At mile 11, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164089 - .5 miles against wind 12 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164090 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164091 - camber.  Hiked .5 miles uphill 3% grade to summit at end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164092 - barriar mile 12.  With break in afternoon commute traffic crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164093 - to South side Ygnacio Valley Road.  Continued 2 miles downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164094 - grade.  Crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164095 - Grove at traffic light.  Hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164096 - shopping complex.  Stopped near Mod Pizza mile 15, time 1738, temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164097 - and wind 12 mph; EKG mostly uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164098 - reported HR 103 Tachycardia - see below. ref SDS 0 UQDU  Bloated PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164099 - energy deficit PL 3.  Both feet PL 4, burning sensation PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164100 - foot #1 PL 2, #5 PL 2, right foot #5 PL 2, #1 PL 2.  Took 0 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164101 - total today 2, took 1 magnesium total today 5.  Sips softdrink for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164102 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164103 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164104 - and avocado for HDL, did not take Nuun electrolyte pill.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164105 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164106 - above. ref SDS 0 NGFI  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164107 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164108 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164109 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164110 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164111 - San Miguel continued .75 miles on Treat uphill 5% grade temp 71.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164112 - Handled this well.  At summit, mile 18, hiked another mile to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164113 - continued to Cowell and back, then home.  Ended hike mile 20 time 1856                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164114 - temp 66, wind 09.  Bloated PL 3, energy deficit PL 3, feet PL 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164115 - burning sensation PL 2, left foot #1 PL 5, #5 PL 3, right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164116 - 3, #1 PL 2, recurrant blister below #1 PL 7, left knee PL 0, wobbly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164117 - 0.  EKG looks mostly uniform, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164118 - 094 Normal Sinus Rhythm - see below. ref SDS 0 FRBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164119 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164120 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164121 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164122 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164123 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164124 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164125 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164126 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164127 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164128 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164129 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164130 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164131 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164132 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164133 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164134 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164135 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164136 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164137 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164138 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164139 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164140 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164142 -  ..
164143 - Kardia recorded HR 46 at 1036, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164144 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164145 - hiking 20 miles temp 72 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164146 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164147 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164148 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164149 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164150 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164151 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164152 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164153 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251011-ecg-103637_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164154 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164155 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164156 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164157 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164159 -  ..
164160 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164161 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164162 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164163 - ..
164164 -                                                                                                                                                                                                                                                                                                              x
164165 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164166 -                                                        x                                                7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164167 -       Date          251009 251008 251007 251006 251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 250728 250727 250726 250725 250724 250723 250722 250721 25072  
164168 -       Miles            20     21     20     20     18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0      0      0      0     18      0      0      0     16  
164169 -       HR AVG          106    108    113    113    107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no     no     no     no    132     no     no     no    128  
164170 -         MAX           122    134    128    134    123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   report report report report  152   report report report  145  
164171 -         Min            54     72     82     73     65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56                                 56                          82  
164172 -       El Climb Ft     509    665    472    493    505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467                                467                         533  
164173 -       Temp Max         72     71     91     86     82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90                                 78                          80  
164174 -       Wind Max         14     23     12     10      9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15                                 15                          21  
164175 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164176 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164177 -              https://flow.polar.com/training/analysis/8203860751                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164178 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164180 -               ..
164182 -   
164183 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164184 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164185 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164186 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164188 -  ..
164189 - EKG at mile 10 time 1552 HR 102 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164190 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164191 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164192 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164193 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164194 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164195 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-155257_mile_10_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164196 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164197 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164199 -  ..
164200 - EKG at mile 15 time 1738 HR 103 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164201 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164202 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164204 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164205 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164206 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-173843_mile_15_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164207 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164208 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164209 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164211 -  ..
164212 - End hike EKG at mile 20, time 1856 HR 094 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164213 - Normal Sinus Rhythm... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164214 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164215 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164217 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164218 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-185654_mile_20_094_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164219 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164220 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164221 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164223 -  ..
164224 - Post hike 251011 HR profile beginning 2041, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164225 - activity after hiking 00 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164226 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164227 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164228 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164229 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164231 -        ..
164232 -       Date      251011  251010  251009  251008  251007  251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731    
164233 -       Time       2041    2020    0130    0130    2011    0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107     
164234 -       Hours        13      13       8       8      13       7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9     
164235 -       HR AVG       58      60      59      59      64      64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68     
164236 -       HR MAX      136     120     109     109     111     152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     
164237 -       HR Min       40      38      39      39      38      41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45     
164238 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164239 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164240 -              https://flow.polar.com/training/analysis/8205447564                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164243 -  ..
164244 - HRV seems  10% 0 and  70% good and  20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164247 -   
164248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164250 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164252 -  ..
164253 - Breakfast -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164254 - Lunch - sandwich roast beef onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164255 - Dinner - steak eggs broccoli asparagus cauflower onion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164257 -  ..
164258 - Vomiting: 0% - bloating PL 4  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164259 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164260 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164261 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164262 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164263 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164264 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164265 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164266 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164267 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164268 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164269 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164270 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164271 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164272 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164273 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164274 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164275 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164276 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164277 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164278 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164279 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164280 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164281 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164282 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164283 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164284 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164285 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164286 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164287 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164288 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164289 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164290 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164291 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164292 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164293 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164294 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164295 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164296 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164297 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164298 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164299 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164300 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164301 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164304 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164308 -         ..
164309 -                                             H I K I N G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164310 -                    M E D I C A T I O N   Miles       Time                        V I T A L S                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164311 -        Date   Time   Day  Cum Day  Cum  Day  Cum   Day  Cum    Weight             BP   Pulse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164312 -        ====================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164313 -        Friday                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164314 -  285.  251017 0710............................................. summary vitals, ref SDS 18 XI3K                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164315 -               0710....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164316 -               0715....BP HR..................................................... 127  77  45  Kardia ECG reports HR status, see below. ref SDS 0 1YTW                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164317 -               0720....BP HR..................................................... 129  79  48                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164318 -               0725....weight.................................... 181                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164319 -               0725....40 471580 Famotidine H2 Blocker supplement - effects can be high blood pressure - see, 200101 0701, ref SDS 18 JS9N, on 250418 switched to 40 mg morning and night                                                                                                                                                                                                                                                                                                                                                                                                                    
164320 -               0000....Tramadol 50 mg took 2 pills                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164321 -               0000....Naproxen 250 mg took 1 pills - 1 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164322 -               0000... Magnesium 300 mg 2 pill Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164323 -               0000....Avocado to increase HDL - 1/4th                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164324 -               0000....Peanut butter with margarine and Mayonnaise for energy that speed digestion of magnesium to aid hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164325 -               0000....Glucosamine Chondroitin for OA protection knees - taking less after PRP intra articular injection on 231121 0700. ref SDS 33 I48N                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164326 -               0000....Chia Seeds 2 oz - electrolytes including magnesium oxide and potasium for energy and HDL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164327 -               0000... 05   CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10
164328 -  ..
164329 -         * cr  1240....miles...........  25.0  25.0  442   442 minutes  temp  76 wind 08  rain  0% light mist 00%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164330 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164331 -               1552....mile 10 stopped EKG - Chia seeds (soaked in water) peanut butter avocado margarine Mayonnaise and carbonated drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164332 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164333 -               1552....Naproxen 250 mg took 2 pills - 2 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164334 -               1552... Magnesium 300 mg 2 pills - 4 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
164335 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164336 -               1552... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164337 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164338 -               1738....mile 15 stopped EKG - NPO nothing eat nor drink                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164339 -               0000....Tramadol 50 mg took 0 pills - 2 so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164340 -               0000....Naproxen 250 mg took 2 pills - 3 Naproxen so far                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164341 -               1738... Magnesium 300 mg 2 pills - 6 so far Bioemblem Triple Complex Glycinate, Malate, & Citrate, reported on 240519 1653. ref SDS 48 VY92                                                                                                                                                                                                                                                                                                                                                                                                                                               
164342 -               0000... Nuun Electrolytes pill -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164343 -               1738... CoQ10 Qunol Ubiquinol CoQ10 100mg Softgels - replace 6ml liquid CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164344 -               0000....................................................                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164345 -               1856...  Hike ends mile 25..... ref SDS 0 FRBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164346 -               0000...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164347 -               1915....weight.................................... 179  lost 4#                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164348 -               1920....BP HR..................................................... 126  81  97                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164349 -               1940....BP HR..................................................... 131  80  68                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164350 -               0000....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164351 -               1700... 40 128860 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                                                                                                                                                                                                                                                                                  
164352 -               1830............ 10 22140  Atorvastatin - resume 220526 paused 220115 recover peripheral neuropathy, left shoulder, neck and back myopathy, liver damage lowering HDL                                                                                                                                                                                                                                                                                                                                                                                                                               
164353 -               1830............ 10 22490  Ezetimibe - on 220505 received refill requested 220327 out of Ezetimibe - resume on 220128 evaluate lower LDL and recover peripheral neuropathy, left shoulder, neck and back myopathy                                                                                                                                                                                                                                                                                                                                                                                   
164354 -               2100....Systane eye drops discussed on 240724 0800. ref SDS 56 LI7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164355 -               2140... Urea 20% Cream applied to calluses left foot beginning 250719                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164356 -               0000... Ammonium Lactate 12% lotion applied to forefoot and everywhere Urea 40% is not applied and for metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164357 -               0000... Simethicone 80 relieve stomach bloating ischemic colitis side effects statins and ablation, reported on 200508 0916. ref SDS 21 OS49                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164358 -               0000... Gabapentin for sleep                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164359 -               0000... Tramadol 50 mg 1 pill restless legs sleep aid and peripheral neuropathy and PAD - pain itching in feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164360 -               2250... 1000 2593000 Calcium Carbonate Tums (500 MG)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164361 -               0000... 10   70 Cyclobenzaprine sleep aid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164362 -               2330... 40 471620 Famotidine H2 Blocker supplement Pantoprazole                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164363 -               2340... 40 103660 Mylanta or Baking Soda (antacid) - per Doctor Lee wants throat coated last intake, reported on 240507, ref SDS 44 K54L                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164364 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164365 - * cr - hiked Crystal Ranch Road 8-mile loop with 5 major hills.  On                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164366 - 181029, hiked 4 in a row Crystal Ranch Road 4-mile loops, as part of,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164367 - daily hike. ref SDS 12 E55K   On 191004 increased route                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164368 - going up and coming down .5 miles steep 6% grade to end of Crystal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164369 - Ranch Road at top of mountain, ref SDS 13 2T9L  Also added Campus Road                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164370 - from Pine Hollow hiking 1 mile uphill to Cal State East Bay college,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164371 - with 2 - 4 miles of loops through Visitor, faculty and student                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164372 - parking, and back to Ygnacio Valley Road.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164373 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164375 -  ..
164376 - Frequent urination possible diabetes symptom and/or reaction to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164377 - Pantoprazole, see case study on 200101. ref SDS 18 TTTQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164379 -  ..
164380 - Peripheral Neuropathy and/or PAD has decreased with pain no longer in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164381 - toes down to heels.  Still pins and needles tingling in evening, when                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164382 - feet are elevated in reclining chair.  Toes and heels both feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164383 - and look less blistered, and itch less severely tonight after hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164384 - regularly has resumed.  Restless legs in evening subsides after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164385 - taking Gabapentin.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164387 -  ..
164388 - Pain medication limitations reported in case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164389 - ref SDS 18 KS5O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164391 -  ..
164392 - Reflux slept in bed after EGD dilation on 250718 0830.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164393 - ref SDS 99 UN5Q                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164394 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164396 -  ..
164397 - Today, hiked 20 miles - planned to hike Crystal Ranch Road 8-mile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164398 - loop.  Late start would result in returning when dark on Cowell, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164399 - increased risk during high density commute traffic.  Aim for this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164400 - tomorrow with earlier start.  Today, HR aligned with changes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164401 - elevation and speed.  No severe energy deficits on multiple occasions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164402 - - thus hiking regimen planned by Doctor Pellegrini (letter on 250115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164403 - 1023. ref SDS 70 H480, and her call on 250207 0941. ref SDS 72 LW7L)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164404 - is improving dysfunctional ANS where...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164406 -    Energy deficits - ------------------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164407 -    Bloating Stomach pain --------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164408 -    Chest pain -------------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164409 -    Variable Heart Rate ----------------- persists maybe improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164410 -    Heart Rate elevated ----------------- improved significantly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164411 -    Blood Pressure elevated ------------- improved seems trending up actually mixed results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164412 -    Voice disruption larynx ------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164413 -    Urination frequency ----------------- improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164414 -    Breathing ARDS ---------------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164415 -    Coughing very painful --------------- only few times, none past months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164416 -    Face head chest legs severe pain ---- resolved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164417 -    Peripheral neruopathy feet ---------- persists improved                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164418 -    Falling ----------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164419 -    Restless legs ----------------------- improved none several weeks                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164420 -    Wobbly disoriented staggering dizzy-- improved less frequent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164421 -    Fainting - blacking out ------------- improved none several days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164422 -    Seizures ---------------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164423 -    Hallucinations ---------------------- improved none several months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164424 -    Food cannot taste gagging ----------- resolved after 5 days                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164425 -    Ferritin low - energy deficits ------ persists daily ? need lab  energy better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164426 -    Potassium elevated - heart damage --- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164427 -    SGOT elevated - liver damage -------- persists daily ? need lab                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164428 -    Mouth Dry - Xerostomia -------------- woke this morning with dry mouth                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164429 -    Lips swelled - Cheilitis ------------ persists daily                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164430 -    Sore throat ------------------------- persists seems better today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164432 -  ..
164433 - Pain contained with meds; no seizures.  After hike today, new bubble                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164434 - blister right foot below #1, recurrent from prior hikes.  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164435 - not bandaging toes, using silicone toe caps instead.  Need new Hoka                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164436 - Bondi 9 shoes with more cushioned soles to prevent metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164437 - injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164438 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164440 -         ..
164441 -        Pain Location                              Pain Level  % of Hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164442 -        -----------------------------------------  ----------  ---------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164443 -        Stomach pain ischemic colitis bloating.......   3         30  bloating can occur with diabetes and is a side effect statins, and after cardiac ablations, did not take Simethicone today, hiking reduced symptoms by end of 16 miles; temp 90 may have increased dysfunction ANS symptoms including bloating                                                                                                                                                                                                                                                                                               
164444 -        Side ache vasodilation ischemic colitis......   0        100  right side occurs 20 minutes after ending hike - lasted several hours - on 250921                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164445 -        Hands cramping hurting - post hike...........   0        100  hands and thumbs cramping 4 hours after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164446 -        Hands flinching post hike muscle spasms......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164447 -        Heat rash quads.vasculitis.see 210618........   0        100  post hike did not feel pain during nor after hike, noticed some rash after hike                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164448 -        Chest pain...................................   0        100  began about mile 8, taking Naproxen and Gabapenin mile 11helped                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164449 -        Chest swaying left to right..................   0        100  post hike writing up the record similar to AF symptom at hospital after CABG and occassionally at home past few years after strenuous hike that signaled AF or AFL, but today heart seemed to be sinus all the way                                                                                                                                                                                                                                                                                                                           
164450 -        Breathing ARDS...............................   0        100  difficulty breathing due to grade and length                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164451 -        Trapezius right side neck/shoulder...........   0        100  no recurrance today momentarily last half hike turning body and head left or right                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164452 -        Spine below neck lift left or right arm......   0        100  did not occur today, but not a factor if head held steady                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164453 -        Neck turning head/chest left or right........   0        100  episodes mile 18+  took 2 Naproxen and 0 Gabapentin mile 11and 0 Naproxen mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164454 -        Shoulder left myopathy statins...............   0        100  episodic pain when lifting arm to end hike - took 2 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                   
164455 -        Bicep tendon strain across elbow right arm...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164456 -        Elbow left arm PRP on 231121.................   0        100  mostly episodic doing anything with left arm - at times feels improved, took 0 Naproxen and 0 Gabapentin mile 07 and again at mile 00                                                                                                                                                                                                                                                                                                                                                                                                        
164457 -        Hands sunburned itching rash.................   0        100  applied sunblock today 240316, because sun is getting more intense as Spring occurs                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164458 -        Hip left.....................................   0        100  noticed on hiking 4 miles of loops in college parking lots - subsided after taking anotehr Naproxen before leaving campus                                                                                                                                                                                                                                                                                                                                                                                                                    
164459 -        Back.........................................   0        100  noticed about 10 minutes into hike resolved next 20 minutes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164460 -        Hip right....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164461 -        Shin splint pain both legs...................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164462 -        Knee left skin lesions left side.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164463 -        Knee left meniscus...PRP 231121..............   0        100  took Glucosamine Chondroitin starting hike, knee not hurting beginning of hike, took 1 Naproxen mile 00 and 1 Naproxen mile 08 knee PL 0 entire hike                                                                                                                                                                                                                                                                                                                                                                                         
164464 -        Knee left patalla...PRP 210705...............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164465 -        Knee buckling left..PRP 191209.240108........   0        100  began coming down Ygnacio Valley Road about mile 22 - intermittant                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164466 -        Knee left anterior cruciate ligament.........   0        100  same as knee buckling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164467 -        Knee right cruciate ligament back of knee....   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164468 -        Knee right meniscus PRP 190816...............   0        100  feeling right knee doing laps in college parking lots, subsided before taking Naproxen and Gabapentin at mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                        
164469 -        Achilees tendon right leg collaps/buckling...   0        100  did not recur today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164470 -        Quadraceps both legs.........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164471 -        Hamstring tendon left leg.PRP 210705.........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164472 -        Hamstring left leg...........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164473 -        Hamstring right leg..........................   0        100  post hike - legs did not hurt during hike likely due to magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164474 -        Calf left....................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164475 -        Tailor's Bunion left foot.. PRP 210705.......   0        100  Doctor Tang shaved calluses 240829 - no pressure today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164476 -        Tailor's Bunion right foot..PRP 21 705.......   0        100  Doctor Tang shaved calluses 240829 - took 2 Naproxen and 0 Gabapentin mile 11 and again at mile 16                                                                                                                                                                                                                                                                                                                                                                                                                                           
164477 -        Plantar plate right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164478 -        Electric shocks middle 3 toes right foot.....   0        100  occurred intermittanly for minutes maybe twice after mile 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164479 -        Metatarsalgia left foot...PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
164480 -        Metatarsalgia right foot..PRP 210705.........   3         30  Doctor Tang shaved calluses 251003 and switched to new orthotic inserts on 250325 modified on 250428 - these helped - took 1 Naproxen at mile 00 and 1 Naproxen at mile 08 again at mile 14 again at mile 18                                                                                                                                                                                                                                                                                                                                 
164481 -        Right foot fat pad below #4,,,,,,,,,,,,,,,...   0        100  Doctor Tang shaved calluses 241031 and switched to old orthotic inserts on 241105 - these helped - took 0 Naproxen and 0 Gabapentin at mile 00 and 0 Naproxen at mile 00 again at mile 00                                                                                                                                                                                                                                                                                                                                                    
164482 -        Right foot #1 fractured fall on stairs.......   0        100  On 241108 fell hiking 5 Lakes trail in mountains next day on 241109 fell coming downstairs - xray on 241202 showed fracture - may be healed                                                                                                                                                                                                                                                                                                                                                                                                  
164483 -        Planarfaciitis right foot..240213.............  0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164484 -        Feet bottom soles hurt socks worn out........   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164485 -        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                                                                                                                                                                                                                                                                                                                                                                                                                                       
164486 -        Ankle left achilles heel on 220416...........   0        100  left ankle collapsing brief periods, similar to left anterior cruciate ligament failing - did not occur today                                                                                                                                                                                                                                                                                                                                                                                                                                
164487 -        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                                                                                                                                                                                                                                                                                                                           
164488 -        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                                                                                                                                                                                                                                                                                                                                                                                    
164489 -        Hallux Valgus right foot.....................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164490 -        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                                                                                                                                                                                                                                                                                                                                                                                                                   
164491 -        Callus big toe left foot...PRP 210705........   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
164492 -        Callus big toe right foot...PRP 210705.......   0        100  has been stable no pain for multiple months                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164493 -        Blister below big toe right foot.............   5         30  after hike found no bubble blister on 251009 recurrent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164494 -        Blister below big toe left foot..............   0        100  new on 240713, blister healed after switching back to Stable Elite orthotic inserts on 240725                                                                                                                                                                                                                                                                                                                                                                                                                                                
164495 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
164496 -        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 Naproxen and 0 Gabapentin mile 06                                                                                                                                                                                                                                                                                                                                           
164497 -        Blister forefoot toes right foot.............   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164498 -        Callus little toe #5 right foot...PRP 210705.   1         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
164499 -        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                                                                                                                                                                                                                                                                                                                                                                                        
164500 -        Callus ring toe #4 top right foot............   1         20  better today, silicon toe cap protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164501 -        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,                                                                                                                                                                                                                                                                                                                                                                                                                             
164502 -        Blister ring toe left foot.new 240602........   0        100  seems healed today on 240626                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164503 -        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                                                                                                                                                                                                                                                                                                                                                              
164504 -        Callus little toe #5 left foot...PRP 210705..   2         20  Doctor Tang shaved calluses 251003 - took 1 Naproxen mile 00 and 1 Naproxen at mile 08 wore Brooks Ghost x-wide shoes and 1 pair Smartwool 1-ply                                                                                                                                                                                                                                                                                                                                                                                             
164505 -        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                                                                                                                                                                                                                                                                                                                                                                                                             
164506 -        Blister top foot at toe line left foot.......   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164507 -        Blister top foot at toe line right foot......   0        100  Pediplasti interdigital spacer was used today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164508 -        Callus bottom right foot below little toe....   0        100  Doctor Tang cut out core of callus again on 240829 - took 2 Naproxen and 0 Gabapentin mile 08 and again at mile 17                                                                                                                                                                                                                                                                                                                                                                                                                           
164509 -        Blister top long and middle toes left foot...   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164510 -        Burning sensation both feet..................   0        100  at end of hike after taking 1 Naproxen and 1 Gabapentin mile 00 and again at mile 06 - wore old Hoka Bondi 6 wide shoes unclear how this would effect burning sensation at middle of hike mile 6 - feeling ended on resuming hike and did not recur                                                                                                                                                                                                                                                                                          
164511 -        Stinging sensation both feet.................   0        100  when stopped at mile 11 noticed middle toes tips stinging and subsided after taking Naproxen and Gabapenin at mile 08and again at mile 09                                                                                                                                                                                                                                                                                                                                                                                                    
164512 -        Diabetes toes both feet inflamed, itch.......   0        100  Symptoms seem like diabetes - need consistent hiking to resolve rising symptoms                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164513 -        Peripheral neruopathy both feet..............   0        100  most siginficant between mile 2 - 4 then declined as hiking miles continued - worse before hike, especially last night could not sleep until taking Gabapentin                                                                                                                                                                                                                                                                                                                                                                               
164514 -        Peripheral neruopathy top left hand..........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164515 -        Peripheral neruopathy top right hand.........   0        100  worse after 2 miles and calmed by mile 8                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164516 -        Veering left.................................   0        100  veering left about mile 15 last 5 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164517 -        Veering right ...............................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164518 -        Fall.........................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164519 -        Restless legs................................   0        100                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164520 -        AFL...5th ablation on 231214.................   0        100  Polar shows no AFL entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164521 -        Wobbly disoriented staggering dizzy..........   0        100  took 2 Tramadol mile 00, and 2 Naproxen mile 08, and 1 Naproxen mile 16, and 0 Naproxen mile 18 - no possible seizure symptoms today                                                                                                                                                                                                                                                                                                                                                                                                         
164522 -        Wasted - severe energy deficit...............   1         20  energy good after taking 2 magnesium mile 00 and 2 magnesium mile 08, 1 magnesium mile 16 and 0 magnesium mile 18 all with CoQ10                                                                                                                                                                                                                                                                                                                                                                                                             
164523 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164525 -  ..
164526 - Energy deficit / fatigue researched seperately with Microsoft AI,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164527 - reported on 250517 1928. ref SDS 93 N96F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164529 -  ..
164530 - Shoes see case study on 200101 0701. ref SDS 18 SO4L  Continued with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164531 - Hoka Bondi 9 size 10.5 extra-wide, received on 250624 1923.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164532 - ref SDS 97 EQ7K  First eyelets not laced, and first laces very loose,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164533 - then double weave to keep lower laces loose.  This combines with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164534 - extra-wide across the forfeet reduces lateral pressure on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164535 - Hoka Bondi shoes have thicker cushion soles that reduce metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164536 - pressure.  on 251001, experimented with Dean's Shoe Repair stretching                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164537 - shoes laterally for extra width at #1 and #5. ref SDS B1 9G2J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164538 - Continue wearing 2 pair dual-ply socks, and omitting bandaging on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164539 - calluses.  This combination seemed to work.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164541 -  ..
164542 - Orthotic inserts - switched to Stable Elite purchased from Mark                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164543 - Wachter at On-The-Run on 221118 1221, ref SDS 26 4G4N, replacing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164544 - Powerstep inserts after review by Doctor Hewit on Monday, established                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164545 - they are still effective, reported on 250929 0830. ref SDS B0 LN45,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164546 - and previously created by Doctor Hewitson on 250325 0830. ref SDS 83                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164547 - 5Q5M and explained in case study record on 200101 0701, ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164548 - Q34F, have begun to fail causing continual feet injuries, reported on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164549 - 250904 1030. ref SDS A5 1Z7N  Made change today, because feet feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164550 - like slipping off inserts due to padding, especially when stepping on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164551 - uneven surface, like native soil.  Was getting blister right foot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164552 - below #1.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164554 -  ..
164555 - Socks see case study on 200101 0701. ref SDS 18 0S6N  Continued                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164556 - wearing 2-pair Wrightsocks 2-ply socks.  Now that some healing has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164557 - occurred on calluses, avoided more blisters on #1 and #5.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164559 -  ..
164560 - Bandaging left foot #1...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164562 -  ..
164563 - Callus Injuries - today on 251004, continued bandaging experiment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164564 - using only silicon toe caps and 2-pair dual-ply Wrightsocks, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164565 - switching to Urea20 feet treatment replacing Amonium Lactate 12%.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164567 -                    2 Tramadol mile 00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164568 -                    2 Naproxen mile 10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164569 -                    0 Naproxen mile 15 had PL 3 last 5 miles of 20 mile hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164571 -  ..
164572 - Keeping below 4 Tramadol aimed to avoid tripping ANS into seizure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164573 - Microsoft AI (Copilot) proposed Naproxen can be taken to extend pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164574 - management from Tramadol, without exceeding neurology limits of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164575 - Tramadol, reported in case study on 200101 0701, ref SDS 18 K5FI, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164576 - citing research in another record on 250813 1816. ref SDS A4 6DG1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164578 -  ..
164579 - Mild energy deficit after taking...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164580 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164581 -            2 magnesium at mile 00 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164582 -            2 magnesium at mile 10 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164583 -            1 magnesium at mile 15 1 CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164585 -  ..
164586 - Bandaging today...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164587 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164588 -        Silicon Toe Cap left foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164589 -        again; had lateral pressure pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164590 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164591 -        Gel Toe Cap left foot #5, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164592 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164594 -         ..
164595 -        Silicon Toe Cap right foot #1, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164596 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164598 -         ..
164599 -        Silicon Toe Cap right foot #4, did not have bubble blister                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164600 -        again; had lateral pressure minimal pain last 3 miles.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164603 -  ..
164604 - Urea20 cream applied to calluses, and Ammonium Lactate 12% lotion                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164605 - applied to rest of feet in evening after hike, to bottom of feet, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164606 - above, ref SDS 0 OK9M, and wearing 1 pair Smartwool 1-ply socks help                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164607 - recover and avoid blisters to Tailor's Bunion and other calluses both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164608 - feet, case study on shaving skin to reduce pressure, shown on 200101,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164609 - ref SDS 18 QVWS,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164610 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164612 -  ..
164613 - Concord 20 mile route - before starting hike took Glucosamine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164614 - Chondroitin for OA protection, mainly left knee treated with PRP intra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164615 - articular injection 13 times over 3 years, see case study on 200101                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164616 - 0701, ref SDS 18 TTPV, and also left hip.  Left knee has expressed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164617 - less pain in recent months, because elevated HDL from hiking past 15                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164618 - years has repaired some cartilage loss thereby reducing osteoarthritis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164619 - pain.  Today, left knee PL 2 20% of hike.  With feet PL 0 at start,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164620 - decided to take 2 Tramadol for pain management, despite 2 Tramadol was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164621 - not enough to get past mile 4 on Concord route - had to take more to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164622 - reach mile 8, during hikes on 250522, per above, ref SDS 0 STXU, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164623 - feet have healed past 3 weeks, while applying Urea20 to calluses that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164624 - complements Ammonium Lactate 12%, for metatarsalgia, and even though                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164625 - there is no metatarsalgia pain in feet starting the hike today, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164626 - further that left foot #1 and #5 calluses both start at PL 0, after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164627 - treatment by Doctor Tang at VAMCSF on 251003 0830, ref SDS B2 T49H,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164628 - since recent hikes have needed more Tramadol before mile 8, for pain                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164629 - relief, despite starting at PL 0 - it's complicated.  Took 2 Magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164630 - Complex 300 mg pill for energy, absorbing lactic acid, and reducing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164631 - inflammation allowing HDL to increase that together with EPCs regress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164632 - plaque in blood vessels - see research on 200101 0701, ref SDS 18 QP6L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164633 - - swallowed pills whole after EGD Dilation on 250718, avoids capsule                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164634 - clogging LESV, as occurred on 240824. ref SDS 36 PPTU  Both magnesium                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164635 - and CoQ10 are large pills, which are getting more difficult to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164636 - swallow, now over 2 months since LESV was dilated.  Had small amount                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164637 - peanut butter few bites steak that both contain iron to complement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164638 - hiking to raise HDL, see review with MAI in the record on 131125 0005.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164639 - ref SDS 4 YIQU, that restores sinus rhythm to resolve dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164640 - ANS that then elevates Ferritin and Transferrin Saturation, which both                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164641 - tested below range on 250428 0940, ref SDS 88 VP5H, and Ferritin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164642 - slightly up to 29.6 in blood test on 250807 0654. ref SDS A1 VP5H - in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164643 - telephone meeting with Lauren in Primary Care discussed Iron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164644 - supplement to increase Ferritin.  Decided to rely on improving                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164645 - Ferritin along with recovering from all afflictions from dysfunctional                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164646 - ANS, listed in case study on 200101 0701, ref SDS 18 ZM8J, by                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164647 - increasing hiking to restore sinus rhythm, reported on 250813 0730,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164648 - ref SDS A3 MJ5I, and previously letter from Doctor Pellegrini on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164649 - 250115 1023, ref SDS 70 H480, and had small amount margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164650 - Mayonaise which aid absorbtion (digestion) of Magnesium, and had small                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164651 - amount Chia Seeds for electrolytes (e.g., potassium) and energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164652 - had 1/4 avocado to complement peanut butter for increasing HDL.  Just                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164653 - before starting hike took new Ubiquinol CoQ10 100 mg softgel tablet,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164654 - all per above. ref SDS 0 YT2K  CoQ10 is an enzyme produced in the body                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164655 - that supports an electron transport chain (ETC) giving human cells                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164656 - energy - see case study on 200101 0701. ref SDS 18 136K  Minimal                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164657 - breakfast reduces bloating feeling starting hike from ischemic colitis                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164658 - caused by taking statins and other drugs, also symptomatic of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164659 - diabetes, colitis and atrial fibrillation (arrhythmia - impaired heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164660 - rate variability (HRV) from dysfunctional autonomic nervous system -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164661 - ANS), see case study on 200101 0701. ref SDS 18 O33H  Took backpack to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164662 - carry hydration, nutrition, meds, medical supplies.  Temperature 72,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164663 - and wind 14 mph.  Hiked Cuneo .25 mile and turned left, onto Treat.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164664 - Starting hike stomach seemed more bloated (alignes with increased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164665 - "impaired HRV" overnight Polar study, above, ref SDS 0 KJS9, and feet                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164666 - feeling swelled and like pins and needles - did not feel electrical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164667 - shocks in balls of feet and toes #2 and #3 both feet about 2 miles -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164668 - due to peripheral neuropathy caused by taking statins, diabetes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164669 - symptoms, and dysfunctional ANS.  Breathed through nose entire hike                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164670 - with no dyspnea, indicating strong respiratory condition continues -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164671 - correlates hiking therapeutic miles during past week.  Hiked East on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164672 - Treat .5 miles.  Turned right hiking South on asphalt shoulder of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164673 - Turtle Creek Road for 1.5 miles mostly flat grade, some places 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164674 - uphill, and very light traffic.  Initial .5 mile hiking slow, then                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164675 - continued at 15-minute mile pace.  Hiked across Newhall Community park                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164676 - and back today.  Feet metatarsalgia PL 2, left foot #1 PL 1, #5 PL 1;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164677 - right foot #5 PL 0 - endorphins and Tramadol partially effective.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164678 - Continued on Turtle Creek Road uphill 4% grade.  Speed increased,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164679 - energy good at end of Turtle Creek Road - turned left onto Ayers                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164680 - hiking East .75 miles on asphalt road shoulder.  At mile 3, turned                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164681 - right onto Clayton Road hiking South .5 miles on asphalt pavement in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164682 - parking lots of shopping complex.   About mile 3.5 metatarsalgia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164683 - bottom both feet PL 1.  Crossed Alberto Way at traffic light and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164684 - continued on concrete sidewalk .5 miles.  Energy good - did not feel                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164685 - sense of hitting an "energy deficit wall" near mile 4, having to stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164686 - at Mountain Mike's Pizza restaurant to take interim magnesium and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164687 - CoQ10.  This has been major question for hikes past 8 months.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
164688 - Continued hiking past mile 4.  Turned right heading West on Ygnacio                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164689 - Valley Road using concrete sidewalk .5 miles.  This is difficult part                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164690 - of hike with metatarsalgia often greater than PL 2; today PL 1 hiking                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164691 - on sidewalk and wearing Hoka Bondi 9 shoes, per above. ref SDS 0 JXRW                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164692 - Crossed Park Highlands Road at Stop Light still heading West .25 miles                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164693 - now on asphalt shoulder.  Crossed to South side Ygnacio Valley Road to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164694 - hike on wider shoulder.  Continued West past Stop Light at Michigan                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164695 - Boulevard.  About mile 5, turned left onto Pine Hollow.  Hiked 1.0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164696 - mile East.  At Camino Solano turned around hiked back 1.0 mile on Pine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164697 - Hollow.  Near Ygnacio Valley road turned left onto Campus Drive                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164698 - heading West uphill 3% grade.  Hiked 1 mile against wind 08 mph.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164699 - road bends North.  At Ygnacio Valley road turned around and hiked                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164700 - uphill 4% grade .25 mile.  Reached Visitor Parking California State                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164701 - University East Bay Concord Campus.  Hiked 2 loops around main                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164702 - buildings stopping in back at training area - did 20 half pull-ups and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164703 - 20 half push-ups, then continued back to Visitor parking.  Stopped at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164704 - Administration building mile 10 time 1552, temp 71 and wind 09 mph;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164705 - EKG mostly uniform with no artifact - Kardia reported HR 102                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
164706 - Tachycardia - see below. ref SDS 0 JF9J  Bloated PL 2, energy deficit                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164707 - PL 2.  Both feet PL 4, burning sensation PL 2, left foot #1 PL 5, #5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164708 - PL 4, right foot #5 PL 2, #1 PL 1.  Took 2 Naproxen total today 2,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164709 - took 2 magnesium total today 4.  Sips softdrink carried from home for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164710 - hydration, swallow meds and nutrition - peanut butter, margarine and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164711 - chia seeds (soaked in water/Coca Cola/orange juice) for energy, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164712 - avocado for HDL, did not take Nuun electrolyte pill.  Took Ubiquinol                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164713 - CoQ10 100 mg pill for HDL and energy to complete hike, per above.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164714 - ref SDS 0 NGFI  Exited college heading North downhill on Campus Drive.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164715 - Turned left onto Ygnacio Valley Road.  Hiked West on flat grade .5                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164716 - miles.  At mile 11, continued past Crystal Ranch Road uphill 3% grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164717 - .5 miles against wind 12 mph.  Crossed Cowell at stop light.  At break                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164718 - in traffic, crossed to North side Ygnacio Valley Road to avoid severe                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164719 - camber.  Hiked .5 miles uphill 3% grade to summit at end of concrete                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164720 - barriar mile 12.  With break in afternoon commute traffic crossed back                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164721 - to South side Ygnacio Valley Road.  Continued 2 miles downhill 3%                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164722 - grade.  Crossed back to North side Ygnacio Valley Road.  Crossed Oak                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164723 - Grove at traffic light.  Hiked 1-mile loop around block at Safeway                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164724 - shopping complex.  Stopped near Mod Pizza mile 15, time 1738, temp 71                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164725 - and wind 12 mph; EKG mostly uniform with some artifact, Kardia                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164726 - reported HR 103 Tachycardia - see below. ref SDS 0 UQDU  Bloated PL 3,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164727 - energy deficit PL 3.  Both feet PL 4, burning sensation PL 3, left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164728 - foot #1 PL 2, #5 PL 2, right foot #5 PL 2, #1 PL 2.  Took 0 Naproxen                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164729 - total today 2, took 1 magnesium total today 5.  Sips softdrink for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164730 - hydration, swallowing meds and nutrition - peanut butter, margarine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164731 - and chia seeds (soaked in water/Coca Cola/orange juice) for energy,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164732 - and avocado for HDL, did not take Nuun electrolyte pill.  Took                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164733 - Ubiquinol CoQ10 100 mg pill for HDL and energy to complete hike, per                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164734 - above. ref SDS 0 NGFI  Continued hiking 1-mile loop around the block -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164735 - turned right onto path parallel to Via Monte hiking North .25 miles,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164736 - turned right onto Shadelands hiking .25 miles, and turned left onto                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164737 - Oak Grove.  Hiked 1 mile North on asphalt shoulder.  Crossed Treat at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164738 - street light.  Hiked 1 mile East on flat grade concrete sidewalk.  At                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164739 - San Miguel continued .75 miles on Treat uphill 5% grade temp 71.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164740 - Handled this well.  At summit, mile 18, hiked another mile to Cuneo,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164741 - continued to Cowell and back, then home.  Ended hike mile 20 time 1856                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164742 - temp 66, wind 09.  Bloated PL 3, energy deficit PL 3, feet PL 5,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164743 - burning sensation PL 2, left foot #1 PL 5, #5 PL 3, right foot #5 PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164744 - 3, #1 PL 2, recurrant blister below #1 PL 7, left knee PL 0, wobbly PL                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164745 - 0.  EKG looks mostly uniform, with minor artifact, Kardia reported HR                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164746 - 094 Normal Sinus Rhythm - see below. ref SDS 0 FRBQ                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164747 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164748 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164749 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164750 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164751 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164752 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164753 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164754 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164755 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164756 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164757 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164758 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164759 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164760 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164761 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164762 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164763 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164764 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164765 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164766 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164767 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164768 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164770 -  ..
164771 - Kardia recorded HR 46 at 1036, Bradycardia, looks mostly uniform heart                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164772 - beat lengths with p-waves and some artifact, likely no AFL after                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164773 - hiking 20 miles temp 72 yesterday, and diagnosed ischemic colitis on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164774 - 200612 0700, ref SDS 22 LY3G, likely arising from dysfuncational ANS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164775 - following 6th ablation on 240611, reviewed with Microsoft AI on 250114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164776 - 1202. ref SDS 69 NA4H  Medical history case study on 200101 0701.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164777 - ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164778 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164779 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164780 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164781 -              F:/05/00003/SM/CC/BNKG/000101cc/HR_251011-ecg-103637_mile_00_046_bdy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164782 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164783 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164784 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164785 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164787 -  ..
164788 - Polar HR GPS study in Concord, California ***low accuracy GPS used***                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
164789 - hike 20 miles.  Medical history case study on 200101 0701. ref SDS 18                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
164790 - TSYT  Launched Polar about 10 minutes after hike started.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164791 - ..
164792 -                                                                                                                                                                                                                                                                                                              x
164793 - Reported Samsung GPS mileage...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164794 -                                                        x                    H                         7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164795 -       Date          251017 251016 251015 251014 251013 251012 251011 251010 251009 251008 251007 251006 251005 251004 251003 251002 251001 250930 250929 250928 250927 250926 250925 250924 250923 250922 250921 250920 250919 250918 250917 250916 250915 250914 250913 250912 250911 250910 250909 250908 250907 250906 250905 251003 250903 250902 250901 250831 250830 250829 250828 250827 250826 250825 250824 250823 250822 250821 250820 250819 250818 250817 250816 250815 250814 250813 250812 250811 250810 250809 250808 250807 250806 250805 250804 250803 250802 250801 250731 250730 250729 25072  
164796 -       Miles            25      0      0      0      0      0      0      0     20     21     20     20     18     24     13     20      0      0     15      0      0     14     22      0      0     13     21      0     20     22      0     17      0     20      0      0      0      0     11      0     20     27      0     13      0     17      0      0     15     20     17      0      0      0      0     13      0      0      0     15     25      0      0      0      0     23      0      0      0      0      0      0     20     17     13     11     18     20     15      0     15      0  
164797 -       HR AVG          121     no     no     no     no     no     no     no    106    108    113    113    107    119    107    119     no     no    109     no     no    116    121     no     no    108    124     no    119    119     no    119     no    130     no     no     no     no    100     no    115    118     no    115     no    126     no     no    114    119    129     no     no     no     no    123     no     no     no    113    126     no     no     no     no    119     no     no     no     no     no     no    114    114    118    114    117    118    128     no    132     no  
164798 -         MAX           142   report report report report report report report  122    134    128    134    123    167    129    133   report report  130   report report  131    170   report report  137    145   report  141    138   report  134   report  149   report report report report  134   report  133    135   report  138   report  149   report report  129    136    147   report report report report  143   report report report  130    143   report report report report  143   report report report report report report  135    132    134    129    137    138    151   report  151   repo  
164799 -         Min            76                                                      54     72     82     73     65     54     81     80                   74                   64     69                   81     76            67     84            65            52                                 51            71     74            49            49                   64     66     51                                 61                          73     54                                 79                                               79     69     78     81     86     59     47            56         
164800 -       El Climb Ft     341                                                     509    665    472    493    505    500    340    426                  340                  412    426                  280    546           426    426           400           517                                190           457    457           333           466                  450    526    448                                468                         441    471                                613                                              613    518    434    419    447    447    467           467         
164801 -       Temp Max         76                                                      72     71     91     86     82     79     62     72                   63                   88     85                   60     88            84     83            80            85                                 74            85     79            60            92                  101    101     89                                 90                          87     85                                 94                                               94     87     87     86     88     88     90            90         
164802 -       Wind Max          8                                                      14     23     12     10      9     12      9     18                    2                   13     23                   13     13            12     22            10            17                                 08            16     16            13            18                   08     13     14                                 13                          12     16                                 14                                               14     21     13     16     13     18     15            15         
164803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164804 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164805 -              https://flow.polar.com/training/analysis/8208557491                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164808 -               ..
164810 -   
164811 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164812 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164813 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164814 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164816 -  ..
164817 - EKG at mile 10 time 1552 HR 102 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164818 - Tachycardia... heart rate looks mostly uniform with no artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164819 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164820 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164821 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164822 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164823 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-155257_mile_10_102_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164824 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164825 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164827 -  ..
164828 - EKG at mile 15 time 1738 HR 103 temp 71, Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164829 - Tachycardia... heart rate looks mostly uniform with some artifact -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164830 - medical history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164831 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164833 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164834 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-173843_mile_15_103_tcy_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164836 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164837 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164839 -  ..
164840 - End hike EKG at mile 20, time 1856 HR 094 temp 66 - Kardia reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164841 - Normal Sinus Rhythm... looks mostly uniform with no artifact - medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164842 - history case study on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164843 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164844 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164845 -              pix: 950 450                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164846 -              F:\05\00003\SM\CC\BNKG\000101cc\HR_251009-ecg-185654_mile_20_094_nsr_unfm.pdf                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
164847 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164849 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164851 -  ..
164852 - Post hike 251008 HR profile beginning 0130, aligns with indoor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164853 - activity after hiking 21 miles and showing no continuous extended                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
164854 - period steady elevated HR > 130, indicates no AFL and after stopping                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
164855 - Apixaban on 240711, after 6th ablation on 240611, 240611 0930,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
164856 - ref SDS 53 MC6F, See patient history on 200101 0701. ref SDS 18 TSYT                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
164857 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164859 -        ..
164860 -       Date      251009  251008  251007  251006  251005  251004  251003  251002  251001  250929  250928  250927  250926  250925  250924  250923  250922  250921  250920  250919  250918  250917  250916  250915  250914  250913  250912  250911  250910  250909  250908  250907  250906  250905  251003  250903  250902  250901  250831  250830  250829  250828  250827  250826  250825  250824  250823  250822  250821  250820  250819  250818  250817  250816  250815  250814  250813  250812  250811  250810  250809  250808  250807  250806  250805  250804  250803  250802  250801  250731  250730  250729    
164861 -       Time       0130    0130    2011    0019    2304    0130    2202    2011    1935    0011    1857    2324    2358    2359    2129    2155    1943    2150    2200    2056    0019    2256    2019    2035    2353    2030    2056    2245    2251    1933    2207    1925    0105    2016    1952    1903    2044    2103    1917    2204    2034    2113    2048    1957    2130    2334    2050    2017    2008    1952    2230    2230    1941    2007    1936    1935    2303    2027    2012    2056    2138    2312    2000    2059    2110    2126    1947    2211    2301    2107    2117    1818     
164862 -       Hours         8       8      13       7      10       5      11       5       9      10       6       9      10       9       7      11      10       4       9      11       6       9       9       9      10      10      11       9       8      11       9      12       6      10       8       6       9      11      12       9      10      10      10      11      10       8      12      10      11      11       8       8      11       9      12      11       7      10      11       9       9       7      11       6       9      10      11      10       9       9      10      12     
164863 -       HR AVG       59      59      64      64      60      68      64      71      63      60      65      68      62      60      65      64      64      74      58      67      60      61      68      71      68      70      69      63      70      67      71      55      55      57      54      66      65      56      57      63      66      60      58      62      56      59      61      59      64      61      65      65      61      65      60      68      63      65      63      65      57      61      60      63      59      61      65      64      66      68      75      84     
164864 -       HR MAX      109     109     111     152     116     115     134     117     123     113     127     104      98     128     104     115     113     139     110     122      94     111     141     110     108     105     114      99     110     121     112     135     106     103     126     103     132     103     105     116     136     117     117     101      96     125     120     106     105     100     115     115     103     110     122     132     123     116     115      97     101     106     101      91      95     128     109     103     110     109     113     162     
164865 -       HR Min       39      39      38      41      42      46      38      48      40      40      42      46      36      42      33      41      41      56      42      39      41      40      44      43      44      43      43      44      43      41      41      38      40      37      38      47      44      38      39      40      41      39      38      41      40      41      42      38      43      40      47      47      37      40      40      42      44      41      40      41      39      42      42      45      39      40      40      41      44      45      44      45     
164866 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164867 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164868 -              https://flow.polar.com/training/analysis/8204274468                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
164869 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164871 -  ..
164872 - HRV seems  10% 0 and  70% good and  20% poor overnight                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164873 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164875 -   
164876 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164877 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164878 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164880 -  ..
164881 - Breakfast - peanut butter margarine avocado chia seeds Ubiquinol CoQ10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
164882 - Lunch - peanut butter margarine avocado chia seeds                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164883 - Dinner - steak eggs broccoli asparagus onion cheese                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
164885 -  ..
164886 - Vomiting: 0% - bloating PL 2  in morning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
164887 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164888 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164889 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164890 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164891 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164892 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164893 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164894 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164895 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164896 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164897 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164898 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164899 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164900 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164901 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164902 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164903 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164904 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164906 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164907 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164909 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164912 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164913 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164914 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164915 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164916 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164917 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164918 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164919 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164920 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164921 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164922 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164923 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164925 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164926 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164927 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164928 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164929 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164930 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164932 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164935 -  ..
164936 - Mileage spreadsheet correlating HDL cholesterol...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
164937 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164938 -              F:\05\00003\SM\CC\BNKG\120216cc\130101cc\hiking_miles_3.xlsx                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
164939 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164940 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164941 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164942 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164943 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164944 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
164945 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1650 -